James Lenahan Poth

For more than a decade, Jim Poth has assisted hospitals, health systems, and other health care providers in implementing and executing strategies to ensure they receive appropriate reimbursement. His practice has focused on representing health care providers in litigation, arbitration, and negotiations with all types of payors. He has been the lead trial lawyer in dozens of cases for health care providers seeking to collect payment from both commercial and government-sponsored payors. He also has extensive experience in assisting health care providers in contract negotiations and providing advice on utilizing state and federal regulatory requirements to improve contract terms and providers' revenue cycle.

Recent matters Jim has handled include litigation for Tenet Healthsystem and Cedars-Sinai Medical Center against health plans over appropriate payment for emergency care in the absence of contract rates ("reasonable and customary" versus billed charges). He also represented Catholic Healthcare West in an arbitration against Blue Cross of California over the practice of retroactively rescinding individual health insurance policies after patients had received care. These cases follow his representation of providers asserting claims of breach of contract, statutory violations, and fraud against health plans. He also has represented hospitals in litigation involving Medicare Secondary Payor issues, claims regarding fair debt collection practices, and balance billing issues.

Jim is a member of the American Health Lawyers Association (AHLA) and the Healthcare Financial Management Association (HFMA). He has spoken on managed care litigation, collection strategies, and medical records for these organizations.

Good to know

Areas of Practice 1) Litigation, 2) Health Care, 3) Business and Tort Litigation (USA), 4) Health Care Litigation & Government Investigations Defense and 5) Airlines & Aviation
Law School UC Hastings College of the Law
Education University of California, Berkeley (B.A., 1990)
Bar Member / Association Pennsylvania and California
Most recent firm Jones Day
Relevant Jobs
Litigation Associate

Weintraub Tobin is an innovative provider of sophisticated legal services to dynamic businesses and business owners throughout California. We maintain our leadership position by creating a value-added...

Apply now

Legal Assistant / Paralegal
USA-CA-San Jose

Small business litigation firm in downtown San Jose is in search of a part-time / full-time legal assistant / paralegal with a minimum of 3 years of experience in management of civil litigation calend...

Apply now

Senior Counsel

Senior Counsel Duties: Supporting the Cardiovascular & Specialty Solutions (CSS) group and will primarily manage legal matters for the ASP, Acclarent and Sterilmed businesses. Will report directly t...

Apply now

+ View more jobs
A. Harrison Barnes
A. Harrison Barnes

A. Harrison Barnes is a well-known attorney throughout the United States. As a member of the Malibu community, Harrison is committed to serving the needs of Malibu residents and businesses in legal matters.

Barbara A. Fitzgerald
Barbara A. Fitzgerald

Ms. Fitzgerald represents employers in a wide range of industries, including the entertainment, financial services, hospitality, manufacturing, retail, and transportation industries.

Barbara J. Shander
Barbara J. Shander

Ms. Shander advises public and private company clients as well as private equity funds, with an emphasis on mergers and acquisitions, dispositions, and financing transactions.