Family Medicine/Family Practice File Review Consultants

Family Medicine/Family Practice - Full time practice of Hospital Medicine since 2008

Addiction Medicine, Family Medicine/Family Practice - Prior Medical Director at Centene / Healthnet Prior Medical Director at HealthCare Resource Group Prior Medical Director of Santa Clara County Pain & Addiction Program Prior Medical Director of Ambulatory Care, HealthCare Partners M.G Prior Vice President of Alliance IPA, Utilization Review Current Consultant to the DEA, Dept of Justice Prior Consultant to Medical Board of California Prior Medical Director of Todd Shipyard Occupational Health Prior Medical Director of Little Company of Mary Pain Institute Current Chief Medical Officer, Urgent Point Health & Wellness, PC

Family Medicine/Family Practice, Occupational Medicine - Board Certified Occupational Medicine. Board Certified Family Medicine. Licensed in AL, AZ, CA, CO ( level I accredited), FL, IL, KY, LA, MS, NE, NV, NY ( Work Comp Board Authorized, OH, TN, TX, WI. Expert reviewer capable of expedited turn around times, specializing in Worker's Comp Utilization Review and Peer Review.

Family Medicine/Family Practice - I am a USAF Reservist with experience working at a VA hospital in the Primary Care Clinic. I have also spent time working in Occupational Medicine.

Addiction Medicine, Adolescent Medicine/Young Adult Medicine, Family Medicine/Family Practice, Hospice and Palliative Medicine, Preventive Medicine/Public Health - I am a full Clinical Professor at Stanford University School of Medicine. I have taught the Standard of Care to medical students, residents, and physician assistant students for the past 25 years. I am triple Board Certified in Family Medicine, Addiction Medicine and Hospice and Palliative Medicine. I love to review complex medical cases and have a special knack for looking at the details.

Family Medicine/Family Practice, Sports Medicine - I am double board certified in Family Medicine and Sports Medicine. I have extensive experience with sports related injuries and orthopedics injuries/fractures that have been treated non-operatively as well in addition to Family Medicine. I also have experience with utilization management including reviewing the appropriate usage of imaging modalities.

Family Medicine/Family Practice - Family Physician with over 12 years experience and Diplomate of the American Board of Family Medicine. Holds faculty appointment at the University of Central Florida College of Medicine. Experienced in primary care, Medicare Advantage, urgent care, workers compensation, occupational medicine, and telemedicine. Trained in: Utilization Review, Life Care Planning, Inpatient/Length of Stay, Medical Necessity, Disability Reviews, Medical Legal Reviews, Standard of Care, Workers Compensation.

Family Medicine/Family Practice, Neuromuscular Medicine, Preventive Medicine/Occupational Environmental Medicine, Preventive Medicine/Public Health - Extra training in manipulative medicine and neuromuscular medicine which is in addition a large part of my clinical private practice.

Family Medicine/Family Practice - Certified Independent Medical Examiner

Family Medicine/Family Practice - Board Certified in family medicine with extensive experience in geriatrics, occupational health/ workers compensation, nursing home care, and urgent care medicine. Adjunct faculty at the Lake Erie College of Osteopathic Medicine and Professor of Leadership at Stetson University. Previous experience in law-based case reviews and presently workers compensation chart reviews as clinic medical director for Concentra Occupational Health.

Family Medicine/Family Practice, Geriatric Medicine - I have experience in adult primary care with a focus on geriatrics as well as home-based primary and palliative care. I am comfortable with chronic disease and acute care management in medically complex patients. I currently serve as associate medical director. I lead our regional interdisciplinary team. I collaborate with advanced practice providers who are performing in-home palliative care, addressing transitions of care, and conducting goals of care/advanced care planning discussions. We have strong focus on reducing hospital readmissions and timely transitions to hospice.

Emergency Medicine, Family Medicine/Family Practice - American Board of Legal Medicine

Family Medicine/Family Practice - Along with being a Medical Doctor, I have a doctorate in pharmacy as well. I am board certified in Family Medicine with Emergency room and hospital experience. I have practiced medicine for over 23 years. I am always available for review of your charts and will get reports back to you in a reasonable time. I am a certified DAS examiner and have performed hundreds of disability examinations. I have testified in a disability determination case as well.

