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MD with MPH (epidemiology tract) and MBA. Board certified in General Surgery; formerly Board Certified in Surgical Critical Care. FACS and FCCM. Lean six-sigma green belt.
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…
Experienced Physician Advisor
Experienced Phy Advisor with 12 yrs of PA work-looking to help on projects
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