Kristina Giyaur

Partner
NEW YORK OFFICE
kgiyaur@mdrxlaw.com
Main (212) 668-0200
LinkedIn
Kristina Giyaur
Partner

Healthcare Audit Defense & Regulatory Counsel

  • Defends healthcare providers and businesses in federal and state audits, investigations, and enforcement matters, including OIG, DOJ, OMIG, Medicaid, Medicare, and payor disputes.

  • Brings 18+ years of healthcare law experience to complex reimbursement, regulatory, compliance, and fraud/waste/abuse matters.

  • Represents clients in audit defense, recoupment disputes, payment integrity reviews, and government investigations involving billing, documentation, and medical necessity issues.

  • Known for practical, strategic advocacy focused on protecting revenue, reducing regulatory exposure, and achieving business-sensitive resolutions.

experience

Kristina is a trusted advocate and advisor for healthcare professionals and organizations navigating the business, regulatory, and enforcement challenges of today’s healthcare industry. She counsels providers on corporate operations, compliance, and risk management, while also defending clients in audits, investigations, disciplinary matters, and administrative proceedings.

Transactions, Growth, and Practice Operations

Kristina advises healthcare clients on start-ups, mergers and acquisitions, joint ventures, and other business arrangements involving pharmacies, medical, dental, integrative medicine, and aesthetic practices, management service organizations, ambulatory surgical centers, licensed home care agencies, adult social day care centers, and long-term care institutions.

She has negotiated and drafted hundreds of healthcare-specific agreements, including employment contracts, provider service agreements, management service agreements, and vendor agreements.

Audit Defense and Enforcement Matters

Kristina has extensive experience representing healthcare professionals and organizations in reimbursement audits, payor investigations, credentialing and enrollment disputes, and regulatory proceedings involving managed care entities, government payors, and state and federal enforcement agencies.

She defends clients in investigations involving the HHS Office of Inspector General, U.S. Department of Justice, New York State Attorney General’s Office, U.S. Attorney’s Office, Drug Enforcement Administration, and New York State Office of Medicaid Inspector General.

Regulatory Compliance

Kristina advises clients on compliance with state and federal healthcare laws, including fee-splitting restrictions, anti-kickback statutes, self-referral prohibitions, HIPAA, and New York State Office of Medicaid Inspector General and Department of Health regulations.

Professional Discipline and Administrative Advocacy

Kristina regularly represents physicians and nurse practitioners before the New York State Office of Professional Medical Conduct, and pharmacists, dentists, nurses, and other licensed professionals before the New York State Office of Professional Discipline.

She is also frequently called upon to advise clients in medical and dental malpractice matters, insurance reimbursement disputes, and partnership dissolutions.

Professional Recognition

Kristina has been named to the New York Metro Rising Stars list by Super Lawyers, honored in America’s Most Trusted Lawyers, and recognized as an Avvo Top-Rated Lawyer since 2019.

Credentials

education

J.D., Fordham University School of Law (with Honors)
Cornell-Paris Institute of International and Comparative Law, Paris
M.A., Adelphi University, Derner Institute of Psychological Studies
B.A., Hunter College (CUNY) (With Honors)

ADMISSIONS

US District Court, SDNY
US District Court, EDNY
New York
Michigan

memberships

American Bar Association
New York State Bar Association
American Health Lawyers Association
American Society for Pharmacy Law
Urgent Care Association

Recognition

Avvo Rating - Excellent
SuperLawyers Rising Stars
America’s Most Trusted Lawyers
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