Intellex Acquires Expert by Big Village

We're thrilled to announce that Intellex has acquired Expert by Big Village, effective March 22, 2024. This strategic move enhances our capabilities and strengthens our commitment to delivering exceptional solutions to our customers.

Stay tuned for more updates on how this acquisition will benefit our clients and experts.

For inquiries or more information, please contact us at info@intellex.com.

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Expert Details

Medical Practice Consulting, Physician Contracting, Medical Billing

ID: 725276 California, USA

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I have extensive background in evaluation of physician-physician, physician-hospital and third-party-payor contracts. I have assisted physicians and hospital administrators in evaluating and negotiating contracts, resulting in agreements having an equal exchange of value for service. I have an acute awareness of what terms are prevalent in the marketplace, both regionally and nationally.

My background in medical practice management is rather expansive and I’ve found a narrative form best describes it. In a nutshell, my family has serviced the needs of physicians and hospitals for over 63 years and through three generations. In 1954 my grandmother founded a group in Los Angeles. My father joined the firm in 1961 and I followed suit in 1982. Originally established as a small business providing billing and collecting services for Anesthesiologists, the group metamorphosed into a full billing and practice management service for physicians of multiple disciplines.

I have worked with physicians and hospitals on a broad spectrum of needs over my own 36 years in the business. I worked in all departments at Spring on a track designed to learn all facets of the industry, starting with billing, coding, pricing and scheduling. Promoted to Vice President in March of 1987, my activities expanded to include interviewing prospective clients, assisting them in acquiring professional liability coverage, finding locum tenens (freelance) and permanent positions, appraising and negotiating contracts with physicians, hospitals and third party payors and counseling in areas of professional and personal nature. Through the years I have directly guided physicians and hospital Administrators on directorship contracting and group amalgamation efforts, advising on entity structure, income distribution methodology and subcontracting with new associates. Independent Anesthesia IPA of California and Independent Anesthesia IPA of Arizona were subsidiaries of my family's group, and for each of which I served as President. These entities were developed to specifically assist Anesthesiologists, whether or not clients, in their negotiating efforts with third-party payors. This is a facet of physician representation going beyond the simple boundaries of client-age, which doubled with my involvement. Servicing over eight hundred clients in ten western states, when the company was sold and I departed in November of 1996. I have since then continued to render services on a consulting basis. In addition to my post, I have served on the California Society of Anesthesiologists' Impaired Physicians Committee and have been accepted as a Physician Monitor with the California Medical Board's Diversion Program for Impaired Physicians. I have been Certified by the American College of Medical Practice Executives and have qualified as an expert witness in medical practice management and billing in arbitration cases and in Superior Court of California.


He has provided testimony for a physician claiming he was discriminated against by not being taken into a physician group in accordance with the agreement signed.He has provided testimony for a physician-group in defense of allegations that they discriminated by not being taking a physician into their group in accordance with the agreement signed.He has provided consulting testimony to physicians and individuals in disputes over the proper amount of billing and the proper amount of payment for medical services rendered.He has provided consulting testimony over disagreement due to a separation between an individual physician and a group.He can provide accounts receivable or earning power valuation needed due to a divorce.

Education

Year Degree Subject Institution
Year: 1979 Degree: BS Subject: Medical Practice Management Institution: California State Univ at Los Angeles

Work History

Years Employer Title Department
Years: 1996 to Present Employer: Undisclosed Title: Sole proprietor Department: (Undisclosed)
Responsibilities:
Spanning from 1982, his background in medical practice management is expansive, entailing everything from billing, coding and pricing in the fee-for-service quadrant, to assisting physicians in acquiring professional liability coverage, finding locum tenens (freelance) and permanent positions, appraising and negotiating contracts with physicians, hospitals and third-party payors and counseling in areas of professional and personal nature. Through his 27 years in the industry he has directly guided physicians and hospital Administrators on directorship contracting and group amalgamation efforts, advising on entity structure, income distribution methodology and subcontracting with new associates. He has served on California Society of Anesthesiologists' Impaired Physicians Committee and has been accepted as a Physician Monitor with California Medical Board's Diversion Program for Impaired Physicians. He has been Certified by the American College of Medical Practice Executives and has been qualified as an expert witness in medical practice management in California Superior Court.
Years Employer Title Department
Years: 1982 to 1996 Employer: (Undisclosed) Title: Vice President Department: Executive
Responsibilities:
He joined full-time in 1982 as a billing administrator. He worked in all departments on an intense training program in order to learn all facets of the industry, starting with billing, coding, pricing and scheduling. Promoted to Vice President of Business Development in March of 1987, his activities entailed interviewing prospective clients, assisting them in acquiring professional liability coverage, finding locum tenens (freelance) and permanent positions, appraising and negotiating contracts with physicians, hospitals and third-party payors and counseling in areas of professional and personal nature.

International Experience

Years Country / Region Summary
Years: 1996 to 1996 Country / Region: Gold Coast, Australia Summary: He assisted physicians practicing in a socialized medicine arena in structuring their practice to operate on a fee-for-service basis.

Career Accomplishments

Associations / Societies
He has served on California Society of Anesthesiologists' Impaired Physicians Committee and has been accepted as a Physician Monitor with California Medical Board's Diversion Program for Impaired Physicians.
Licenses / Certifications
He has been Certified with American College of Medical Practice Executives (Expert).
Publications and Patents Summary
He has been published numerous times in different anesthesia journals on the business aspects of medical practices.

Additional Experience

Expert Witness Experience
He has provided consulting, deposition and court testimony for a variety of cases involving physician-physician, physician-hospital and third-party-payor contracting, discrimination and medical billing disputes. He has been qualified as an expert witness in medical practice management in California Superior Court.
Training / Seminars
He has provided in excess of 50 seminars to physicians aimed at guiding them in practice management needs.
Vendor Selection
He has sought out and secured outside vendors for a variety of medical management needs.
Marketing Experience
He has directly guided physicians and hospital Administrators on directorship contracting and group amalgamation efforts, advising on entity structure, income distribution methodology and subcontracting with new associates. He has directly assisted physicians in their negotiating efforts with third-party payors.
Other Relevant Experience
He has been Certified by the American College of Medical Practice Executives.

Language Skills

Language Proficiency
Spanish He has a "passing" ability to converse in Spanish.

Fields of Expertise

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