About me
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 payers
o Disputes involving rates and reimbursement with commercial payers, Medicare and Medicaid
o Healthcare benefits
o Credentialing and peer review
o Problems with licensures
o Medical malpractice defense
o behavioral health defense
o 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.
Photos and videos
Practice areas
Licensed
- Medical Malpractice: 24%
- General Practice: 24%
- Health Care: 24%
- Litigation: 23%
- Health Insurance: 5%
Payment
Fees:
Fixed (sometimes), Free consultation (15 minutes)
Payment types:
Check, Credit card
Attorney endorsements
Are you an attorney? Endorse this lawyer
MoreKarina's has unique experience in the healthcare space, particularly with payer provider dynamics.
James Saling Health care Attorney
Relationship: Co-worker
MoreKarina is a very detailed and thorough attorney with excellent experience and industry knowledge!
Jacqueline Bain Health care Attorney
Relationship: Worked together on matter
Contact info
909 SE 5th Ave Ste 200
Delray Beach, FL, 33483-5172
Resume
| State | Status | Acquired | Updated |
|---|---|---|---|
| FL | Member in Good Standing | 1993 | 08/10/2016 |
| Legal answers | |
| Legal guides |
| Award name | Grantor | Date granted |
|---|---|---|
| 2015 Best Law Firm | Best Law Firms in America | 2015 |
| Title | Company name | Duration |
|---|---|---|
| Attorney | Florida Healthcare Law Firm | 2014 - Present |
| Partner Attorney | Lubell & Rosen | 2013 - 2014 |
| Association name | Position name | Duration |
|---|---|---|
| Florida Bar, Rules and Bylaws Committee | Member | 2015 - Present |
| Florida Bar, Health Law Section | Member | N/A |
| American Health Lawyers Association | Member - Health Law Section | N/A |
| 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 |
| School name | Major | Degree | Graduated |
|---|---|---|---|
| University of Cincinnati College of Law | Doctor of Jurisprudence/Juris Doctor | N/A | 1992 |
| University of Cincinnati College of Law | Law | JD - Juris Doctor | 1992 |
| Conference name | Title | Date |
|---|---|---|
| Webinar | Payor Issues: Getting Paid, Staying Paid & Defending It | 2014 |