Medical Peer Review and Health Care Quality Improvement Act (HCQIA)
As a physician, being the subject of a Medical Peer Review proceeding can be overwhelming. You do not have to go through it alone. The attorneys at Christopher, Hays, Wojcik & Mavricos, LLP are skilled at representing physicians in these administrative proceedings. We are versed in the requirements of the Health Care Quality Improvement Act ("HCQIA"), a Federal Statute that offers protections to physicians relating to peer review and disciplinary actions and we understand the due process rights to which you are entitled to during a peer review proceeding. We can effectively advocate on your behalf before the peer review committee, can defend you against the charges that have been levied and where appropriate, can work with you and the peer review committee to fashion an agreeable resolution to the situation. Further, if you are the victim of a sham peer review proceeding, the attorneys at our firm can ensure that your rights are protected, that the HCQIA is not violated, and that the hospital and peer review committee's immunity protections are challenged. In addition, our firm is able to offer assistance with the repercussions that can sometimes occur after a Medical Peer Review proceeding, including but not limited to representing you before the Board of Registration in Medicine and before health insurance peer review committees.
These are some of the matters our firm has handled in this practice area:
Wrongful Termination: Physician
Successfully represented a physician in a wrongful termination case resulting in a settlement in excess of $2,000,000.
Sham Peer Review Proceedings
Successfully represented a physician whose due process rights were violated due to a sham peer review proceeding.
Physician Licensing
Provided counsel and representation to physicians before medical peer review committees and before the Licensing section of the Board of Registration in Medicine.
Deviation from Standard of Care
Represented physician accused of violating clinic policies and deviating from the standard of care before internal administrative body comprised of fellow physicians.
Insurance Provider Peer Review
Successfully defended a physician against several health insurance companies which were seeking to revoke the physicians right to be an authorized provider of the health plans.
