
10 minute read
INVESTIGATION
HEALTHCARE FINANCE AND REIMBURSEMENT (cont.)
Barry Posner
Posner Healthcare Consulting 1902 Prosser Ave Los Angeles, CA 90025 Tel: (310) 903-7987 Email: blionelp@gmail.com Website: www. posnerhealthcare.com Degrees/Lic: MS Health Care Administration/ Finance, 1996, California State University Northridge; BS Health Science/Policy, 1990, California State University Northridge; AS Math/Science, 1986, College of the Canyons, Valencia, California Specialties: Healthcare Billing and Cost Analyses, Medical Cost Trend Analyses, Alignment of Service Delivery and Insurance, Managed Care Operations, Accountable Care Organizations, Medicare, Medicaid, and ACA Program Management, Healthcare Provider Reimbursement & Incentive Strategies. Publications: Author, “TAKE CONTROL OF YOUR HEALTHCARE COSTS;” Author, “THE DEVELOPMENT OF A DECISION SUPPORT SYSTEM FOR PROVIDER RISK CONTRACTING.” Professional Societies: American College of Healthcare Executives
Consulting/Expert Witness Experience
- Civil: Hampton, Plaintiff, v. Amgen Entertainment Holdings, Inc., Defendants - Superior Court California, Central District. Unlimited Civil Tort. Client: Yoka & Smith, LLP. Opined on medical billing appropriateness and reimbursement. Tender Care 24/7 Home Care v. Misa - United States District Court, Southern District of California. Client: Terran T. Steinhart, Esq. Law Office. Unlimited Civil Tort. Opined on reasons for termination of home health Medicare provider ID number. Zankiewicz v. Mahal, et al. - San Joaquin Superior Court. Unlimited Civil Auto Tort. Client: Johnson Schachter & Lewis, A Professional Law Corporation. Opined on medical billing appropriateness. Expert Testimony before the L.A. County Board of Supervisors as representative of the L.A. County Medical Association Representative.
HEALTHCARE LITIGATION
Lucinda Ehnes
5112 Runway Dr Fair Oaks CA, 95628 Tel: (916) 599-5490 Email: cindy_ehnes@hotmail.com Degrees/Lic: Juris Doctorate; Lic in CA & CO Specialties: Healthcare Law, Reimbursement, Managed Care Education: BA, George Washington Univ; Columbus School of Law - JD, Catholic University of America Previous Positions/ Appointments: Director, CA Dept of Managed Health Care 2004-2011; Director of Enforcement, Colorado Dept of Insurance 1997-2001 Publications: The Prentice Hall ADA Compliance Advisor (1995).
HORSES
Rod Bergen
23838 Pacific Coast Highway, #686 Mailbu, CA 90265 Tel: (818) 591-7963 Fax: (818) 222-6911 Email: rodbergen@live.com Degrees/Lic: Nationally certified Horseback Riding Instructor; Mounted Patrol Instr (L.A. Sheriff’s Dept); Pierce College Riding Inst; Recognized Clinician/Lecturer on Horse Related Issues. Degreed Engineer; Reg Prof Engr. Specialties: Horse behavior relating to personal injury & property damage, equine accident reconstruction, horse facility evaluations, riding equipment suitability, horsemanship safety standards. Equine problems & personal liability issues occurring during trail riding. Experienced in expert witness deposition and trial testimonies.
Martin D. Cohen
4444 Ocean Heights Court Seaside, CA 93955 Tel: (831) 393-0588 Fax: (831) 393-0578 Email: mdc@mdccorporation.us Website: www.mdccorporation.us Degrees/Lic: BS, Univ of Tennessee Specialties: Equine accident reconstruction, appraisal, horse behavior; stable management; Show & Pleasure horses, matters of care, custody & control; Hunter/Jumper trainer, rider, instructor. Judge: 1984 & 1996 Olympic Games. Currently or Formerly FEI Internationale Judge, Courser Designer, Chief Steward; USEF National Judge, Course Designer, Steward; Canadian Senior Course Designer. Serving Plaintiff & Defense attorneys with equal fairness. Over 90% success rate. Free travel for qualified out of state cases.
