Health Care Attorney and Corporate Attorney.  Rafael A. Gaitan (“Ralph”) is the managing partner and one of the founders of the firm. He is a seasoned heath care attorney representing providers in Florida and federal actions.  Mr. Gaitan is also the firm’s senior corporate attorney advising a diversity of companies across the globe on business, compliance, and litigation matters.

Health Care Attorney

Ralph Gaitan has over twenty years of experience in the health care industry.  As a sought after health care attorney, Mr. Gaitan represents clients in all aspects of health care practice including:

• Coverage and reimbursement disputes against Medicare and managed care organizations;
• Enrollment with Medicare and Medicaid including any deactivations, revalidations, revocations,  and date of enrollment disputes;
• Appeals of Medicare and Florida Medicaid overpayments including redetermination, reconsideration, request for administrative law judge hearings, formal and informal hearings, and departmental appeals board;
• Responding to and cooperating with recovery audit contractors (RAC), SafeGuard Services, LLC, First Coast Service Options, Inc. (FCSO);
• Medicare and Medicaid compliance, change of ownership, change of address, change in practice locations;
• Administrative litigation; the Agency for Health Care Administration licensing, enrollment, renewal disputes, revocation, audits, notice of intent to deny, and sanctions, election of rights, administrative litigation;
• Appeal of Florida Statewide Medicaid Managed Care health plan audits and overpayments;
• Florida administrative actions, including: Department of Health investigations; Board of Medicine, Osteopathy, Chiropractic, Nursing, Pharmacy, Physical Therapy investigations; Administrative litigation before Florida’s Division of Administrative Hearings and Appeals;
• Florida Pharmacy audits, overpayment and enrollment disputes, among others;
• Review of and drafting of physician or health care provider employment agreements, independent contractor agreements, nondisclosure/confidentiality/non-solicitation agreements for Florida providers and employees;
• Disputes arising from non-compete clauses; as well as other administrative or civil litigation matters; and,
• Health care transactions, buy/sell, stock and asset sale purchases of health care businesses, and reporting change of ownership, among others.
• Life sciences (FDA) including registration of tobacco establishment, product listing and registrations, new tobacco products including filing Premarket Tobacco Applications, Substantial Equivalence Reports, and Exemption from Substantial Equivalence.

Languages

• English
• Spanish

Rafael A. Gaitan, Esq. – Health Care Attorney & Corporate Attorney