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 Glenda E. Flemister MD, FACP, FCCP

Board Certified in Pulmonary Medicine, Internal
Medicine, and Critical Care Medicine

More than 30 years of experience

Glenda E. Flemister, MD, FACP, FCCP, is Board Certified in Internal Medicine, Pulmonary Medicine,
and Critical Care Medicine, and enrolled in maintenance certification.  Dr. Flemister has over 30 years of experience in her field. She received her MD from Loyola University Chicago Stritch School of Medicine and is licensed to practice in Illinois, Kentucky, New Mexico, and Oklahoma. Dr. Flemister has private practice, and 15 years of experience in national insurance and payer companies: Medical Director for Aetna, Blue Cross Blue Shield Association, and Next Level Health Partners. She is currently the Executive Medical Director for Medical Health Solutions.
Dr. Flemister provides Expert Witness, consultation, medical file reviews, Physician Life Care Planning and resources to the medical industry, medical providers, and managed care organizations.

Summary

Dr. Flemister has over 15 years of experience in national insurance and payer companies. She has served as Medical Director for Aetna, Blue Cross Blue Shield Association, and Next Level Health Partners. She is currently the Executive Medical Director for Medical Health Solutions, a company involved in predicting trends to optimize healthcare at an affordable and sustainable rate. In this capacity, she provides education, consultation, and resources to the medical industry, medical providers, and managed care organizations.

Litigation Support – Dr. Flemister has been providing medical legal chart review, depositions, and trial testimony to the legal community since 1994. Her cases involve Pulmonary and Critical Care medical issues. She has performed over 10,000 file reviews. Her services are available to counsel representing both plaintiff and defendant, private hospitals.

Expert Categories

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Critical Care Medicine

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Internal Medicine

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Medical Devices

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Medical Malpractice

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Medical Record Review

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Medical Quality Assurance

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Medical Utilization Review

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Professional Malpractice

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Pulmonary - Respiratory

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Standard of Care

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Surgery: Thoracic Surgery

Specialties & Experience

General Specialties: Pulmonary Critical Care Medicine and Critical Care Medicine

Specialty Focus: Medical Management, Medical Utilization & Location of Care, Fraud & Abuse,
Compliance, Medical Necessity, Medical Devices, Pharmacy Management, Genomics &
Personalized Health, Insurance Reviews of Plan Benefits, Insurance Clinical Policy Reviews, Long
Term Acute Care & Long Term Care.
Education: BS, Northern Illinois University; MD, Loyola Stritch School of Medicine

Years in Practice: 28+

More Trials

Dr. Flemister has been providing Expert Witness, medical legal chart review, depositions, and trial testimony to the legal community.  Her cases involve Pulmonary and Critical Care medical issues. She has performed over 10,000 file reviews. Her services are available to counsel representing both plaintiff and defendant, private hospitals and Medicare.  Dr. Flemister’s cases involve:

Pulmonary Medicine / Disease

Critical Care Medicine

Internal Medicine

Pulmonary Medical Malpractice

Care Quality Assurance

Transplant Issues

Medicare Issues

  • E&M coding
  • Advance Beneficiary Notices
  • Fraud & Abuse
  • Billing & Coding

Managed Care

  • All Plan types
  • Utilization
  • Medical Necessity

Contact

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