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                                                                    EXHIBIT 23.1
 
              CONSENT OF INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS
 
Birman Managed Care, Inc. and Subsidiaries
Cookeville, Tennessee
 
     We hereby consent to the use in the Prospectus constituting a part of this
Registration Statement on Form SB-2 of our report dated August 2, 1996, relating
to the consolidated financial statements of Birman Managed Care, Inc. and
Subsidiaries for the year ended June 30, 1996 which is contained in that
Prospectus.
 
     We also consent to the reference to us under the caption "Experts" in the
Prospectus.
 
                                          BDO Seidman, LLP
 
Los Angeles, California
September 10, 1996