Healthcare Credentialing & Compliance Consultant
15 years of hospital operations experience. Expert medical staff services and regulatory compliance.
With 15 years of hospital operations experience and 9 years specializing in physician credentialing, I bring deep expertise in medical staff services and healthcare compliance. I hold active CPCS and CPMSM certifications through 2028 and have built a practice focused on credentialing excellence, regulatory analysis, and healthcare fraud investigation.
My background includes business ownership and operational management, which complements my healthcare expertise with strong analytical and investigative skills.
Comprehensive credentialing services with deep knowledge of regulatory requirements and best practices.
Regulatory analysis and compliance consulting for healthcare organizations and medical staff.
Electronic health record documentation analysis and system evaluation for compliance and accuracy.
Statistical analysis and documentation research supporting attorney education and litigation in medical malpractice cases.
Developing systematic approaches to identify and document healthcare billing fraud, with focus on phantom diagnoses and Medicare Advantage risk adjustment schemes.
Comprehensive framework for identifying fraudulent diagnoses through documentation analysis and clinical evidence review. Learn more at phantomdiagnosis.com (coming soon).
Contributing author in NAMSS Synergy journal, with articles on credentialing best practices and healthcare compliance.