Irvine, California 92612
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.
|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|
Personal Injury Attorney
Plaintiff's personal injury law firm is seeking an associate attorney with at least 2 years of litigation experience. Ideal candidate must be highly organized, able to multi-task, motivated, orga...
Paralegal with 5+ Years Experience - Bilingual English/Armenian Preferred
Plaintiff's law firm in Encino, California looking to hire a paralegal with 5+ years of experience. Applicants must be proficient with filing legal documents, legal calendaring, preparing pleadings, ...
Counsel The candidate will use Litigation Protocols to develop and revise appropriate legal strategy for discovery, investigation, handling and trial/hearing of cases or matters; advises, communicate...
|+ View more jobs|
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.
Ms. Fitzgerald represents employers in a wide range of industries, including the entertainment, financial services, hospitality, manufacturing, retail, and transportation industries.