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.