HOTEL / RESTAURANT INDUSTRY
Fessel International Hospitality Consultants and Manask & Associates
Jeff McNeal 19 Suffolk Ave, Ste A Sierra Madre, CA 91024 Tel: (626) 566-3500 Tel: (818) 563-3552 Tel: (877) 432-8380 Cell: (626) 993-8199 Email: jeff@fessel.com Website: www.fessel.com www.manask.com Degrees/Lic: Restaurant Management. Professional Member: Foodservice Consultants Society International, Certified Food-service Management Professional, National Restaurant Association, California Restaurant Association & California Hotel/ Motel Association. Specialties: Foodservice operations expert in: Restaurants, Bars/Lounges, Cafeterias, Casinos, Catering, Clubs, Colleges, Food Courts, Hotels/Resorts & Studios. Experience in: industry custom & trade practices, operation standards, profit enhancement, cost control management, P&L analysis, expert witness support/testimony, contract/lease negotiations, food safety & sanitation & most foodservice issues & operations, Parking issues and site selection. Experience includes: Amgen, Paul Hastings Janofsky & Walker, LA City Attorney & DWP, Morrison & Foerster & Embassy Suites. Published author in industry publications; seminar presenter: Who’s Who in California, Who’s Who in the West. Past president of California Restaurant Association. 35 yrs experience as an operator, consultant & expert witness.
Dennis P. Gemberling
Perry Group International 455 S. Figueroa Street, Ste 3100 Los Angeles, CA 90071 Tel: (213) 266-7691 Fax: (213) 612-7797 Email: DPG@perrygroup.com Website: www.perrygroup.com Degrees/Lic: CHA; CFBE; FMP; FCSI Specialties: Hotel, motels, resorts, restaurants, bars, nightclubs, mixed-used real estate; management, operations, customs and trade practices, industry standards of care, safety, security, upkeep, maintenance, employment, labor, contruction of FF&E, landlord/tenant issues, agreements, contracts, economic impact, feasibility, income and profitability. Los Angeles and San Diego offices. Travel & Time from LA or SD.
HOTEL / RESTAURANT INDUSTRY (cont.)
Maurice Robinson & Associates LLC
Maurice Robinson, President 28 Dover Pl Manhattan Beach, CA 90266 Tel: (310) 640-9656 Fax: (310) 640-9276 Email: maurice@mauricerobinson.com Website: www.mauricerobinson.com
Degrees/Lic: Certified General Real Estate Appraiser, Arbitrator, Mediator Specialties: Hotels, resorts, golf, timeshares, gaming, commercial real estate, theme parks, damage estimates, appraisals, market feasibility, financial & economic analysis, testimony, leases, concessions, franchises.
HUMAN FACTORS / ERGONOMICS
Institute of Risk & Safety Analyses
Kenneth A. Solomon, PhD, PE, Post PhD Chief Scientist 5324 Canoga Ave Woodland Hills, CA 91364 Tel: (818) 348-1133 Fax: (818) 348-4484 Email: kennethsolomon@mac.com Website: www.irsa.us Degrees/Lic: PhD, Post PhD, PE Specialties: Forensic Scientists - Diverse Technical Staff: IRSA Staff has over 300 person years of courtroom experience. Biomechanics; Reconstruction; Human Factors; Safety; Accident Prevention; Fraud; Failure Analysis; Product Integrity; Liability; Testing; Warnings; Slip/Trip/Fall; Premises; Construction Defect; OSHA Compliance; Bldg Codes; Fire Protection; Explosions; Firearms/Ballistics; Electrocutions/Shocks; Structural; Recreational; Industrial; Criminal; Auto, Airbags, Aviation, Bicycle, Boating, Chair, Elevator, Escalator, Forklift, Gate, Golf Course, Ladder, Motorcycle, Nuclear, Press, Rollercoaster, Scaffolding, Seatbelts, Stairs, Swimming Pool, Truck; Simulations; Drone Use, 3D Models.
INSURANCE
General
Mitchell L. Lathrop
Law Office of Mitchell L. Lathrop 600 W. Broadway St, Ste 500 San Diego CA, 92101-3357 Tel: (619) 955-5951 Fax: (619) 566-4034 Email: mllathrop@earthlink.net Website: www.LathropADR.com Degrees/Lic: Lic in CA, DC & NY Specialties: Practice limited to mediation, arbitration & expert consulting and testimony in matters involving insurance, reinsurance or lawyers’ professional ethics & responsibilities. Birthdate: 12/15/37 Birthplace: LA, CA Education: BS, Engineering, US Naval Academy; JD, USC Certifications/Licenses: Lic in CA, DC & NY and before multiple federal courts Previous Positions/Appointments: CV supplied upon request Honors/Awards: Best Lawyers in America; Super Lawyers in CA & NY; Martindale A rated Publications: Insurance Coverage for Environmental Claims, Lexis-Nexis Martindale Hubbell Membership in Professional Societies: AM Bd of Trial Advocates; ABA Consulting/Expert Witness Experience - Civil: Qualified as an expert in both state & federal courts on matters involving insurance & reinsurance. Former Presiding Referee of the State Bar Court.
