Get the information you need about credentialing, peer review, medical board investigations and expert testimony. Cal has substantial experience in the handling of credentialing and peer review matters on both the medical staff side and in the representation of individual providers.
He not only has experience with Arizona peer review law but also with the federal Health Care Quality Improvement Act (HCQIA) and the National Practitioner Data Bank (NPDB).He has handled the most serious disciplinary matters at Fair Hearing, including loss of medical staff privileges and subsequent court proceedings challenging physician discipline.
He not only has experience with Arizona peer review law but also with the federal Health Care Quality Improvement Act (HCQIA) and the National Practitioner Data Bank (NPDB).He has handled the most serious disciplinary matters at Fair Hearing, including loss of medical staff privileges and subsequent court proceedings challenging physician discipline.
Services
Cal has extensive experience in credentialing and peer review as Medical Staff Counsel and as Counsel of Record for individual physicians. His approach is pragmatic, seeking practical solutions based on his knowledge of Arizona's peer review law and the Health Care Quality Improvement Act (HCQIA). Cal may be able to assist you in finding insurance coverage for some or all of the legal expense.
You receive a letter from the Chief of Staff, the Department Chair or the MEC. They are reviewing your charts. You have had some adverse outcomes but so have all the other physicians on the Medical Staff-including those now reviewing you. What should you do? Does hiring experienced peer review counsel send a negative message that you know you are in trouble?
You may already have paid for insurance to cover some or all of your legal expense. But your E&O carrier most likely does not tell you that after it has sold you a policy and started receiving your premiums. This no cost coverage unquestionably is factored into your premium by Underwriting. But use of this benefit most likely costs your E&O carrier.
Lawyers who do not regularly deal with credentialing and peer review may not understand some of the pitfalls of their clients' credentialing or being subjected to peer review. This article discusses some of these pitfalls and how to avoid them. A single unnecessary or inappropriate National Practitioner Data Bank entry can damage or even destroy a career.
This is the most difficult topic I have ever tried to discuss with physicians. Once, teaching a national medicolegal conference, I said to an audience of 400 physicians from all over the country, OK, most of you will never see each other again. Let's see a show of hands. Who knows someone on your medical staff that you think may be impaired?
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