Complaints are reviewed by investigators and medical staff. If the allegations in the complaint are deemed to be under the jurisdiction of the Office then the matter is assigned to an investigator. If the investigation reveals that there could have been misconduct then the matter is referred to an investigation committee. The investigation committee can recommend that the matter go to a hearing, that more investigation is necessary, that a dismissal is warranted or it can issue a warning to the doctor. If the committee finds that there is an imminent danger then it can order that the physician’s license be summarily suspended. If that happens, or if the committee decides to go to hearing, then a formal hearing is scheduled. A hearing is an official proceeding that is heard by a committee of the Board which consists of two physicians and a layperson. The committee hears evidence from both sides who are most often represented by attorneys. If the physician is unhappy with the decision of the committee it can appeal to an Administrative Review Board.
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.