Robert A. Craven, MD, SFHM, FACP, CHCQM-PHYADV File Review Consultant

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Profession: Physician (MD or DO)

Current ABMS or AOA Board Specialty and Subspecialty Certification(s): Internal Medicine

Licenses: North Carolina and South Carolina

Additional Information: I am board certified in internal medicine by the American Board of Internal Medicine and healthcare quality management with physician advisor subspecialty by the American Board of Quality Assurance and Utilization Review Physicians. I am a Fellow of the American College of Physicians (FACP) and a Senior Fellow of Hospital Medicine (SFHM). I currently work as a physician advisor for a large non-profit healthcare system. This role is primarily administrative in nature and focuses on preventing and overturning insurance denials and overseeing clinical documentation integrity.

Education: MD-University of Tennessee College of Medicine and BA-University of Tennessee at Chattanooga

Years in Practice: 6 to 15 years

Current Hospital Privileges (Excluding Courtesy): McLeod Health System and Tidelands Health System

Number of file reviews previously performed: 100+ file reviews

Average monthly hours in direct patient care: 11 to 40 hours