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Archive for category: Physicians

OPMC Defense Attorney

0 Comments/ in Defending Health Care Professionals, Defending License Revocation, License Restoration, New York, Physicians / by admin2
June 10, 2012 New York lawyer Paul E. Walker, is a Manhattan based expert in defending medical professionals. If you are looking for an attorney to represent you with the OPMC or OPD, the Office of Professional Medical Conduct (“OPMC”) of the New York State Department of Health may conduct investigations and issue disciplinary sanctions after trial. OPMC sanctions can have serious consequences for physicians Read more [...]

OPMC Attorney New York

1 Comment/ in Defending Health Care Professionals, Defending License Revocation, New York, Physicians / by admin2
April 10, 2012 The Office of Professional Medical Conduct (“OPMC”) of the New York State Department of Health may conduct investigations and issue disciplinary sanctions after trial. OPMC sanctions can have serious consequences for physicians and physician assistants including public reprimand, censure, loss of license or probation. If you are looking for an attorney to represent you with the OPMC or OPD, Read more [...]

Defending Physicians

0 Comments/ in Defending Health Care Professionals, Physicians / by admin
February 14, 2012

Hospital Sanctions Can Severely Damage Your Medical Career

1 Comment/ in Employment Issues, New York, Nurses, Physicians / by Paul E. Walker
February 11, 2012 If your hospital charges you with misconduct you must take the situation very seriously as the end result may cause damage to the rest of your career. Read more [...]

What Occurs When An HMO Accuses You Of Inaccurate Billing Practices?

2 Comments/ in Billing Fraud, Insurance Fraud, Physicians / by Paul E. Walker
February 9, 2012 If you read your contract with an HMO it probably says that you have waived your right to a trial on the issue of billing audits and have instead agreed to submit the dispute to binding arbitration. It is not unusual to see an HMO calculate that if you billed, for instance, $200,000 over the last 6 years, that you over billed on the entire amount and therefore you owe the HMO $50,000, that is, 25% of the amount.  Read more [...]
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FAQs about Physicians

Physcians

If I have sexual contact with a fellow employee will OPMC take action against me?

The problem with the sexual contact with a co-employee is that the situation can often lead to the dismissal from the health care facility or hospital. When that happens the dismissal will be reported to the Department of Health and you might get investigated by OPMC. Also, you will have to explain why you were dismissed when you renew your medical license. If you lie about the situation on your renewal Read more [...]

If I have to go to Rehab, who will pay for the therapy?

Check your health insurance policy as it is quite possible that this therapy will be paid for. But, please read your policy carefully as there may be some clauses that limit coverage for this type of "illness".  I know of a situation where the health insurer paid for the first 7 weeks of therapy until the physician was allowed to spend a week-end at home.  The insurer refused to pay for the several Read more [...]

If I am charged with substance abuse, be it alcohol or drugs, what can I do to help me keep my license?

One thing a medical professional can do to make things easier in the substance abuse arena is to join a program with the Committee for Physician Health, (CPH). A program with CPH will have you going to meetings on probably a weekly basis and you agree to random drug testing on a routine basis. Often there will be a contract that will last for 5 years for the meetings and testing. OPMC looks very favourably Read more [...]

Can you negotiate a settlement with an HMO in the setting of a claim of improper billing?

When an HMO charges a physician with overcharging for services, the situation can become dangerous for the doctor.  At the worst, the HMO can report the doctor to the Department of Health with the charge of fraudulent billing.  If that happens, not only might the doctor have to repay a good deal of money to the HMO, but there will be an OPMC investigation to deal with.  The doctor needs to consider Read more [...]

How does the settlement of a malpractice case impact on an OPMC investigation?

Settlements of medical malpractice cases are reported by insurance companies to the Department of Health.  Of course, the larger the settlement the more attention the matter will bring.  However, while OPMC can investigate any settlement, it usually begins to look at a physician more carefully if there are several settlements in a relatively short period of time.  This can be proof that the physician Read more [...]

What can be done to prevent a claim of overbilling by an HMO?

As a medical provider in private practice if you are going to bill an HMO I recommend that you and your staff retain a billing firm to give instruction as to how to properly bill your services.  Not only will this information keep you out of a billing issue with the HMO, but you will also learn how to legally maximize your billing to capture the highest amount permitted.  You want to avoid a claim Read more [...]

Is there a fee to restore my licence?

Yes, the application fee to restore a suspended New York Physician’s license is $750.00 payable to the Department of Education.

Restoration of a suspended physician’s license in New York

If you have lost your medical license in New York state, you truly have an uphill climb to have the license restored.  You really have to start the restoration process the day your license is revoked.  You can apply for restoration after three years from the date of revocation but you have to really be dedicated to do all of the things necessary to give yourself a fighting chance to have the license Read more [...]

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