State Licensing Board Problems

Medical Legal Consultation, Assistance, and/or Representation of Health Care Professionals with emphasis on the following matters:

    1.    Alleged fraudulent billing. Please be careful to personally review all your billing practices periodically to ensure that correct code numbers are used. Very importantly, make sure that your chart documentation will support the level of your charge for service.

    2.    Criminal matters substantially related to the practice of Medicine. Always consider the effect on your medical license of any disposition of the criminal matter.

    3.    Impaired physician and perceived inappropriate interaction between doctor and patient.

    4.    Alleged negligence/incompetence.

    5.    Managed care related matters.

    6.    Application for Licensure

    8.    Administrative Hearing Procedure

    9.    Types of Discipline

    10.    Settlement

    11.    Appeal

    12.    Impaired Physician

    13.    Internet Related Problems

Many investigations are aimed at a revocation of the physician's license. Top priority is the preservation of the physician's license. Therefore, at the first contact from the licensing board, even if it appears to be nothing more than a benign request for medical records, the physician should immediately seek competent, knowledgeable counsel to guide him/her, before doing anything. A physician, or any other licensee, should never deal with investigators or other representatives of the licensing board without advice of counsel, presence of counsel at any meetings with the representatives of the licensing board.

Practice Tip: Always attempt to ascertain the nature of the complaint being investigated, in as much detail as possible before going to any interview with a board investigator. Consult with your attorney to determine whether your attendance is mandatory or discretional. There may be times when the best procedure is not to appear at an investigational meeting.

Remember, currently medical boards throughout the country are placing physician "information" on the Internet. There are many problems that this can cause the physician, because, in my opinion, it is not possible to put all the relevant information on  the Internet page - commonly leaving out exculpatory material..

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