Health care law, representing primarily physicians in addition to pharmacies, pharmacists, clinical psychologists, dentists, registered and vocational nurses, dentists, dental assistants and hygienists among other health care service providers in professional license disciplinary matters; significant Medicare and Medi-Cal reimbursement audits; third party reimbursement; hospital medical staff peer review and discipline; administrative mandate petitions challenging license disciplinary actions and enrollment suspensions; Medi-Cal suspensions; civil appeals; and representation of licensees in healthcare-related litigation in state and federal courts
Martindale Hubbell AV-rated since 2004
2012 – 2019 Southern California Super Lawyers – Health Care Law
Super Lawyers, Health Care Law, 2008 – 2020
Forty years’ focused experience in health care law, including over thirty five years’ private practice representing physicians, pharmacies and pharmacists, dentists, dental hygienists, registered and vocational nurses, clinical laboratory operators, psychologists, chiropractors, registered physical therapists, podiatrists and other health care providers in matters of professional licensure, discipline, reimbursement, and litigation concerning healthcare-related matters in state and federal courts. Representation of providers and suppliers in significant Medicare and Medi-Cal audits; Medicare and Medi-Cal audit appeal procedures; Medicare and Medi-Cal suspensions, exclusions, revocation of Medicare billing privileges, and program participation reinstatement proceedings and appeals; Fraud and Abuse practice, including defense of state and federal civil monetary penalties, including federal civil RICO actions. Representation of pharmacies in Pharmacy Benefit Manager actions. Representation of licensees in civil litigation related to health care services including breach of contract, insurance bad faith, partnership dissolution and related commercial disputes.
Extensive experience in civil litigation in state and federal courts, including jury trials, depositions, petitions for writs of administrative mandate; injunctive relief, traditional mandate, mediation, arbitration, law and motion practice. Represented prevailing licensees in over 80% of petitions for writs of mandate in healthcare law matters in Sacramento Superior Court.