Family Medicine/Family Practice - In direct patients care for more than 35 ys. Hospital leadership for 15 ys, currently chairman of Family medicine. Clinical Associate professor of Family Medicine. Legal reviewer of medical records

Family Medicine/Family Practice - General Practice (11 years as a licensed Primary Care Physician) Wound Care (2 years experience) Urgent Care Medicine

Family Medicine/Family Practice - Certified Medical Director (CMD) Hospice Team Physician

Family Medicine/Family Practice, Undersea and Hyperbaric Medicine - FAAFP Wound Care

Family Medicine/Family Practice - I have experience with hospice care, wound care, and geriatric psychiatry.

Family Medicine/Family Practice - I have worked as an emergency department physician for about 15 years.

Family Medicine/Family Practice - Extensive Urgent Care experience as well as Primary Care.

Family Medicine/Family Practice - Committed and enthusiastic Family Medicine Physician with a strong interest in Medical Chart Review. Excellent time management and interpersonal skills, adept at assessing patient conditions, and able to consistently provide efficient and thorough reviews.

Family Medicine/Family Practice - 4+ years as medical consultant for Michigan Disability Determination Service adjudicating Social Security Disability and Social Supplemental Income claims. Average 100 claims/ week with 5000+ completed. Expertise in ensuring evidentiary standards satisfied and determining impairment severity according to program policy. Additional training in QA, Childhood Disability & Continuing Disability Reviews. Excellent productivity with >99.6% accuracy of federally reviewed claims & Tier 1 accuracy of 100%. Full scope primary care for private sector and VA with focus on geriatric/ eldercare at SNF.

Family Medicine/Family Practice - Board Certified Family Nurse Practitioner with Doctorate-level education. Experience in diverse settings including acute care, outpatient, and extended care facilities. Areas of responsibility have included orthopedic trauma, inpatient hospitalist service, admissions, discharges, palliative care, and transition from Emergency Department to inpatient care. Director-level administrative experience in ED, ICU, and Progressive Care units. Six plus years of experience teaching graduate-level nursing students. I have reviewed dozens of cases as an expert regarding standard of care.

Family Medicine/Family Practice - Have training and experience in hormone replacement, clinical lipidology, obesity medicine, hyperbaric and undersea medicine. Am adjunct clinical faculty for Michigan State University College of Human Medicine

Aerospace Medicine, Family Medicine/Family Practice, Occupational Medicine - Former US Air Force Aerospace & Occupational Medicine Physician.

Family Medicine/Family Practice, Obstetrics and Gynecology - Rural critical care access Hospital ER coverage since 2015 ATLS,Pals, BLS ,ACLS High Risk Surgical OB Fellowship completed 1998 High Risk OB team member x 5 yrs in Rural Alaska OB Medical Director x 5 yrs YKHC Bethel Alaska 2000-2005 Associate Faculty member at Spokane Family medicine during my OB fellowship in Spokane Wa

Family Medicine/Family Practice - Experience: 1) Family and urgent care medicine for 25 years. 2) Over 100,000 in-person patient visits, all ages, inpatient and out. 3) Over 11,000 telehealth visits. 4) Management experience, medical director in past over urgent care, lead physician for a family practice office, currently director of patient operations and lead physician for nationwide virtual primary care entity. 5) IME's for work comp, state and federal. 6) File reviews, especially medical records. 7) Expert witness work (open for defense and plaintiff) 8) Merit reviews. 9) Client research.

Family Medicine/Family Practice, Occupational Medicine - Board certified in Family Medicine and Disaster Medicine, and I have a Certificate of Added Qualifications (aka CAQ, aka subspecialty certification) in Occupational Medicine. I have previously done file review full time but now do a blend of patient care and file review. I have many years of experience in Family Medicine, Urgent Care, and Occupational Medicine. I look forward to helping you with your file review needs.

