Scott D. Misek, DC, DABFP, DABCC, CDE I, CHCQM, FAIHQ 4852 S. 133rd Street, Suite 103 Omaha, NE 68137

Transcription

1 CURRICULUM VITAE Scott D. Misek, DC, DABFP, DABCC, CDE I, CHCQM, FAIHQ 4852 S. 133rd Street, Suite 103 Omaha, NE EDUCATION Tel , Fax Doctor of Chiropractic, Northwestern College of Chiropractic, Minneapolis, MN Bachelor of Science in Biological Sciences, University of Nebraska, Lincoln, NE University of Nebraska, Cedar Point Biological Research Center. Performed field research and statistical analysis in vertebrate zoology. TRAINING AND CERTIFICATIONS 2018 Fellow, American Board of Quality Assurance and Utilization Review Physicians (FABQAURP) Fellow, American Institute for Healthcare Quality (FAIHQ) 2008 Diplomate, American Board of Quality Assurance and Utilization Review Physicians (ABQAURP). Board certification in Health Care Quality Management (CHCQM) through the National Board of Medical Examiners (NBME) Certified, Impairment Rating, 6 th Edition of the AMA Guides to the Evaluation of Permanent Impairment. Brigham and Associates, Christopher R. Brigham, MD - Senior Contributing Editor for the AMA Guides 6 th Edition Certified Disability Examiner, Category 1 (Physician Status) Diplomate, National Association of Disability Evaluating Professionals (NADEP) after completing 48-hour course and passing exam from the Commission on Health Care Certification Diplomate, American Board of Chiropractic Consultants (ABCC) as a result of passing the board examination from the only certifying board (ABCC) in the field of peer/utilization review. (Only individual in Nebraska and Iowa with this designation). Scott D. Misek, DC, DABFP, DABCC, CDE I, CHCQM 1 1/15/2019

2 2001 Certified, Impairment Rating, 5th Edition of the AMA Guides to the Evaluation of Permanent Impairment. National University of Health Sciences, Chicago, IL Certified, Independent Medical Examiner (IME), 276-hour program, National Board of Forensic Chiropractors and National University of Health Sciences, College of Chiropractic, Chicago, IL Diplomate, American Board of Forensic Professionals (ABFP), following comprehensive examination Certified in Chiropractic Peer/Utilization Review, 100-hour course, National University of Health Sciences, College of Chiropractic, Chicago, IL hour course in Chiropractic Forensics, National Board of Forensic Chiropractors and Texas College of Chiropractic Advanced program in Diagnosis and Clinical Management of Cervical Acceleration/Deceleration Trauma and Whiplash-Related Temporomandibular Joint Disorders, taught by Arthur C. Croft, MS, DC, FACO, Spine Research Institute of San Diego. LICENSES PROFESSIONAL EXPERIENCE Chiropractic, State of Nebraska, License # 982 Chiropractic, State of Iowa, License # A Present Private Practice, Omaha, Nebraska Present Consultant for a number of insurance companies and independent review organizations, providing Review Services, Independent Medical Examinations, Functional Capacity Evaluations, Impairment Ratings, Claims Review, Medicare and Coding audits, Medicaid Fraud Investigation and Medical-Legal Consulting Secretary (appointment), Council on Forensic Sciences Present Instructor, National Insurance Crime Bureau (NICB) Special Investigations Academy Present State of Nebraska Workers Compensation Court Independent Medical Examiner, (appointment) Scott D. Misek, DC, DABFP, DABCC, CDE I, CHCQM 2 1/15/2019

3 Provided consulting services to a single-specialty Independent Physician s Association to attain URAC accreditation in Provider Credentialing 2011 Present Nebraska Chiropractic Physicians Association Peer Review Board, (appointment) 2012 Present Director of Quality Management, SecureCare of Nebraska, Inc Present Clinical Review Committee Member, SecureCare of Nebraska, Inc Present Credentialing Committee Member, SecureCare of Nebraska, Inc Present Instructor, CEU Institute 2018 Present Utilization Management Advisory Committee, WellCare Health Plans 2018 Present Clinical Advisory Committee Member, WellCare Health Plans ASSOCIATIONS PRESENTATIONS Member, American Institute for Healthcare Quality (AIHQ) Member, American Chiropractic Association Member, Nebraska Chiropractic Physicians Association Member, American Board of Forensic Professionals (ABFP) Member, American College of Chiropractic Consultants (ACCC) Member, National Association of Disability Evaluating Professionals (NADEP) Member, American Board of Quality Assurance & Utilization Review Physician, Inc. (ABQAURP) Member, International Scoliosis Research Center Member, Northwestern College of Chiropractic Alumni Association Featured speaker at the Nebraska Casualty Adjusters Workshop, Deconstructing the Chiropractic Bodily Injury Case - An Application of Standards of Care and Evidence-Based Outcomes. Farm Bureau Insurance Company, Lincoln, Nebraska, March Featured speaker at the CompResults CompTalk Omaha, Effective Management of Chiropractic Claims in Worker s Compensation. Strategic Air and Space Museum, Ashland, Nebraska, April Scott D. Misek, DC, DABFP, DABCC, CDE I, CHCQM 3 1/15/2019