Phillips, Fractor & Co, LLC
Contact: G. Michael Phillips, PhD 3452 E. Foothill Blvd., Ste 220 Pasadena, CA 91107 Tel: (626) 744-3540 Email: contactpfc@rule26.com Website: www.phillipsfractor.com Degrees/Lic: PhD’s, Economics; Ed.D; MBA; CPA; CFA; CPA/ABV Specialties: Lost Profits & economic losses, employment economics; finance & investments; wrongful termination; wrongful injury; wrongful death; medical malpractice; employment mitigation analysis; statistical analysis; discrimination claims; class action analysis; compensation issues, incl executive compensation; prevailing wage studies; family business; valuation of earnings & benefits; entertainment; custom research; forecasting; construction defects; sampling; database analysis; data entry & database construction; business valuation; forensic accounting.
Robert Hughes Associates, Inc.
2100 N. Greenville Ave, Suite 201-J Richardson (Dallas), TX 75082 Tel: (972) 980-0088 Fax: (972) 233-1548 Email: joakley@roberthughes.com Website: www.roberthughes.com Degrees/Lic: Masters; PhD’s, CPCU; RPLU; RM; RF; ACE; CLU; ACAS; MAAA; CEBS; FCAS; SCLA; ChFC; RHU; LLIF; CRPS; FLMI; CSSC Specialties: RHA, established 1979, a group of insurance experts-former insurance company executives, agents, brokers, underwriters, Workers Compensation specialists, D&O and E&O expertise, risk managers, claims managers, adjusters, actuaries & captive management specialists. P&C, L&H, reinsurance, insurance agency standards, insurance underwriting, insurance archaeology, bad faith, actuarial, property & casualty insurance, life & death insurance, risk management, insurance broker standards.
Pauline Thomas, CRM, CIC, ARM, CISR
Effective Risk Management P.O. Box 2192 Costa Mesa, CA 92628-2192 Tel: (949) 251-1500 Email: EffectivRM@aol.com Degrees/Lic: Certified Insurance Counselor; Assoc Risk Management; Certified Risk Manager; Certified Insurance Service Representative; Lic Agent/Broker/Producer/ Consultant. Specialties: Property, liability, workers compensation insurance & risk management, Custom & practice, bad faith, good faith. Coverage interpretation & design. Interpretation of insurance clauses in business contracts, contractual liability & additional insured, certificates, PEO’s. Self-insurance, claims made v. occurrence. Underwriter, producer, agent broker duties & responsibilities, standard of care. 50+ yrs experience includes insurance company, retail, wholesale, excess & surplus lines, general agent, underwriting & consulting. Personal & Commercial lines. Past-president, Society of Risk Management Consultants. Faculty Member, BIG “I”® Virtual University, Independent Insurance Agents & Brokers of America.
INSURANCE (cont.)
Bad Faith / Good Faith
Advisors/Experts @ MCS Associates, Banking & Financial Svcs Consultants
13681 Newport Ave, Ste 8-387 Tustin, CA 92780 Tel: (949) 263-8700 Fax: (949) 263-0770 Email: experts@mcsassociates.com Website: www.mcsassociates.com Degrees/Lic: MBAs; PhDs; CPAs; CFAs Specialties: Nationwide consulting/expert witness company (est. 1973) in Banking, Finance, Insurance, Real Estate and related Damages, Economics & Valuations: BANKING Operations/Administration, Check fraud, Regulatory issues, Compliance; LENDING (all types): Underwriting, Servicing, policies/ practice, Foreclosures & Workouts. FINANCE: Securities, Investments & Brokerage, Trusts & Fiduciaries, Investment Banking, Corp Finance; REAL ESTATE: Lending, Brokerage, Title / Escrow, Property Management; INSURANCE (all types): Coverage, Claims, Broker/Agent functions; DAMAGES & ACCOUNTING: Economics, Valuations / Appraisals, Forensic Accounting.
