With an entire career immersed in health care law, Raul implements and manages complex projects for clients seeking to maintain their lead or enhance their position within the health and long term care markets.
For the initial part of his career, he was with the State of New York Medicaid Reimbursement and Fraud/Abuse Unit, rolling out the first comprehensive set of enforcement regulations and conducting extensive litigation as the State implemented the first enrollment process for providers ahead of other payors nationwide. Raul has since represented clients exclusively in health care ranging from Certificate of Need, competitive grant applications, reimbursement development and pricing disputes as well as regulatory and licensure matters.
With an entire career immersed in health care law, Raul implements and manages complex projects for clients seeking to maintain their lead or enhance their position within the health and long term care markets.
For the initial part of his career, he was with the State of New York Medicaid Reimbursement and Fraud/Abuse Unit, rolling out the first comprehensive set of enforcement regulations and conducting extensive litigation as the State implemented the first enrollment process for providers ahead of other payors nationwide. Raul has since represented clients exclusively in health care ranging from Certificate of Need, competitive grant applications, reimbursement development and pricing disputes as well as regulatory and licensure matters.
Raul has brought his years of first-hand experience in the area of compliance to develop internal procedures to avoid fraud and ensure proper reimbursement. In litigation and defense, he brings decades of experience in representing clients in both claims against governmental agencies as well as defending against audits, investigations and overpayment recoveries.
As technology has become a major tool in both delivery and payment reforms, Raul has extensive experience in transactional engagements involving negotiation and implementation of health information technologies (HIT) as well as litigation and arbitration of electronic health records (EHR) systems. Raul has represented both provider systems and cloud based HIT companies in the development of contracts, breach analysis and vendor cybersecurity matters. At the initial Chair of the Health Sections E-Health & Information Systems Committee, Raul built up the committee over four years as the Statewide Health Information Network of New York (SHIN-NY) was being designed and coordinated programs on the HITECH Act. Raul is currently the Chair of the Health Section of the New York State Bar Association.
As a leader within the firm's health and long term care practices, Raul also coordinates needed legal service for clients with core health care attorneys across the firm, as well as integrating attorneys from overlapping areas such as labor and employment, real estate development and construction, public finance, business restructuring and intellectual property among areas within the firm to ensure seamless service to clients.
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