Medical Director Officer
Resume:
Evan J. Pollack, MD
Bryn Mawr, PA 19010
***********@***.***
ADMINISTRATIVE EXPERIENCE
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Multiplan
1. Supervise physician team working on payment integrity and fraud waste and
abuse.
2. Providing clinical expertise to all departments of Multiplan.
2012-2018 National Medical Director/Chief Medical Officer
Medical Auditing and Review Solutions West Chester, PA
1. Contracted Medical Director for Health Partners, Philadelphia, PA 2012
2. Recovery Audit Contractor for Iowa Medicaid:
Chief Medical Officer for the program.
3. Chief Medical Officer for Aetna Medicare Advantage for the state of Arizona.
4. Fraud and abuse audits for the Department of Justice
2012 Senior Medical Director of Regulatory Affairs
Executive Health Resources Newtown Square, PA
I was responsible for educating the company on any regulatory issues and
changes in regulatory guidance. I traveled throughout the country to lecture to hospitals on the CMS audit and appeals process. I presented a webinar with the American Hospital Association on the CMS audits and the appeal process. I was frequently asked to do media interviews to clarify CMS regulatory guidance.
2008-2012 Senior Medical Director of Medicare Appeals
Executive Health Resources Newtown Square, PA
All levels of Medicare appeals from the Rebuttals through the hearings with the Administrative Law Judge, representing hospitals nationwide. I was director of the department overseeing the work of over 50 physicians and 15 nurses. I also collaborated with the attorneys and researched and wrote appeal arguments. Utilized hospital screening tools such as Interqual Level of Care and Milliman Care Guidelines.
2007-2008 Senior Medical Director
Executive Health Resources Newtown Square, PA
Director of a team of four physicians, a nurse and an Administrative Assistant. Worked with hospitals on Medicare compliance program
2005-2007 Physician Advisor
Executive Health Resources Newtown Square, PA
Worked with hospitals on their Medicare compliance program and appealed commercial denials.
Clinical Appointments:
2005.Healthcare Committee
Colorado Chamber of Commerce
Denver, Colorado
2005.Physician Advocacy Committee
Colorado Medical Society
Denver, Colorado
2001.Utilization Management Committee
John Muir Hospital IPA
Walnut Creek, California
2001.Provider Manager
Muir Primary Care
Alamo, California
2001.Ethics Committee
Alameda/Contra Costa County
Medical Association
Oakland, California
CLINICAL EXPERIENCE
2005.Internist
Summit Medical Group
Aurora, Colorado
2004.Internist
Rocky Mountain Kaiser Permanente
Littleton, Colorado
2001.Internist
Muir Primary Care
Alamo, California
1991. Medical Director of Civilian Physicians/Internist
Oakland Naval Hospital
Oakland, California
1990.Internist
Palo Alto Medical Clinic
Fremont, California
1989.Internist
Access Medical Group
Marina Del Rey, California
1987.Resident, Internal Medicine
1985. Intern, Internal Medicine
Department of Medicine
Los Angeles County/University of Southern
California Hospital
Los Angeles, California
EDUCATION
American College of Physican Executives Courses, 2005
Ethics in Medicine
Physician in Management
Finance
Health Law
Board Certified, 1987
American Board of Internal Medicine
M.D., June 1984
University of Cincinnati, College of Medicine
Cincinnati, Ohio
B.A. with honors, Physiology, June 1978
University of California, Berkeley
Berkeley, California
PUBLICATIONS
Pollack,Evan, Nathan Stephens, Adam Naider, Inpatient versus observation status: the Medicare Dilemma, ACP Hospitalist: October, 2012.
Chan PH, Pollack, EJ and Fishman RA: Differential effects of hypertonic mannitol and glycerol on rat brain metabolism and amino acids: Brain Research, 225(1981) 143-153
Chan PH, Fishman RA, Lee JL and Pollack EJ: Effects on excitatory Neurotransmitter amino acids on brain edema. Trans Am Soc Neurochem 10: 195,1979
Schmidt, James, Evan Pollack and Herbert Srebnick, Effects of Gonadectomy and estrogen treatment on serum FSH and LH Concentration in female protein deficient rats; abstract in AAA
Conference 1978.
Interview:
ACP Advocate: April 17, 2015, Panel seeks to Change the Rule on Short-term Hospital Admissions.
Report on Medicare Compliance: June 18, 2012, Site of Service for Cardiovascular Surgery Tops RAC Findings of Overpayment
SOCIETIES, AWARDS and APPOINTMENTS:
Selected to be a delegate to the AMA from the state of Pennsylvania 2014-2022
Awarded the Robert Pressman award by the American College of Physicians
Fellow of the American College of Physicians
Former Chairman of the Pa ACP’s Leadership Day
Former Chairman of the Health and Public Policy committee of the American College of Physicians
Member of the Political Advocacy Executive Council of the Pennsylvania Medical Society.
Appointed member to the House of Delegates of the Pennsylvania Medical Society
2011 Key Contact award from the American College of Phyicians.
Appointed to the Pennsylvania Medicaid Peer Review Committee.
Named to the Specialty Leadership Council of the Pennsylvania Medical Society
Named to the expert panel on hospital policy in the American College of Physicians.
Selected as the ACP’s representative for the Editorial Advisory Board of the AHA’s Coding Clinic.
Contractors Advisory Committee for Novitas
Coding and Policy Subcommittee for ACP
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