Chiropractic Standard Of Care Expert Witness

PROFESSIONAL EDUCATION

• Palmer College of Chiropractic, Davenport, IA:
  Doctor of Chiropractic- 1988-1992
• Named to President’s List for Academic Achievement
  University of Wisconsin-Oshkosh, Oshkosh, WI- 1985-1988

LICENSURE/CERTIFICATION/CERTIFICATES

• Doctor Palmer College of Chiropractic, Davenport, IA:
• Doctor of Chiropractic- 1988-1992
• Named to President’s List for Academic Achievement
• University of Wisconsin-Oshkosh, Oshkosh, WI- 1985-1988 of Chiropractic: Wisconsin 1992- present
• Doctor of Chiropractic: Michigan 2004- present
• Certified Professional Coder AAPC 2019- present
• Performance Enhancement Specialist NASM 2011- present
• Chiropractic Managed Care and Utilization Review Certificate Program: NYCC – 1996
• Chiropractic Claims Review and Independent Examination Certificate Program- 1999
• Certification for Kinesiotaping (CKTP) – 2005
• Certified Medical Examiner FMCSA 2016-present

SPECIALIZED/ PROFESSIONAL KNOWLEDGE

Faculty/Board Appointments-

• 1995-1998- Advanced Medical Training- American Medical Security
• 1998- present- Consulting/Expert for various carriers/TPAs/Legal entities
• 1997- American Back Society
• 2011-2012- Vice President- American College of Chiropractic Consultants (ACCC)
• 2013-2015 President- American College of Chiropractic Consultants
• 2015- 2018- Immediate Past President- American College of Chiropractic Consultants
• 2018- present- Board Advisor- American College of Chiropractic Consultants

Post-Graduate Education

• 1992- Clinical Neurology of the Upper Extremity
• 1993- OSHA Rules and Regulations/Industrial Relations
  Professional Workplace Ethics/Professional Boundaries
  Advertising and Business Communications
• 1994- Industrial Safety and Loss Prevention
  Workman’s Compensation Management
  Working with Third Party Payers
• 1995- Medicare Policies and Procedures
  Third Party reimbursement/IME reviews
  Chiropractic Orthopedics for the Upper Extremity
  Chiropractic Orthopedics for the Lower Extremity
  20-hour General License Renewal Seminar-NWCC
• 1996- Chiropractic Managed Care and Utilization Review certificate program
  Adjunctive Therapies- Uses and Indications Case Management
• 1997- Diagnosis and Treatment of Neck and Low Back Pain- The Integrated Approach
  Exercise, Biomechanics, Rehabilitation, Equipment
  20-Hour General License Renewal Seminar-NWCC
• 1998- Orthopedic Radiology
  Headache Disorders and Treatment
  20-Hour General License Renewal Seminar-NWCC
• 1999- Chiropractic Claims Review and Independent Examination certificate program
  Electrodiagnostic Testing
  Advanced Spinal Imaging
  20-Hour General License Renewal Seminar-NWCC
• 2000- Chiropractic Neurology and Current Research on Spinal Trauma
  Neurological Examination of Sports Injuries
  20-Hour General License Renewal Seminar- NWCC
• 2001- Janda Rehabilitation Principles
  Orthopedic Keystones of Diagnosis and Treatment
  HIPAA Patient Privacy Compliance
  Validating Chiropractic Research and New Care Trends
  20-hour General License Renewal Seminar- NWCC
  Role of Assessment Procedures
  Outcome Measures
  Neurological Assessment
  PARTS Exam
  Diagnostic Imaging
  Abuse Recognition and Professional Boundaries
  Soft Tissue Assessment
  Pain Assessment

CPR certification

• 2002- Rehabilitation of Common Athletic Injuries
  Kinesio Taping for Rehabilitation
  Structural Rehabilitation
  CPR certification
• 2003- Sports Focused Chiropractic Protocols
  Chiropractic Orthopedics
  CPR certification
• 2004- Kinesiotaping Advanced/Sports Medicine Parts I & II
  CPR Certification
  HIPPA Part II

