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Network & Insurance Terminations
 A public disciplinary sanction or the suspension and probation of a physician’s license often triggers the termination and exclusion of the physician from provider networks. This is especially true with regards to standard of care violations and findings and determinations of chemical dependency. Although the exclusions can be appealed successfully, this is a complicated matter and is best handled by an attorney. Because the physician has been disciplined, it is unlikely the appeal committees will listen to the pleas of the physician with an open mind. Your rights are best asserted through competent and experienced legal counsel.
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"strong legal representation through the entirety of the disciplinary process often yields unexpected and pleasant results"
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Moreover, proper representation through the investigatory and hearings phase of the disciplinary process can often yield a public reprimand, an administrative penalty or a private and confidential rehabilitation order. These disciplinary impositions will usually not result in the termination and exclusion of a physician from a preferred provider or other insurance network. Furthermore, during this process mitigation evidence will be developed which can further support and document a successful appeal. Thus, strong legal representation through the entirety of the disciplinary process often yields unexpected and pleasant results for medical license holders as they live through the repercussions of disciplinary sanctions. |
