Hmo Expert Witnesses

San Marino, California

Internal Medicine, Hospitalist - Medical Director, HMO, Medicare Advantage, Insurance, HCC, RAF, Coding, Billing, Contracts

Dr. Ji is a Los Angeles based board certified internal medicine physician with experience as a medical director and practicing hospitalist physician since graduating residency in New York in 2013 (Columbia University/New York Presbyterian Hospital). Since then he has had: 10+ years of experience as a hybrid hospitalist and office based internal medicine physician in active practice 7+ years of medical director experience for two large medical groups (Regal Medical Group and Caremore) Additional experience and expertise include clinical and management expertise in: -value based care and risk bearing models of care -PCP/specialist and hospital contracting -HCC/RAF coding -STARS/HEDIS -High risk population management (inpatient and outpatient) -Insurance based bed day management (inpatient/observation determination, and out-of-network and patient transfer management) -Extensive case review experience with physician quality/standards, hospital coding, appeals determination including...

California

Medical Billing, HMO - Managed Care, HMO, PPO, HIPAA, Medical Billing, Capitation, IPA, Medical Group, Medicare, Medi-Cal, Medicaid, POS, Athena, Nationwide, California, Texas, Florida, Arizona, Colorado, Washington

Do you need someone who knows and understands medical billing? I have been in the industry since 1988. I know the games and tricks payers use to deny claims. I have been a claims examiner, biller, claims manager, medical billing company owner, and a highly sought-after lecturer. I am not some Johnny-come-lately. I have the tools that you need to succeed. • EXPERIENCE ACCURATE MEDICAL BILLING & AUDIT, Rancho Cucamonga, CA/McKinney, TX OWNER, CEO, AND FOUNDER Only Billing Service to earn Preferred partner status with San Bernardino County Medical Society. Only billing services are authorized in California to perform CEUs for doctors. Comprehensive knowledge and experience in insurance billing, claims, and collections. Recommended billing service by and to CCA members Recommended and endorsed by ICAC Co-Chair insurance and Managed Care Committee-California Chiropractic Association CONSOLIDATED HEALTHCARE SERVICES/A1 IMAGING/HALLMARK SURGERY CENTER NATIONAL DIRECTOR BILLING/COL...

McKinney, Texas

Medical Billing, HMO - Managed Care, HMO, PPO, HIPAA, Medical Billing, Capitation, IPA, Medical Group, Medicare, Medi-Cal, Medicaid, POS, Athena, Nationwide, California, Texas, Florida, Arizona, Colorado, Washington

Do you need someone who knows and understands medical billing? I have been in the industry since 1988. I know the games and tricks payers use to deny claims. I have been a claims examiner, biller, claims manager, medical billing company owner, and a highly sought-after lecturer. I am not some Johnny-come-lately. I have the tools that you need to succeed. • EXPERIENCE ACCURATE MEDICAL BILLING & AUDIT, Rancho Cucamonga, CA/McKinney, TX OWNER, CEO, AND FOUNDER Only Billing Service to earn Preferred partner status with San Bernardino County Medical Society. Only billing services are authorized in California to perform CEUs for doctors. Comprehensive knowledge and experience in insurance billing, claims, and collections. Recommended billing service by and to CCA members Recommended and endorsed by ICAC Co-Chair insurance and Managed Care Committee-California Chiropractic Association CONSOLIDATED HEALTHCARE SERVICES/A1 IMAGING/HALLMARK SURGERY CENTER NATIONAL DIRECTOR BILLING/COL...