Articles Archives - Walker Medical Law

OPMC Consent Orders in New York

Posted on March 18, 2019March 18, 2019 by Paul Walker, Esq.

When you sign a consent order with the OPMC, it is essential that you understand and carry out the commitments in order. I recently was contacted by a physician who, in June of 2018, had signed a Consent Order with the New York State Department of Health, Office of Professional Medical Conduct, (OPMC). That Order […]

When you renew your hospital privileges, be certain to read the questions carefully. A mistake might be viewed as a lie.

Posted on February 15, 2019February 15, 2019 by Paul Walker, Esq.

When the Department of Health, Office of Professional Medical Conduct (OPMC) sends a physician a letter about an issue, that letter usually states that the medical practice of the physician is being “investigated”. That word, “investigated”, is extremely significant because it can lead to some very unpleasant consequences. The problem starts when the physician is […]

What to do when you receive an audit letter from an insurance company

Posted on October 19, 2018October 26, 2018 by Paul Walker, Esq.

Whether you are a physician or another type of health care provider, you are in a business relationship with health insurance companies that cover your patients. This proves to be true for those who are in their network and those that are an out–of–network provider. Although you welcome the checks that the companies send to […]

What should a physician do when a health insurer notifies them that their contract will end?

Posted on October 9, 2018October 9, 2018 by Paul Walker, Esq.

Physicians today are at the mercy of health insurers because if you do not have a contract as a “provider” with the insurer then you might very well lose a substantial portion of your income. I just recently had a case where a major insurer wrote to a surgeon and advised that the contract between […]