Natalia represents various healthcare providers, such as pharmacists and pharmacies (including retail, compounding, long-term care and hospital pharmacies), physicians, and dentists in business and regulatory matters. Her experience extends to a wide range of legal challenges that healthcare providers are currently facing, including:
- PBM-audit assistance and dispute resolution;
- Litigation: reimbursements, business disputes;
- Compliance: Board of Pharmacy and FDA regulations, Medical Board, PBM contracts and manuals, HIPAA and state patient data privacy, anti-kickbacks, false claims;
- Investigations and Defense: Medical Board, Board of Pharmacy, DEA, and FDA investigations; Medicare and Medi-Cal audits.
- Pharmacy business transactions: pharmacy formation, purchase and sale of pharmacies.
- Business Formation, including complex non-profits.
Prior to joining the firm, she was a founding partner of Carman & Mazina, a healthcare law boutique with the focus on pharmacy. She was also an associate for Medicaid Defense Fund (MDF), a non-profit that obtained seven consecutive injunctions to stop Medi-Cal provider reimbursement cuts. Her experience in MDF included writ litigation, appeal, and medication in states and federal courts. She is an attorney of record in cases with national and state-wide impacts such as: Keffeler v Partnership Healthplan of Cal, 224 Cal.App.4th 322 (Cal Court App 2014); Douglas v Indep. Living Center of So. Cal, 132 S.Ct. 1204 (U.S. Supreme Ct 2012); Managed Pharmacy Care v. Sebelius, 716 F.3d 1235 (Ct Appeals 9th Cir 2013).
She is a member of American Society for Pharmacy Law, California Society for Healthcare Attorneys, and ABA Health Law section. She often speaks at California and national healthcare conferences addressing attorneys and providers on various healthcare legal issues.
- Counsel for Pharmacists Planning Services, Inc. and Marin Pharmacists Association advocating for pharmacy profession to achieve work safety and increased quality of service;
- Represents pharmacy associations during Board of Pharmacy hearings;
- Healthcare contract negotiating and drafting, such as sale and purchase of business, partnerships, employment contracts, PBM contracts, and contracts with pharmacy wholesalers;
- Representing healthcare professionals in Board of Pharmacy and Medical Board administrative proceedings;
- Representing pharmacies in disputes with PBMs (pre- and post- audit assistance, disputing charge-backs, negotiating corrective action plans, preventing contractual termination)
- Licensing, and obtaining Medicare/Medi-Cal provider status;
- Reimbursement disputes with Medi-Cal and private payors;
- Business formation;
- Advising on compliance matters, such as HIPAA, anti-kickbacks, false claims, regulatory compliance, third parties’ contracts.
- Defending or representing providers in litigation;
- Advising TeleHealth (mHealth) companies on compliance and reimbursements.
- Charmalot 2016 Conference: “Legal Issues in TeleMedicine.”
- Managed Pharmacy Care seminar, November 2014, “Medi-Cal Reimbursement Issues.”
- PPSI yearly Steve Bacon breakfast at CPhA conference on various healthcare topics (yearly)
- Marin Pharmacists Association, Legal Updates, healthcare compliance (yearly)
- Minsk State Linguistic University (Linguistics — English, German, Spanish) & Economics, 2000
- Dominical University B.A., Dean’s list, Gamma Sigma Honor Award, 2006
- Golden Gate University School of Law, J.D., 2010, Constitutional Law Best Essay Award of 2009
- California State courts; Federal courts: Central District of California; 9th Cir. Court of Appeals