Doctor of Chiropractic, Palmer College of Chiropractic, Davenport, Iowa, 1994
Bachelor of Science, Palmer College of Chiropractic, Davenport, Iowa, 1994
Physical Therapeutics, Palmer College of Chiropractic, Davenport, Iowa, 1994
Licensure
Certified, National Board Chiropractic Examiners, Greeley, Colo., 1994
Licensed Doctor of Chiropractic, State of South Carolina, 1994 (Lic. No. 1850)
Professional Associations
Lifetime Member, International Chiropractors Association (ICA)
ICA Medicare and Insurance Relations Committee, 2015-present
ICA Representative to CMS Medicare Education Program for Chiropractic, 2015
Chiropractic Advisory Board Member, MedPro Group, 2017-present
Board Member, The Council on Chiropractic Practice, 2011-2014
Peer Reviewer, 2013
Member of Revision and Update Workgroup, 2013
Board Member, South Carolina Technical Advisory Radiation Control Council, 2002-2013
Past Member, American Chiropractic Association (ACA)
Blue Cross Blue Shield-ACA Liaison, 2002-2006
ACA Medicare Chiropractic Carrier Advisory Committee, 2003-2006
Past Member, South Carolina Chiropractic Association (SCCA)
President, 2001-2002
Insurance Committee Chairman, 2000-2004
Professional Awards and Distinctions
President's Cup Award, SCCA, 1999-2000
Distinguished Service Award, SCCA, 2000-2001
Chiropractor of the Year, SCCA, 2000-2001
Chiropractor of the Year, SCCA, 2001-2002
Chiropractor of the Year, SCCA, 2002-2003
Professional Consulting
President and CEO, Custom ChiroSolutions, Pawleys Island, S.C.
Custom ChiroSolutions offers chiropractors sound consulting advice on documentation requirements, coding advice, reimbursement strategy, practice management, billing procedures, Medicare compliance, treatment programs, OIG compliant marketing, and other strategic and tactical custom solutions to help them run a successful practice. The company also provides auditing and oversight services for Doctors of Chiropractic who are required to obtain professional monitoring by their State board.
Past Consultant, Health Network Solutions, Cornelius, NC
Created provider training manual for the network.
Provided internal auditing program for network to audit and educate providers.
Perform provider reviews for those who were outliers in order to increase compliance with their provider contract.
Past Vice-President of Corporate Compliance Services, Compliant Services & Solutions, South Daytona, Fla.
Developed and provided customized training for HIPAA compliance and helping our profession guard against healthcare fraud and abuse.
Private, expert defense consulting on medical necessity and corporate compliance.
Performed reviews of provider contracts to educate providers on their contractual obligations to their networks.
Past Director of College Development, ProSolutions for Chiropractic, Canonsburg, Penn.
Developed and provided customized training for utilization and implementation of the ProSoft documentation system.
Created and provided business principles classes to support the college curriculum.
Authored several articles on documentation and the importance of implementing electronic medical records.
Past Chiropractic Consultant, Blue Cross Blue Shield of South Carolina, Columbia, SC
Trained review nurses on documentation standards and medical necessity issues related to Chiropractic care including the use of therapeutic modalities and procedures.
Created and implemented independent appeal reviews related to issues of medical necessity.
Consulted on scope of practice and coding issues for Blue Cross Blue Shield of South Carolina’s Fraud Unit.
Past Chiropractic Consultant, American Specialty Health (ASH), San Diego, Calif.
Utilization and Review Committee Member
Credentialing Committee Member
ASH State Committee Member, South Carolina