Once a complaint is filed, a response is requested from the doctor. Whether or not the doctor responds to the complaint, the Compliance Office proceeds with a meeting to discuss the complaint allegations. Then the information is provided to a Screening Panel that can decide whether to dismiss or investigate the complaint. If the Screening Panel recommends that an investigation take place then an investigation is conducted and a report is generated which describes whether or not there reasonable cause to proceed with disciplinary action. If Reasonable Cause is found then the Department issues a Notice of Proposed Board Action to the doctor. A proposed stipulation may be included with the Notice. The doctor can either sign the stipulation or request a hearing. If a hearing is requested then an Adjudication Panel will hear the case and determine appropriate sanctions, if any.
This article is intended to be helpful and informative. But even common legal matters can become complex and stressful. A qualified health insurance lawyer can address your particular legal needs, explain the law, and represent you in court. Take the first step now and contact a local health insurance attorney to discuss your specific legal situation.