I provide independent expert witness services involving orthotics, prosthetics, durable medical equipment (DME), standards of care, reimbursement, and future care planning. My opinions are grounded in more than 20 years in orthotics and prosthetics, including 14 years as a Clinical Director and treating clinician, followed by executive healthcare leadership.

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Whether evaluating clinical decision-making, medical necessity, component selection, reimbursement issues, or long-term treatment planning, I strive to deliver objective, well-supported opinions that help counsel understand complex healthcare issues.

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QUALIFICATIONS

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• Board-Certified Prosthetist & Orthotist (ABC), CPO since 2008

• MBA

• More than 20 years in orthotics and prosthetics

• Former Co-Owner & President of a multi-state orthotic and prosthetic practice (2004–2020)

• Former Clinical Director and treating clinician (2006–2020)

• Former NCOPE Residency Director

• Former Vice President, Ottobock Patient Care

• Former Vice President, SuperCare Health

• Co-author, "The Child with a Limb Deficiency," Lovell & Winter's Pediatric Orthopaedics, 8th ed. (2020)

• Experienced in pediatric and adult orthotic, prosthetic, respiratory, diabetes, and DME services

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AREAS OF EXPERTISE

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• Orthotics

• Prosthetics

• Durable Medical Equipment (DME)

• Standards of Care

• Medical Necessity

• Future Prosthetic & Orthotic Care

• Life Care Planning Support

• Reimbursement & Coverage Policy

• Clinical Documentation

• Component Selection

• Replacement Schedules

• Provider Operations

• Healthcare Regulations

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SERVICES
 

I provide expert witness services for plaintiff and defense counsel, including:

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• Medical record review

• Standards of care analysis

• Medical necessity evaluations

• Future care and replacement planning

• Written expert reports

• Deposition testimony

• Trial testimony

• Case consultation

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WORKING WITH LIFE CARE PLANNERS

 

In cases involving limb loss or long-term orthotic needs, prosthetic and orthotic items can be among the most technical and costly entries in a life care plan. I work alongside the life care planner to give those items a clinical foundation:

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• Record review focused on prosthetic and orthotic needs

• Component recommendations with clinical rationale, from initial fitting through the expected course of care

• Replacement intervals for prostheses, orthoses, sockets, liners, and related supplies

• Unit costs documented from identifiable sources appropriate to the patient's location of care

• A written summary the planner can rely on, and availability for deposition and trial

 

My role is to support the life care planner's medical foundation for these items, not to replace it.

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WHY MY BACKGROUND IS DIFFERENT

In addition to years of clinical practice, my background includes executive leadership of multi-state healthcare organizations.

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This combination provides insight into both the clinical and operational aspects of healthcare delivery, including provider operations, reimbursement, payer policy, regulatory compliance, quality assurance, and organizational leadership. That broader perspective can be valuable in cases involving not only patient care, but also healthcare systems, business practices, and reimbursement.

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EXECUTIVE HEALTHCARE LEADERSHIP

Separate from my expert witness work, I serve as President of ARCLYFT Health, providing advisory services to health plans, medical groups, IPAs, and health systems in DME and O&P operations, utilization management, reimbursement, and contracting.

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CONTACT

 

spencer@arclyfthealth.com

San Diego County, California · Available nationwide

Fee schedule and retention terms available upon request. ​

 

Learn more about my consulting practice at ArclyftHealth.com.