6 profiles available
physician-attorney
Nationally recognized physician-attorney with extensive experience in complex government and private insurer denials, audits, and litigation related to patient status, national and local coverage determinations, and fraud.
MD, FAAP, CHCQM-BE
As an integral member of the hospital’s CM/UR department; I am involved in daily clinical documentation/medical record review for hospital admissions. As a physician advisor I work together with CM to follow CMS guidelines in accordance with quality standards as determined by the URC and Quality/Compliance Committee. Consult with staff regarding delegated UM and disease management operations under managed care contracts while meeting all regulator-contractual/accreditation requirements associated with these functions. Serve as…
Physician Advisor
Experienced Physician Advisor
MD MBA
Experienced Phy Advisor with 12 yrs of PA work-looking to help on projects
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