Medical Utilization Review Expert Witnesses: 8

Stephen M. Raffle, M.D. is double Board-Certified in Psychiatry and Forensic Psychiatry. Dr. Raffle has over 49 years as a clinical and forensic psychiatrist offering his expert opinion in Federal and State jurisdictions nationwide. In addition to serving as an expert witness, Dr. Raffle consults to attorneys, judges, insurers, and to employers regarding Fitness for Duty and Risk of Violence (Threat) Assessment:

• 5000+ psychiatric assessments
• Expert testimony in 700 depositions and trials
• Successful clinical practice

The job of an expert witness is to educate a jury, judge, attorney, and trier of fact about the forensic psychiatrist's conclusions and how those opinions were derived in a manner well-reasoned, skillful, and easily understood by every person, not only another forensic psychiatrist. In short, an educator. Dr. Raffle’s experience as an educator extends well beyond a forensic venue, yet underpins the key to his ability to explain his opinions.

• Prof. of Psychiatry, UCSF Medical School, 20 years
• U.C. Hastings College of the Law postgraduate course "Trial and Appellate Advocacy" instructing seasoned attorneys about the direct and cross-examination of expert witnesses, with special focus on mental health experts and licensed medical professionals, Psychiatrists (MDs), Psychologists (LCSWs / MFTs), and physicians in other medical specialties, 11 years

Stephen M. Raffle, M.D. & Associates' expertise is well-established in forensic assessment in the areas of:

• Post-Traumatic Stress Disorder (PTSD)
• Dementia and Competency
• Testamentary Capacity
• Undue Influence
• Traumatic Brain Injury
• Malingering
• Emotional Distress: Intentional & Unintentional infliction
• Emotional Distress: Forensic Evaluation to render medical-legal opinion
• Diagnosis and Need for Treatment
• Fitness For Duty
• Risk/Threat Workplace Violence Assessment
• Wrongful Termination
• Discrimination (ADA, Title VII, EEOC)
• Harassment
• Employment Litigation
• Medical Malpractice
• Catastrophic Injury
• Temporary and Permanent Disability
• Medical Records Review
• Assist in Preparation for Direct and Cross-examination of Expert Witnesses and Deposition of expert witnesses

Licensed in California.

Richard M. Sobel, MD, DFAPA, has over 30 years of experience practicing Adult Psychiatry and Pain Management / Medicine. His specialty focus is in Pain Medicine, for which he has sub-specialty board certification, Psychotherapy, and Psychopharmacology. Dr. Sobel is currently a Clinical Assistant Professor in the Department of Psychiatry at Jefferson Medical School. A Distinguished Life Fellow of the American Psychiatric Association, Dr. Sobel is also immediate Past President of the Greater Philadelphia Pain Society, one of six regional chapters of the American Pain Society. He is a Representative of the Pennsylvania Psychiatry Society to the Safe and Effective Prescribing Practices and Pain Management Work Group of the Pennsylvania Department of Drug and Alcohol Programs. In 2014, Dr. Sobel was the recipient of the Dean's Award for Excellence in Education at Jefferson Medical College and, in 2013, was nominated Practitioner of the Year by the Philadelphia Psychiatric Society. Litigation Support - Dr. Sobel offers expert witness services to counsel representing both plaintiff and defendant. Dr. Sobel's services include Independent Medical Exams (IMEs), medical record review, utilization review, written reports, depositions, and trial testimony as needed. Areas of Expertise:

View Dr. Sobel's Consulting Profile.

Michael F. Arrigo is the Managing Partner, Healthcare Practice for No World Borders. They work with health systems, health IT companies, and health plans. His recent retentions have been by the U.S. Department of Justice (DOJ) - drug pricing, patent infringement, medical coding and billing, and Qui Tam False Claims Act and fraud case specialties. 

Mr. Arrigo has in-depth experience in HIPAA mandates, the HITECH Act and Patient Protection and Affordable Care Act (PPACA) and is a published author and regular speaker. He consults to clients including Health IT investors, Health IT companies, and health plans and hospital systems in matters regarding:

 HIPAA Privacy Rule, HIPAA Security Rule, HIPAA Breaches, Revenue Cycle Management, Hospital Liens in Personal Injury Cases without considering insurance as a collateral source.

