Pulmonary Medicine - Disease Independent Medical Examiners in California

Newport Beach, California

Pulmonary Medicine - Disease, Internal Medicine - Mayo Clinic-trained dual specialist in Internal Medicine & Pulmonology. Expert in complex commercial PPO coverage appeals, IRO medical necessity determinations, & high-acuity respiratory auditing under ERISA frameworks. Special focus on subacute care utilization, ventilator weaning compliance, InterQual/MCG application, & specialty biologic utilization reviews. Delivers high-speed, evidence-based medical necessity dossiers under strict 24-48 hr regulatory deadlines.

Dual board-certified in Internal Medicine and Pulmonary Disease with fellowship training completed at the Mayo Clinic. Areas of Deep Clinical Optimization & Corporate Auditing Expertise: • High-acuity commercial PPO medical necessity adjudications and complex federal ERISA appeals. • Advanced subacute respiratory care tracking, long-term ventilator weaning compliance, and complex tracheostomy decannulation protocols. • Microvascular degradation, systemic tissue hypoxia modeling, endothelial wall integrity, and advanced pulmonary function physics. • Toxic environmental/occupational lung exposures and catastrophic personal injury tort review. Available for expedited 24-to-48-hour independent file reviews, complex utilization management reporting, and select Independent Medical Examinations (IMEs) inside a state-of-the-art diagnostics showroom in Newport Beach, CA. Strictly non-treating independent medical consultancy. Please note: This practice does not participate in state workers' c...