2005- Advanced Functional Extremity Training
Chiropractic Neurological Examination
CPR certification- Red Cross
American College of Chiropractic Consultants Annual Conference
Applying the Best Evidence to the Clinical Case/Peer Review
– S Baker, DC, DABCO, DABFP, DABCC
A Critical Appraisal of Outcome Assessment Tools- S Yeomans, DC
Assessing Reasonable Chiropractic Practice in Med Mal Cases
– G Tarola, DC, FACO
The ACA Policies on Ethics, Coding, Documentation, and Fraud
– G McClellend, DC
Peer Review and Compliance with Professional Licensing Rules
– R Cole, D.C.
Identifying and Investigating Healthcare Fraud and Abuse
– D Osborne, MS
The Cost of Chiropractic Care- C Nelson, MS, DC
Whiplash Associated Disorders, Care Management, and Prognosis
– D Murphy, DC, DACAN
Skillful Spine Care: A case for Jurisdictional Control- J Triano, DC, PhD
A Critical Look at Imaging Modalities in Neuromusculoskeletal
Care- L Wyatt, DC, DACBR
The Best Practices Initiative (CCGPP)
– E Lewis, DC, MPH, Chairman CCGPP
Health Care Policy and Economics- D Bowerman, DC, DABCO, DABCC

2009- CPR/AED Training Certification
Principles of Active Functional Rehabilitation

American College of Chiropractic Consultants Annual Conference
IME Report Standards- W Jahn, DC
Utilization Review Reporting Standards- R Porter, MD
Bio-Psycho-Social Model for Pain & Treatment- J Disorbio, EdD
Analysis of End Range Loading Strategies- G Jacob, DC
A Review of Diagnostic Imaging Guidelines and Decision Rules-
P Farrell, DC, DACBR
A Diagnosis-Based Clinical Decision Rule for Patients with Spinal Pain-
D Murphy, DC
Critical Review of Clinical Prediction Models for Treatment Sub-grouping
in Musculoskeletal Care- J Hebert, DC, PhD
Predicting Provider Utilization Behavior by Combining Claims Data with
Publicly Available Regulatory Data- T Villani, DC
When Medical Necessity Collides with Philosophy- J Davila, DC
Neurological Based Chiropractic- R Aplin, DC
A View from the Bench of the Medical Expert Witness- Hon. J Brawka
How Lawyers Dig up Dirt on Expert Witnesses- J Robinson, Esq
Jurors’ Perceptions and the Testifying Expert- L Cupon, DC
Assessing Indicators of Fraud in the Chiropractic Office Setting-
D Bowerman, DC, H Levinson, DC, CFE

Success Strategies with Youth Athletes
CPR/AED Training Certification

2011- CDC Head’s Up Concussion in Youth Sports Certification

UW-Madison Sports Medicine Symposium
Return to Play Cases and Decisions
Post-Op ACL Rehab Progression: Time vs. Function- D Enz, PT, LAT
Hockey Player with a “Stinger”- G Landry, MD
Exertional Rhabdomyolysis in a Football Player- K Scharer, MS, LAT
Ironman Athlete with Achilles Tendinopathy- J Wilson, MD, MS
An Update on Concussion Management- K Walter, MD
Chronic Traumatic Encephalopathy- A McKee, MD
Legal Nutritional Supplements: Are They Safe? Do They Work?
– K Dahab, MD
Sports Hernias: Diagnosis and Treatment- L Faucher, MD
Sickle Cell Screening in Athletes- D Bernhardt, MD
Knee and Shoulder Physical Exam in the Primary Care Clinician’s Office:
Exam Pearls- K Carr, MD OR
Low Back and Hip “Prehab” for Rotational Sport Athletes- D Knight, MS
Running Gait Analysis- J Kempf, MPT, CSCS
Cadaver Hip Anatomy Review- TBeckley, DO
Frontiers in Hip Arthroscopy- J Keene, MD
Current Concepts in Hip Imaging- D Blankenbaker, MD
Surgery for Hip DJD: EBM vs. Consumer Advertising- M Squire, MD
Conservative Management of Hip Pain- K O’Leary, MPT
Hip Pain in the Pediatric Athlete- K Noonan, MD
Shoulder Case 1- J Orwin, MD
Shoulder Case 2- T Scerpella, MD
Knee Case- B Graf, MD
Hip Case- G Landry, MD
Sideline Sports Coverage-Tips for Team Physicians- J Wilson, MD, MS

CPR/AED Training Certification

American College of Chiropractic Consultants Annual Conference
Evidence Support for Medical Necessity and Appropriateness of Care
determinations- D Bowerman, DC, et al
Medical Testimony: it is Not About Winning or Losing- S Baker, DC
Videography and the Compulsory Medical Examination Encounter-
C Hopkins, DC
Med Nec: Hot Tubs, Spas, Whirlpools & Beyond- D Pedriana, Esq
Peripheral Arterial Disease: Recognition and Evaluation- L Cupon, DC
Failure to Recognize the Presence and Implications of Vascular
Conditions in Clinical Practice- W Jahn, DC
CCGPP: Review and Application of the Acute Care, Chronic Care and
Terminology Papers- R Farabaugh, DC
Co-morbidities of Chronic Spinal Conditions- W Evans, DC, PhD The Doctrine of Early Intervention vs. The Phenomenon of The Clinical
Cascade- C Nelson, DC, MS
The Etiology and Pathogenesis of Spinal Disorders- M Battie, PT, PhD
Functional Capacity and Return to Work- M Battie, PT, PhD
Workers’ Compensation Adjudication- Judge D Torrey

2012- UW-Madison Sports Medicine Symposium (Madison, WI)
On the Field Management of C-Spine Injuries- Becker, LAT, Cole, LAT

Conferences – Available upon request. 

Practice Experience

Wisconsin Chiropractic License- 1992- present
Michigan Chiropractic License- 2004- present
Private Practice WI 1992-1995, 1998-2007
Chiropractic Services Director- Green Bay, WI 1995-1998
Private Practice WI 2004- 2005
Private Practice 2008- present
Professional Vacation Relief Coverage- 2008-present
Locum Tenens Chiropractic, WI 2007
Sports Team Doctor – 2003-2011
Corporate Wellness Program: Synergy Corporate Wellness- 2009-2014
Athletic Trainer: Random Lake School District- 2013-2015
Sports Team Doctor: Rugby- 2008- present
Athletic Trainer/Team Doctor- High School
Girls Soccer/Fastpitch/Boys Soccer- 2019-present

Professional Affiliations

The American College of Chiropractic Consultants (ACCC)
Association of Certified Fraud Examiners (ACFE)
AAPC (formerly the American Academy of Professional Coders)
Midwest Antifraud Investigation Association (MAIA)
National Academy of Sports Medicine (NASM)
American College of Sports Medicine (ACSM)
National Register of Certified Medical Examiners (NRCME)
International Academy of Independent Medical Evaluators (IAIME)

Experience/ Skills

• Perform medical necessity and second opinion file reviews
• Expert Witness Testimony / Consulting Expert
• Coding Reviews and Affidavits
• DOT Exams
• SIU Work
• Healthcare Fraud Investigations
• Reviewed Chiropractic Claims Process and Benefits for a major national Labor Union
• Experience with Taft-Hartley Pension Plan Benefits
• Wrote guidelines for chiropractic health care
• Initiated and directed the Chiropractic Services Team
• Prospective case management
• Instructed “Advanced Medical Training” for AMS employees
• Chiropractic liaison
• Claims Appeals Panel member
• Performed physical medicine pre-certification reviews
• Authored claims processing guidelines for physical medicine procedures
• Sports Marketing, assisting race teams with obtaining sponsorships
• Developed and managed program to recruit, train and place Functional Rehabilitation Specialists into chiropractic practices
• Functional Movement Screens of patients/athletes
• Selective Functional Movement Assessment for patients/athletes
• Acceleration, Athletic Skills, Speed and Agility athletic camps
• Personalized Athletic Training programs

Nominations/Community Involvement: Available upon request.

Educational Outreach/Presentations:  Available upon request.