Family Medicine/Family Practice

Addiction Medicine, Family Medicine/Family Practice - LICENSES AND CERTIFICATIONS Board Certified Family Medicine 1999 – 2025 Board Certified Addiction Medicine 2015- 2028 Nevada Medical License 10620 Texas Medical License K4632 Certified DOT Examiner ACLS, ATLS Certified Member, American College of Epidemiology Member, American Society of Addiction Medicine NIRSAT certified 2018 Fellow of the American Society of Addiction Medicine 2018

Addiction Medicine, Family Medicine/Family Practice, Pain

Family Medicine/Family Practice, Sports Medicine - Over 10 years experience performing medical necessity reviews (concurrent and retrospective), chart reviews and appeals with various organizations. Board certified in family medicine and sports medicine. Currently practice non-surgical sports medicine at a large multi-specialty orthopaedic practice and hold a clinical assistant professor faculty appointment at a large academic teaching hospital.

Family Medicine/Family Practice - I have extensive experience in addiction medicine and pain management. I have experience in the medical management of pregnant patients, newborns, adolescents, adults, and the geriatric population. I currently have my own practice and am an adjunct professor to 1st and 2nd year medical students. I include pap smears in my annual exam of adult women in my private practice.

Family Medicine/Family Practice, Pain - Multi-Board Certified - Family Medicine - Neuromusculoskeletal Medicine / Osteopathic Manipulative Medicine - Integrative Medicine - Additional Qualification in Pain Medicine - Medical Acupuncture Experience with: Physician wellness, CBT, MBTI/Enneagram, Mind-Body Medicine, Meditation, teaching/precepting medical students and residents, www.DrFrancisYoo.Info

Family Medicine/Family Practice - 7 years active Family Medicine, inclusive of residency training. Proficient in telemedicine. Between 12,000-15,000 patient visits and counting. Includes newborn care, pediatric and adolescent care, women's health, osteopathic manipulative treatment, geriatric care, etc. Interests in diversity and inclusion, both within and external of medicine. Experience working directly within the COVID-19 pandemic (providing testing, outpatient care, and vaccine services). Have performed file reviews and audits within my current ACO. Who's Who Who in America.

Family Medicine/Family Practice - 6 yrs - MDSI - Social Security physicals 2 yrs - VES - Veterans Disability exams 2 yrs - Veteran Psych Service - disability file reviews 2 yrs - ER Doc 27 yrs - Family practice 2 yrs - Biomed Research 2 yrs - Gen surgery resident Cum Laude Biochem - Harvard College Former President Johnston County Med Society, Vice Chief of Medicine Johnston Memorial Hospital, Nsg Home director Foreign medical missions to 8 countries with AMURT I specialize in arranging primary/secondary service connection for Veterans with quick turnaround French, Spanish, Hebrew

Family Medicine/Family Practice, Psychiatry - I am board certified in both Family Medicine and Psychiatry. I am currently working as a humanitarian aid volunteer in Nairobi Kenya, but am able to make and receive calls from my US number. I maintain adjunct faculty status a the Ohio State University Wexner Medical Center, where I resume clinical and faculty work when living in the US. Please see the attached CV for my complete work history. Thank you.

Family Medicine/Family Practice

Family Medicine/Family Practice, Sports Medicine

Aerospace Medicine, Family Medicine/Family Practice, Occupational Medicine, Preventive Medicine/Aerospace Medicine, Preventive Medicine/Occupational Environmental Medicine

Family Medicine/Family Practice, Geriatric Medicine

Family Medicine/Family Practice - Several years of utilization/case review experience as both a reviewer for health plans and as an independent reviewer. File review experience includes: medical necessity reviews, inpatient care, outpatient services (pharmaceutical, imaging, DME, lab services), billing and coding, chart auditing. Experience with reviews using guidelines (MCG, Interqual, AIM, internal guidelines, etc) as well reviews using medical literature and medical society guidelines. Additional training and experience with Billing and Coding procedures.

Family Medicine/Family Practice

Family Medicine/Family Practice - In practice since 2005, 8+ years traditional family practice, followed by 7+ years hospital medicine. 3 years medicolegal consulting. 5+ years as Chief of Medicine doing countless quality and mortality reviews. Extensive IT background including authoring medical software. Unique insights into where/how EHRs contribute to medical errors. Wrote my own software to prepare detailed interactive timelines of cases for incident review boards and lawyers.

Family Medicine/Family Practice