Jeffrey B. Ellis
Law Offices of Jeffrey B. Ellis 16133 Ventura Blvd, Ste 700 Encino, CA 91436 Tel: (818) 578-3225 Fax: (310) 861-1312 Email: jeff@jeffreybellis.com Website: www.jeffreybellis.com Degrees/Lic: BA; JD Specialties: Coverage analysis & claims handling standards in all liability, property & disability insurance fields. Background: 40 years representing insureds & insurers in complex coverage litigation. Articles: Cumis rights, covered defense costs & CGL disputes. Has qualified as bad faith expert in Superior Court.
Lola Hogan, CPCU, ARM, ARe
Lola Hogan Insurance Consulting LLC 1149 Seaview Ave. Pacific Grove, CA 93950 Tel: (831) 402-4069 Email: lola@hogan-consulting.com Website: www.lolahogan.com Specialties: Insurance Claims Handling; First & Third Party Bad Faith Commercial & Personal Lines; Casualty & Property.
James T. Hudson
Law Office of James T. Hudson 3550 Wilshire Blvd, Ste 2000 Los Angeles, CA 90010 Tel: (213) 386-2747 Fax: (213) 386-3916 Email: james.hudson.law@ca.rr.com Website: www.lawyers.com/jameshudsonlaw. com Degrees/Lic: BA Stanford 1965; JD, USC 1968; Calif State Bar. Specialties: Expert witness services in insurance bad faith/good faith & legal malpractice litigation. Practicing trial attorney for 40+ years, representing insurers & insureds. Has qualified as expert witness for both plaintiffs & defendants in Superior Court.
Guy O. Kornblum
A Professional Law Corporation 1388 Sutter St, Ste 805 San Francisco CA, 94109 Tel: (415) 440-7800 Cell: (415) 730-3485 Fax: (415) 275-1921 Email: gkornblum@kornblumlaw.com Website: www.kornblumlaw.com Degrees/Lic: JD, 1966, Univ of CA, Hastings College of the Law; AB, 1961, Indiana Univ. Specialties: Qualified as an expert on insurance matters & insurance claims handling in cases in Los Angeles County, Solano County, San Mateo County, San Francisco County, Sacramento County & Contra Costa County & also in the US District Court for the Northern District of California & also at arbitration. His testimony has been accepted on a wide variety of issues in the areas of insurance company claims handling & practice including evaluating coverage positions, the investigation of claims, compliance with insurance regulations & overall insurance industry claims handling principles, customs & practices. Also qualified as an expert on civil litigation standards, case evaluation & settlement practices. Specialist in civil trials, arbitrations & appeals since graduating from the University of California, Hastings College of the Law, in 1966. His firm has its principal office in San Francisco and an additional office in San Ramon (East Bay). Certifications/Lic: Lic to practice law in CA & IN. Certified in Civil Trial Law & Civil Pretrial Practice Advocacy by the National Board of Trial Advocacy & is a Charter Fellow of the American College of Board Certified Attorneys. Honors/Awards: Super Lawyer each year since 2006, Top 100 Trial Lawyer, National Academy of Jurisprudence Publications: He is co-author of “Negotiating and Settling Tort Cases: Reaching the Settlement,” published by Thomson West & the American Association for Justice (formerly Association of Trial Lawyers of America), with a Fourth Edition released for 2018. He has also co-authored two books on insurance coverage & bad faith & over 200 published articles on topics relating to law practice & procedure. Membership in Professional Societies: Charter Fellow of the Litigation Counsel of America where he is now a Senior Fellow. He is also a Life Member of the Multi-Million Dollar & Million Dollar Advocates Forum.
Janice A. Ramsay, A Law Corporation
5 Saros Irvine, CA 92603 Tel: (949) 854-9375 Cell: (949) 400-5940 Email: janiceramsay1023@gmail.com Website: www.JaniceARamsay.com Degrees/Lic: Licensed lawyer – California; Member ABA Tort and Insurance Section; Orange County Bar Association Specialties: Testifies to the customs and practices of the insurance industry in handling first party residential and commercial insurance claims
Education: A.B. - Indiana University; J.D. – University of San Francisco
Previous Positions/Appointments:
Practicing Lawyer for more than 40 years in the area of insurance law; ABA; CA Bar Assn; Orange County Bar Assn - Chair of Insurance Law Section 2014; Orange County Women Lawyers Assn - Board of Directors 2016-2018; Advisory Board at I.U. and U.S.F Honors/Awards: OCBA Insurance Law Section Spotlight Attorney, Feb 2000; “Trailblazer” USF Law School, Spring 2017; Indiana University Bicentennial MedalDistinguished Service.
Consulting/Expert Witness Experience:
Testified in insurance bad faith cases in both state and federal courts on numerous occasions