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I've concentrated my 20+ year practice in healthcare litigation and transactions. I have practiced managed health care law defending managed care organizations and businesses in claims involving reimbursement disputes with participating and nonparticipating providers, contracting disputes, negligent credentialing, direct negligence for utilization managementdecisions, fraudulent billing,member disputes over medical benefits., balance billing, Medicare reimbursement, Medicaid reimbursement and healthcare fraud.
Additionally, I have defended physicians and hospitals in medical malpractice, psychiatric malpractice and defended nursing homes and assisted living facilities in nursing home negligence.
I represent healthcare professionals and businesses in areas of :
o Contracting with payerso Disputes involving rates and reimbursement with commercial payers, Medicare and Medicaid
o Healthcare benefitso Credentialing and peer review
o Problems with licensureso Medical malpractice defense
o behavioral health defenseo Long term care defense
o General commercial disputes
I graduated from the University of Cincinnati, College of law in 1993. I have an AV preeminent rating from Martindale Hubbell and am a member of the Florida Bar Health Law Section; a member of the Civil Rules of Procedure Committee; and a member of the American Health Lawyers Association, Health Law Section.
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909 SE 5th Ave Ste 200 Delray Beach, FL 33483-5172 |
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| Association name | Position name | Duration |
|---|---|---|
| Florida Bar, Health Law Section | Member | N/A |
| American Health Lawyers Association | Member - Health Law Section | N/A |
| Florida Bar, Rules and Bylaws Committee | Member | N/A |
| Award name | Grantor | Date granted |
|---|---|---|
| 2015 Best Law Firm | Best Law Firms in America | 2015 |
| School name | Degree | Graduated |
|---|---|---|
| University of Cincinnati College of Law | N/A | 1992 |
| University of Cincinnati College of Law | Doctor of Jurisprudence/Juris Doctor | 1992 |
| State | Number | Status | Acquired | Updated |
|---|---|---|---|---|
| FL | 980455 | Member in Good Standing | 1993 | 09/12/2019 |
| Publication name | Title | Date |
|---|---|---|
| FHLF Blog | Cigna Loses Texas Case Against Humble Surgical Hospital, Hit with $16 Mil Judgment | 2016 |
| FHLF Blog | ASAM & Cigna to Collaborate on Performance Measures in Addiction Treatment | 2016 |
| Blog | Managed Care Contracts: Watch Out for Definitions Section Pitfalls | 2016 |
| FHI Weekly | What Providers Need to Know Before They Balance Bill | 2014 |
| FHI Weekly | Calculating Charges for Out-of-Network Health Services | 2014 |
| Conference name | Title | Date |
|---|---|---|
| Webinar | Payor Issues: Getting Paid, Staying Paid & Defending It | 2014 |
| Title | Company name | Duration |
|---|---|---|
| Partner Attorney | Lubell & Rosen | 2013 - 2014 |
| Attorney | Florida Healthcare Law Firm | N/A |
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