Expert Details
Healthcare Delivery and Finance
ID: 735721
California, USA
Education
| Year | Degree | Subject | Institution |
|---|---|---|---|
| Year: 1996 | Degree: MHA | Subject: Healthcare Administration and Finance | Institution: California State University Northridge |
| Year: 1989 | Degree: BS | Subject: Healthcare Administration | Institution: California State University Northridge |
| Year: 1986 | Degree: AS | Subject: Math / Science | Institution: College of the Canyons |
Work History
| Years | Employer | Title | Department |
|---|---|---|---|
| Years: 2001 to Present | Employer: Undisclosed | Title: Senior Manager | Department: Network Management |
Responsibilities:Cost of Healthcare Management, Population Healthcare Management, Provider Network Management. |
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| Years | Employer | Title | Department |
| Years: 2001 to 2002 | Employer: Cigna | Title: Director | Department: Medical Economics |
Responsibilities:Cost of Healthcare Management |
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| Years | Employer | Title | Department |
| Years: 1993 to 1997 | Employer: Kaiser Permente | Title: Senior Contracts Manager | Department: Provider Affiliated Services |
Responsibilities:Provider Contract Negotiations. |
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Career Accomplishments
| Associations / Societies |
|---|
| American College of Healthcare Executives - Current Member |
| Publications and Patents Summary |
|---|
| He is author of, "Take Control of Your Healthcare Costs," a guide for consumers on how to manage healthcare cost. |
Additional Experience
| Expert Witness Experience |
|---|
| • 2020 – Plaintiff. Opined on medical billing and reimbursement appropriateness. • 2019 - Plaintiff. Opined on medical billing and reimbursement appropriateness. • 2019 - Opined on medical billing appropriateness and reimbursement. • 2019 - Opined on medical billing appropriateness and reimbursement. • 2019 - Unlimited civil tort. Opined on medical billing appropriateness and reimbursement. • 2019 - Unlimited civil tort. Opined on medical billing appropriateness and reimbursement. • 2018 - United States District Court, Southern District of California. Unlimited Civil Tort. Opined on reasons for termination of home health Medicare provider ID number. • 2018- Unlimited Civil Auto Tort. Client: A Professional Law Corporation. Opined on medical billing appropriateness. • 2016 - American Arbitration Association – Testified on managed care contract dispute. • 1992 - Expert Testimony – Los Angeles County Board of Supervisors - Subject Matter Expert - Medical Society Representative – Support of RU-486 (Abortion Drug). • General Medical Billing Testimony |
Fields of Expertise
HMO insurance, HMO, HMO procedure, HMO referral, HMO reinsurance, cost containment, health care cost control, health care finance, health care industry, health care claims substantiation research, health care policy, health care regulation, health care system, home health care, universal health care