We represent these professionals in defending against patient complaints, defending against Department of Health (DOH) investigations, professional board meetings, administrative hearings, licensing matters, clinical privileges and credentials matters, fair hearings, defense of civil lawsuits and malpractice (professional liability) actions, Medicare and Medicaid audits and overpayment demands, Zone Program Integrity (ZPIC) and Recovery Audit Contractor (RAC) audits, billing disputes, and defense of complaints alleging HIPAA and breach of privacy violations.
In cases in which the health care professional has professional liability insurance or general liability insurance which provides coverage for such matters, we will seek to obtain coverage by your insurance company and will attempt to have your legal fees and expenses covered by your insurance company. We will agree to take an assignment of your insurance policy proceeds in order to be able to submit our bills directly to your insurance company, if your insurance company will allow this.
Many of these insurers will pay our firm to represent you in the legal defense of an investigation or complaint against your professional (nursing, medical, dental, psychology, mental health counselor) license or for an administrative hearing involving professional discipline. Contact us early.
In doing so, we have represented the insureds of the following insurance companies:
- Philadelphia Insurance Company (PIC)
- CPH & Associates Insurance
- Pharmacists Mutual Insurance Company
- Darwin National Insurance Company
- ACE USA Insurance Company
- Dentists Advantage Insurance Company
- The Doctors Company (TDC)
- State Farm Insurance Company
- First Professionals Insurance Company (FPIC)
- Firemen’s Fund Insurance Company (FFIC)
- Lloyd’s of London
- NAS Insurance
- NORCAL Mutual Insurance Company
- Nurses Service Organization (NSO)
- Healthcare Providers Service Organization (HPSO)
- And many others
For those insurance companies who with whom we do not have an existing relationship, at your request, we will submit our information to the insurance company and will agree to work for rates comparable to the other firms that the insurance company uses in the area, if the insurance company will agree to this.
We have also been retained to defend physicians and businesses in general litigation matters and business litigation matters by some of the insurance companies named above.