California Healthcare Law

Medical Board of California Enforcement Actions Including Accusation Defense
and Denial Appeals
We represent California physicians and surgeons in all types of Board enforcement
actions. Our clients include Medical Board license applicants in the application
process and physicians who must disclose convictions or explain adverse
actions. We defend against Medical Board of California investigations,
we appeal license denials, we defend Medical Board accusations of negligence
or misconduct, appeal citations, handle modification or early termination
of Medical Board probation, and seek reinstatement of previously lost
licenses. We also have extensive experience defending against Operation
Safe Medicine investigations and prosecutions seeking both licensing and
criminal penalties for the unlicensed practice of medicine and/or suspected
criminal conduct.
Board of Registered Nursing RN and Advance Practice Nurse (Nurse Practitioner
and CRNA) Defense and Denial Appeals
Nurses are under greater scrutiny and pressure from the Board of Registered
Nursing than ever before. We have extensive experience handling nurse
license application prior conviction disclosures, Board of Registered
Nursing investigations, appealing RN license denials, defending against
accusations seeking license revocation or suspension, and seeking post-disciplinary
relief from probation as well as the reinstatement of revoked licenses.
Board of Licensed Vocational Nursing and Psychiatric Technicians Defense
and Denial Appeals
We have counseled numerous LVNs and psychiatric technicians in disclosing
convictions and adverse events on license applications, defending against
Department of Consumer Affairs Division of Investigation investigations,
responding to direct Board inquiries concerning complaints or arrests,
and appealing citations. We defend LVNs and psychiatric technicians from
accusations brought by the Attorney General's Office, we appeal the
denial of license applications, and represent clients before the Board
to seek modification of probation, early termination of probation, and
license reinstatement.
Defense and Denial Appeals for Other Health Care Boards
Our clients include all other healthcare licensees facing board investigations,
contending with disclosures on board applications, defending board accusations,
appealing license denials, and seeking to reinstate lost licenses, for
such boards as the Board of Pharmacy, the Veterinary Medical Board, the
Board of Psychology, the Dental Board of California, the Board of Podiatric
Medicine, the Speech-Language Pathology, Audiology and Hearing Aid Dispensers
Board, the Physician Assistants Board, the Physical Therapy Board of California
and the Respiratory Care Board.
Hospital Investigations and Peer Review Proceedings
Hospital investigations, in the case of physicians, can trigger highly
detrimental 805 reports to the Medical Board. Hospitals also routinely
report other suspected negligent or unprofessional acts to licensing Boards
such as the Board of Registered Nursing. Legal representation at an early
stage of an investigation can ensure that a health care professional makes
good decisions to avoid adverse reporting to licensing boards. We also
defend physicians in hospital peer review proceedings before medical executive
committees (MEC).
Certification Board Investigations and Appeals
License discipline, complaints of negligent or unprofessional conduct,
or related matters, can trigger adverse action by a national certification
board. Certification Boards, such as the American Board of Family Medicine,
the American Board of Surgery or the American Board of Plastic Surgery,
offer an appeals process to prevent certification discipline and to appeal
the denial of certification eligibility.
OIG Medicare Exclusion Actions and CDHS Medi-Cal Exclusion Actions
The Office of Inspector General and the California Department of Health
Services determine whether California health care professionals and organizations
can bill Medicare and Medi-Cal for services. We oppose Medicare and Medi-Cal
exclusion actions.
Disputing Databank (NPDB) Reporting
Adverse actions are reported to the National Practitioner Data Bank, and
in the case of nurse, the NURSYS system. An inaccurate report can significantly
damage a healthcare professional's career. We challenge inaccurate
entries to ensure with agencies to ensure that incorrect information is
corrected or deleted.
Medicare and Medi-Cal Billing Disputes
Denial of claims or underpayment of claims can cost a medical provider
hundreds of thousands of dollars in lost fees. We can challenge denials
and underpayments to ensure that a medical services provider is properly
reimbursed for services rendered..
Please call (800) 474-6911 or (714) 558-8488 for a consultation concerning
your professional licensing problem.