Medicare fraud, Medicare damages, Managed Medicaid, capitation, rate setting. Federally Qualified Health Centers (FQHC)

• Meaningful Use of Electronic Health Care Records
• Quality Measures for Medicare Advantage Hospital Value-Based Purchasing
• Medicare Advantage HEDIS 5-Star Ratings for Health Plans Mr. Arrigo was recently quoted in the Wall Street Journal Venture Capital Dispatch regarding medical coding standards and Wall Street Journal Health Blog regarding venture-backed information-technology companies that serve hospitals and health insurers.

Thank you for viewing my profile.  Please click this link to view my CV.

2020 07 21 Michael F Arrigo Expert CV and Supplemental Material WATERMARK NOT RETAINED.pdf

Please view a ruling published in Westlaw by U.S. District Judge Ronald S. Lew pertaining to my expert qualifications here:

United States v Pacific Health Corporation.pdf

For more about me, please click here:

https://noworldborders.com/expert-witness/ 

Related posts :

Medical Billing Expert Witness

https://noworldborders.com/expert-witness/medical-billing-expert-witness/

HIPAA Expert Witness

https://noworldborders.com/expert-witness/hipaa-privacy-and-security/hipaa-expert-witness/ 

Healthcare Intellectual and Property, particularly pertaining to insurance claims processing, medical coding, medical billing and information privacy:

https://noworldborders.com/expert-witness/healthcare-patent-expert-witness/ 

Mark A. Smith, MD, MBA, FACS, FACHE, CPHQ, is an independent senior Healthcare Consultant and a Practicing Vascular Surgeon as a Clinical Assistant Professor of Surgery at the University of California, Irvine. Dr. Smith previously served as the Chief Medical Officer with Morrisey Associates Inc/ Morcare LLC for six years. He is a member of HG Healthcare Consultants LLC. Dr. Smith brings over 30 years of clinical practice and hospital management experiences to his work with physicians and hospitals across the United States. He is Board Certified in Vascular Surgery and is a Fellow of the American College of Surgeons, the American College of Healthcare Executives. He is a member of the American College of Physician Executives, the Society for Vascular Surgery and the Southern California Vascular Surgical Society. Litigation Support - Dr. Smith provides expert witness services to attorneys representing plaintiff and defendant. His decades of clinical practice as a surgeon and multiple roles in senior hospital administration to his work on peer review, credentialing, ED call, and other matters involving physicians and hospitals across the United States. He has testified several times in the past 5 years. Areas of Expertise:

View Dr. Smith's Consulting Profile.

David Clay Griffin, RPh, has over 30 years of experience in Retail and Community Pharmacies and still actively works as a pharmacist and pharmacy manager. Well-versed in practice standards and pharmacy operations, including controlled substance laws and policies, as well as financials, inventory, sales. Throughout his Pharmacy Management career, Mr. Griffin also served as a pharmacist for the United States Department of Health and Human Services in Dallas, Texas (2002/2017). He worked with the Texas 4 Disaster Medical Assistance Team and was the Pharmacy Unit Leader with NDMS over several missions. Mr. Griffin consults and serves as a pharmacy expert witness for attorneys representing both plaintiff and defense. His services include medical record review, thorough reports, depositions, and trial testimony. Areas of Expertise:

Dr. Matthew Lee, MD, RPh, MS. is a Physician, Pharmacist, Pharmacologist and Toxicologist who also practices as an Expert Witness and Legal Strategy Consultant. Specific Benefits Include:

• Increased quality and integrity of written expert reports, based on an expanded knowledge base
• Time savings by only having to coordinate and discuss a case with one expert as opposed to two or more
• Since there is so much overlap between fields in the medical profession it is often hard to determine where one scope ends and another begins. This ambiguity is dramatically decreased , and scope increased by combining physician, pharmacist, and pharmacologist into one
• Communication skills of a pharmacist and experience dealing directly with the lay-public, in addition to the knowledge and background of a physician is extremely beneficial describing technical details to a jury
• Practicing in different realms within the healthcare field has allowed Dr. Lee to integrate the multiple facets giving him a unique and distinct perspective that no other expert has.

Case Experience Includes: