Drawing upon more than 30 years of experience in medical record administration, healthcare documentation review, and compliance evaluation, this medical record administration expert witness specializes in medical record documentation audits, healthcare recordkeeping practices, regulatory compliance issues, policy and procedure evaluations, and medical record standards and documentation practices within healthcare facilities. Educational qualifications include a Bachelor of Science degree in Health Services Administration together with a Certificate in Medical Record Administration. Since 1982, the expert has worked as an independent medical records consultant to healthcare organizations, performing on-site evaluations of documentation systems, assessing compliance with federal and state healthcare regulations, reviewing healthcare policies and procedures, and preparing compliance-related reports for healthcare facility administrators regarding medical record maintenance and reporting requirements. Additional experience includes development of medical record auditing tools, construction of compliance review systems, evaluation of administrative documentation practices, and in-service training concerning documentation procedures, records management practices, and healthcare operational compliance standards.

Areas of analysis include adequacy of medical documentation, healthcare record maintenance practices, policy implementation issues, documentation review procedures, and adherence to regulatory and administrative requirements associated with healthcare records management and facility operations. The expert additionally has prior experience providing expert witness services involving healthcare documentation and medical records administration matters. Extensive professional credentials and healthcare information management experience further include designation as a Registered Health Information Administrator (RHIA) through the American Health Information Management Association. Professional affiliations include membership in the New York Health Information Management Association. The expert’s consulting background has focused on assisting healthcare facilities in improving medical record services and documentation compliance practices intended to support healthcare operational standards and patient care objectives.