A boutique health law practice for the providers who keep medicine running.
We represent physicians, hospitals, and provider groups in the legal questions that decide whether the work of caring for patients is sustainable, contracts, claims, audits, and the regulatory matters in between.
A practice built on candor, care, and the work itself.
Our clients return because we do not bill for the appearance of effort. We do the work. The four principles below are the reason long-standing relationships outnumber new ones.
Honesty
We tell clients what the matter is, what it will cost, and what the realistic outcomes are, at the start, in the middle, and at the end. No surprises.
Care
The firm represents healthcare providers because the work matters. That care extends to how we communicate, prepare, and protect each client's practice.
Integrity
Confidentiality is not a marketing line. It is the foundation of the relationship and the standard we hold against state and federal regulatory expectations.
Experience
Twenty-plus years across regulatory, contracting, and claims defense, paired with prior loss-charge auditor training that informs every appeal we file.
Healthcare counsel, end to end.
From the formation documents that hold a practice together to the appeals that recover what payors withhold, we represent providers across the full lifecycle of a healthcare business.
General Counsel
Day-to-day legal partnership for practices without an in-house attorney, operations, compliance, employment, and the questions that surface every week.
Learn more → 02Government & Commercial Contracting
Payor agreements with Medicare, Medicaid, TRICARE, and commercial carriers, drafted, negotiated, and read with a lien on the line items.
Learn more → 03General Healthcare Contracting
Vendor agreements, employment contracts, BAA's, real-estate leases, and the supporting agreements every healthcare business runs on.
Learn more → 04Complaints & Board Investigations
Representation before the Florida Department of Health, professional boards, and AHCA in licensure complaints and disciplinary investigations.
Learn more → 05Corporate Healthcare Transactions
Mergers, acquisitions, practice sales, and reorganizations, both buy-side and sell-side, across South Florida and beyond.
Learn more → 06Claims Appeals & Disputes
Recovering unpaid and underpaid medical claims from government and commercial payors, from first-level appeals through ALJ and federal court.
Learn more → 07Defense of Complex Audits
RAC, UPIC, ZPIC, and commercial post-payment audits. We bring certified coders and former auditors in-house, the firm's signature capability.
Learn more → →Not sure where your matter fits?
Most engagements begin with a single conversation. We will tell you whether we are the right firm before you sign anything.
Talk to Karen →Karen does not hand you a result. She hands you the reasoning, the regulation, and the path, and then she walks it with you. After two audits and one appeal, our practice is still ours because of her work.
The legal argument follows the math.
Karen B. Schapira trained as a loss-charge auditor before she became an attorney. That sequence shapes the firm: we read a payor's audit the way the payor wrote it, and we rebuild the claim the way the provider rendered the service.
For two decades she has represented healthcare providers, from the largest hospital systems in South Florida to sole practitioners, in recovering unpaid and underpaid claims from government and commercial payors. She is fluent in English, Spanish, Hebrew, and conversational French.
Professional data analysis and auditing for Medicare and Medicaid claims.
Most firms argue the law and outsource the numbers. We keep both under one roof. Certified coders and former auditors work alongside the attorney, so the data analysis that wins a claims appeal is built in-house, not bought from a vendor on a deadline.
Claims data analysis
Line-item review of Medicare and Medicaid claims data, denial patterns, and remittance advice, to surface where reimbursement is being lost and why.
Provider-side auditing
We audit the provider's own claims before the payor does, identifying exposure and correcting documentation gaps ahead of a RAC, UPIC, or ZPIC review.
Auditing the auditor
We analyze the validity of the payor's audit, including statistical sampling and extrapolation methodology, and challenge findings that do not hold up.
Appeal and recovery
The data analysis feeds the appeal directly, from first-level redetermination through ALJ hearing and federal review, to recover what was wrongly withheld.
Reading worth your billable hour.
Briefings on the regulatory shifts, payor behavior, and audit patterns that change how Florida providers operate. Written by the firm, for the people who run the practice.
How payors are redefining "emergency", and why your ED claims are being denied.
The prudent-layperson standard is supposed to govern. It is increasingly not. Here is what changed and what to file.
Read briefing →The first 72 hours after a UPIC audit notice, a practical sequence.
What to preserve, what to send, and what to never volunteer in the opening week of a Unified Program Integrity Contractor review.
Read briefing →Florida's 2025 telehealth amendments: the parts your contracts probably do not address.
Three contractual gaps the new rule surfaced for multi-state telehealth groups operating into Florida.
Read briefing →Most engagements begin with a thirty-minute call.
Tell us what is in front of you. We will tell you, candidly, whether the firm is the right place for it, and what the path forward looks like if we are.