4 Featured speaker at the Nebraska Chiropractic Physicians Association Spring Convention, The Shifting Health Paradigm: Measuring Quality in the Chiropractic Setting. Embassy Suites Hotel, Lincoln, Nebraska, March Featured speaker at the Minnesota Chapter of the International Association of Special Investigative Units (MN-IASIU) Spring Seminar, Investigating Fraud and Abuse in a Chiropractic Setting: An Interactive Workshop for Special Investigators and Adjusters. Hampton Inn, Shoreview, Minnesota, April Featured speaker at the Iowa-Nebraska Chapter of the International Association of Special Investigative Units (IA-NEIASIU) 9 th Annual Training Seminar, Chiropractic Fraud and Abuse: A Forensic Perspective. Sheraton West Des Moines Hotel, Des Moines, Iowa, October Featured speaker at the Nebraska Department of Insurance Insurance Fraud Prevention Division s 6 th Annual Insurance Fraud Conference, Chiropractic Fraud and Abuse: A Current Review of the Profession. Eugene Mahoney State Park, Ashland, NE, June Featured speaker at the Nebraska Association of Legal Assistants Spring Seminar, Challenges and Issues Encountered in Soft Tissue Litigation A Forensic Perspective. The Holiday Inn Convention Centre, Omaha, NE, May Academy Instructor for the National Insurance Crime Bureau s (NICB) Advanced Special Investigations Academy, Chiropractic Fraud: A Forensic Analysis of Standards of Care and Case Management. Hilton Hotel, Minneapolis, MN, April Featured speaker at the American Association of Legal Nurse Consultants (AALNC) 17 th National Educational Conference, Utilization of the Forensic Chiropractic Professional by the Legal Nurse Consultant. The Hilton Hotel, Atlanta, GA, March Featured speaker at the College on Forensic Sciences Advanced Forensic Workshop, Expert Witness Bias A Practical Approach for Promoting Objectivity and Ethical Conduct in Medicolegal Contexts. The Radisson Riverfront Hotel, St. Paul, MN, September Academy Instructor for the National Insurance Crime Bureau s (NICB) Advanced Special Investigations Academy, Undercover Medical Clinic Investigation: An Interactive Workshop for Special Investigators. Marriott Hotel, Providence, RI, April Scott D. Misek, DC, DABFP, DABCC, CDE I, CHCQM 4 1/15/2019

5 Speaker for the Nebraska Chiropractic Physicians Association Spring Convention, (2 mandated CME hours), Understanding Fraud and Abuse in the Chiropractic Office. Lincoln, NE, March Instructor for the National Insurance Crime Bureau s (NICB) Property and Casualty In-Service Training, Undercover Chiropractic/Medical Clinic Investigation. Holiday Inn Hotel, Chicago, IL, November Guest speaker at Mutual of Omaha s Clinical Day 2004, Chiropractic Case Management: An Application of Standards of Care and Evidence- Based Outcomes. Mutual of Omaha Headquarters, Omaha, NE, October Featured speaker at the College on Forensic Sciences Advanced Forensic Workshop, Drafting a Defensible IME Report. The Renaissance Vinoy Resort, St. Petersburg, FL, September Speaker for Farm Bureau Insurance s Customer Service Representative Conference, Soft Tissue Injuries: Chiropractic Case Management, Treatment Guidelines and Standards of Care. Overland Park Marriott, Overland Park, KS, August Speaker for the Intracorp seminar series, Chiropractic Case Management: A Forensic Perspective. Park Plaza Regency Lodge, Omaha, NE, May Speaker at the Lincoln/Omaha Claims Adjusters Fall Conference, Evidence Based Chiropractic: A Practical Application of Guidelines and Standards of Care. Eugene Mahoney State Park, Ashland, NE, October Speaker for the Nebraska Chiropractic Physicians Association Spring Convention, (2 mandated CME hours), Risk Management: Utilization Review and Malpractice Issues for the Chiropractic Profession. Lincoln, NE, March Keynote speaker for the Indiana State Chiropractic Association Fall Convention, (16 CME hrs), The New Millennium Chiropractic Survival Guide and Construction of an Adequate Patient File: The Reviewer s Perspective. Indianapolis, IN, October Speaker at the National Society of Professional Insurance Investigators Fall Convention, Forensic Chiropractic and Fraud Prevention. Indianapolis, IN, August Scott D. Misek, DC, DABFP, DABCC, CDE I, CHCQM 5 1/15/2019

6 Advanced Medical Topics Series at American Family Insurance Company, Utilizing the Forensic Chiropractic Professional. Omaha, NE, April PUBLICATIONS Misek SD. Recognizing the Importance of the Quality Impairment Rating Report: A Critical View of Common Procedural Errors. The Prairie Barrister 2005; Vol. 11, No. 3. Misek SD. Validating Connective-Tissue Injuries. Trial 2005; Vol. 41, No. 6: Misek SD. The Role of Chiropractic Case Management in Work-Related Low Back Injuries. LNC Resource TM June Misek SD. Understanding the Complexities of Chiropractic-Based Care: Utilizing the Forensic Chiropractic Examiner. LNC Resource December Misek SD, Bailey RA. "Medical/Chiropractic Necessity: A Reviewer s Perspective." Journal of the American Chiropractic Association (JACA) 2003; 40: Misek SD. Breaking the Silence: The Truth Behind Medical/Chiropractic Documentation. The Specialist. March Scott D. Misek, DC, DABFP, DABCC, CDE I, CHCQM 6 1/15/2019