1 Hedis Expert Witness Found
Results Sorted Below by State
James Ji, MD James Ji MD, Inc
San Marino, California
Internal Medicine, Hospitalist
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Medical Director, HMO, Medicare Advantage, Insurance, HCC, RAF, Coding, Billing, Contracts
...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 legal review cases (VA hospitals)
