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The Pivotal Law Blog

How to Search for Disciplinary Actions Against a Doctor or Other Healthcare Provider in Washington

Posted Monday, July 20, 2009 by Christopher L. Thayer

alt textIn Washington State, the Department of Health regulates physicians, pharmacists and certain other healthcare providers. This includes potential disciplinary actions for misconduct. Some of this information is public record and searchable in an online database. Please visit the following link and follow the drop-down menus to search for a doctor or healthcare provider. Just because there has been a finding entered against a healthcare provider does not necessarily mean that they have committed medical malpractice, although it can serve as a red flag and provide helpful information.

Link: Provider Credential Search, Washington Department of Health

For more information, please contact Christopher Thayer at 206-805-1494.

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Comments from the American Medical Association on National Practioner Data Bank

Posted Wednesday, July 8, 2009 by Christopher L. Thayer

alt textI recently discovered this link on the American Medical Association’s (AMA) website and found it interesting.

The National Practitioner’s Data Bank (NPDB) is a national database that is maintained for all physicians licensed in the U.S. It requires physicians, dentists and certain other healthcare practitioners to report any settlement payments or verdicts on medical malpractice claims. Claims reported on this database can have adverse effects on a physician’s licensure and can affect malpractice insurance premiums. An unintended result of this database is that it often poses an obstacle to settling modest legitimate medical malpractice cases: because the healthcare provider doesn’t want the payment reported to the NPDB. This is further complicated by the fact that many insurance policies for physicians have a “consent to settle” provision, which provides that the insured physician has to consent (agree) to any proposed settlement. It is not uncommon to have the physician’s attorney and insurance adjuster recommending settlement, but the physician will refuse because they want to avoid getting reported on this database. This is just one more challenge you face when trying to pursue a medical malpractice action. Rather telling is this header on the AMA’s site, which states:

How to evade a report to the NPDB or ensure that the information in the report is accurate

My question: How many patients know that their doctor is being advised by the AMA on how to “evade” reporting medical malpractice claims? Food for thought.

For more information, please contact Christopher Thayer at 206-805-1494.

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What You Can Do If You Receive an NSF Check

Posted Sunday, June 21, 2009 by Christopher L. Thayer

alt textDuring these difficult economic times you may be facing some unique challenges in your business as many companies and individuals suffer through a downturn in business. Many businesses are experiencing an increase in the number or volume of checks that are being returned “N.S.F.” (insufficient funds) or “bounced” by their customers. This post is to provide you with one small tool to help you collect on these accounts and to (hopefully) increase the likelihood that you will get paid. If you follow these procedures, it will provide you with additional leverage in the effort to collect on outstanding accounts receivable.

If you receive payment by check and that check is returned for insufficient funds, here are the issues to consider and the steps to follow to protect your rights:

  1. The check must not be the subject of a “justifiable stop payment order”. An example of a “justifiable stop payment order” would be where the person or business who signed the check has contacted their bank and asked that the check not be honored because of a dispute about he amount owing. If the drawer has a “justifiable” reason for placing a stop order on the check, then the following provisions do not apply. If you have any questions about this issue, please feel free to give me a call before sending out a notice.
  2. Execute a Notice of Dishonor form to be mailed to the drawer’s last known address. Mail two copies of this form to the drawor (person who wrote/signed check): one by regular mail and one by certified mail (return receipt requested). The statute does not require certified mail but I believe this is a good idea and can lay to rest any notice issues that might be raised by the drawer in the event of a subsequent collection. The contents of the form is proscribed by statute, which you can find here:http://apps.leg.wa.gov/RCW/default.aspx?cite=62A.3-520.
  3. Retain the original check for your records – until payment is made or the dispute is resolve. If a lawsuit is required, you may need to submit the original check into evidence.
  4. If the check is paid within 15 days of the date the Notice of Dishonor is mailed (postmarked), you are entitle to recover the face amount of the check, plus a “reasonable handling fee”, which is usually deemed to be $20.00.
  5. If the check is not paid within 15 days of the date the Notice of Dishonor is sent (post marked date), then you will be entitled to recover the following relief: 12% interest on the face amount of the check from the date of dishonor until paid, a “reasonable handling fee” (again, about $20.00 is typical), plus “collection costs” of up to $40.00 or the face amount of the check, whichever is less.
  6. If, after expiration of the 15 day period payment has not been made, you have the right to commence a lawsuit. In the event of such suit, you are entitled to recover all of the damages above. In addition, you will be entitled to an award of reasonable attorneys’ fees, court costs (filing fee and service of process), plus three times the face value of the check or $300.00 (whichever is less).
  7. This procedure is most useful in situations where you do not have a contractual relationship with the person or business who is writing the check to you. If you have a contract, which includes a provision for an award of attorneys’ fees and collection costs in the event of a default in payment, this procedure may not be all that helpful as the contract will give you the leverage you need. However, even where you do have a contract with the client or customer, it is an easy procedure to follow and getting an official “Notice of Dishonor” form sometimes helps prompt payment.

This procedure must be followed precisely in order to be effective. If you have any questions on how to pursue a claim on a dishonored check in Washington, feel free to contact me.

This post is being provided for information purposes only and should not be construed under any circumstances as legal advice. It does not create an attorney client relationship. If you have a situation that warrants legal advice, you should contact a local experienced attorney to review your circumstances.

For more information, please contact Christopher Thayer at 206-805-1494.

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Wikipedia Entry on Medical Malpractice

Posted Wednesday, June 17, 2009 by Christopher L. Thayer

alt textI recently came across this link and found it to be a pretty good summary of medical malpractice issues, though this is not specifically tailored to Washington law. For example, there are no punitive damages available in Washington for healthcare negligence. It does include some interesting discussion on the ongoing debate between doctors/insurance companies and patients/trial lawyers. I assume that because a Wikipedia entry can be modified by just about anyone that this entry will morph over time, depending on who is doing the entry.

For further information, please contact Pivotal Law Group at 206-340-2008.

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Requesting Changes to Your Medical Records

Posted Tuesday, June 16, 2009 by Christopher L. Thayer

alt textPatients in Washington State have the right to review their own medical records and to request amendments or corrections to their records if they believe certain entries are inaccurate. See, RCW 70.02.100 and RCW 70.02.110

Request correction or amendment in writing

The statute allows for a patient to request changes “for purposes of accuracy or completeness” and requires that the request be made in writing to the health care provider. PRACTICAL TIP: Provide a written request along with the change and/or amendment and the reasons for your request. Although not required by statute, I recommend sending this request by certified mail, return receipt requested. Save a copy of your letter for your file.

Health care provider must respond within 10 days of receipt of request.

Absent “unusual circumstances” the health care provider must make the requested change (or inform the patient in writing that the requested changes are not being made) within 10 days of receipt of the request. RCW 70.02.100

Option 1: Changes accepted

If the health care provider accepts the requested changes, they must: (1) include the amendment/addition as part of your chart; (2) mark the challenged entries as corrected or amended; and (3) indicate where in the chart the corrected or amended record can be found. RCW 70.02.110(1)

Option 2: Changes not accepted

If the health care provider refuses to accept the requested changes, the patient is allowed to submit a concise statement regarding the correction and why it was requested. This statement is to be maintained as part of the patient’s medical record. The health care provider must also mark the challenged entry, indicating that the patient claims the entry is inaccurate or incomplete.

For more information, please contact Christopher Thayer at 206-805-1494.

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