Showing posts with label license revoked. Show all posts
Showing posts with label license revoked. Show all posts

Tuesday, September 25, 2012

The Aftermath of Having Your Massage Therapy License Revoke (Or Relinquishing it After a Notice of an Investigation)

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

Many massage therapists, when confronted with an investigation against their license, do not fight the charges, sometimes they decide it is cheaper and easier just to give up their license.  Either choice is likely to be a mistake.
A charge can be filed causing an investigation to be opened against a massage therapist by many different sources and often without any supporting evidence.  If challenged and defended by an attorney with knowledge and experience in such matters, these investigations may often be dismissed with no disciplinary action against the massage therapists’ license.It is Common for Massage Therapists to Go on to Obtain Licenses in Other Health Specialties.
A massage therapist often has to spend tens of thousands of dollars on school tuition and sacrifice a year or more of their lives to meet the basic criteria for licensing.  In many cases this is merely a stepping stone for a later degree and license in another healthcare specialty, such as physical therapy, nursing, acupuncture, or chiropractic medicine. Protect Your Greatest Assets: Your Professional Reputation and Your Personal Reputation.
One of the maxims that the Romans took as truth was:  "A good reputation is more valuable than money," (attributed to Publilius Syrus approximately 100 B.C.).  Socrates wrote in approximately 400 B.C.:  "Regard your good name as the richest jewel you can possibly be possessed of."
However, despite the fact that you may have worked hard, sacrificed and paid a fortune for an education and training in massage therapy, many are willing to sacrifice their personal reputation rather than paying a few thousand dollars to fight unjust charges against them.  What they do not realize is the permanent black mark that will be placed on their record and the long term devastating consequences of any such action.


When Confronted with Charges
Most Massage Therapists Do Not Defend Themselves.
It is my opinion, based on what I have seen at Florida Board of Massage Therapy meetings and reviewing Florida Board of Massage Therapy meeting minutes, very few massage therapists, when confronted with an investigation or charges, hire an attorney to defend them.  This may be because they do not have the financial resources or because they underestimate the harm that will be caused to their personal or professional reputations.
Regardless, in my personal opinion and experience:
1.  Few massage therapists return their election of rights (EOR) forms on time and therefore, a default is entered against them.
2.  Few massage therapists return their election of rights (EOR) forms to state they are contesting the facts and desire a formal hearing to contest the charges against them.
3.  Few massage therapists even bother to show up at informal hearings involving their licenses.
4.  When they do, they show up at a hearing with a spouse or friend to represent them instead of an experienced attorney familiar with such matters (Q:  If you needed brain surgery, would you have it performed by a spouse or friend instead of an experienced neurosurgeon?)
5.  If they do retain an attorney to advise and represent them, they either go with the cheapest one they can find or go with one who has no experience at all before the Board of Massage Therapy.  (Q:  If you needed brain surgery, would you pay your family practice physician to perform it?)

Your Best Line of Defense:  Purchase Insurance with Professional License Defense Coverage.
Often physicians and others concerned about liability issues ask our advice on asset protection in case they are sued.  We advise them that their best way of protecting their assets is to purchase good insurance that will pay for a legal defense that protects them against unjust law suit.  The same principle applies to massage therapists;  except that massage therapy insurance is much, much cheaper, and the major liability that a massage therapist will face is usually from a complaint against his or her license.
If you purchase massage therapy liability insurance, you must make sure that it covers defense expenses of a complaint filed against your license.  Many such policies do not.  Additionally, you should be sure that it provides at least $25,000 in coverage for such matters.  This should be sufficient to provide adequate coverage in the event a fully contested formal hearing is required to defend you.
We have seen many policies and they are as different as night and day in this coverage.  When purchasing a professional liability policy, always ask about such coverage.  Get the coverage stated in writing.  To date, the only company we have experienced which is providing such coverage for massage therapists, and at an incredibly low price, is Healthcare Providers Service Organization (HPSO).  Compare this with whatever you have now. If you know of others that provide this coverage, I would like to hear from you.
It has been my personal experience that a massage therapist will be 30 or 40 times more likely to need licensure defense coverage as ever to need defense against a civil lawsuit.


Additional Consequences of Discipline on Your Massage Therapy License.

There are many, many additional adverse consequences that you will experience if you receive discipline on (especially revocation of) your massage therapy license.  First and foremost, this is on your record forever;  it never comes off and cannot be expunged.  Additionally, it will be reported to the National Practitioner Data Bank (NPDB) and available anywhere you go in the future in any state, to any licensing board.  There are many others. I will detail these in a future blog.

Voluntary Relinquishment after Investigation Has Started Treated as Revocation, the "Death Sentence."
Many massage therapists believe that the easy and cheap way out if a complaint is filed and an investigation is opened is to resign their license.  This is treated the same as a disciplinary revocation and is reported that way.  You should never expect to work in health care again or to have a health professional license in any other health specialty or in any other state.
Remember: The State Has to Prove the Allegations Against You;  You Don't Have to Prove Anything.
If the state brings charges against your massage therapy license, the burden of proof is on the state, just as in a criminal investigation.  You do not have to prove anything, and in most cases, you should never make any statement to an investigator or attorney representing the state department of health;  these can only be used against you to prove the state's case against you.
You can remain silent, not say anything and not produce any evidence, and the state may not have enough witnesses or evidence to ever prove a case against you.
Most massage therapists, their non-lawyer representatives and their inexperienced lawyer representatives make a very big mistake.  They advise the massage therapist to be interviewed or to make a statement "explaining themselves."  There is no criminal defense attorney worth his or her salt that would ever advise a criminal defendant to do this.  Why then must they take leave of their senses and advise a health professional to do this in a "quasi-criminal" or "quasi-penal" investigation?  This is almost always very bad advice.
Then, request a formal hearing and contest the facts. Don’t admit to them!
This is The Time to Defend Your Reputation and Your License.
In conclusion, take precautions and defend your professional livelihood, your professional reputation and  your professional license.
This is Florida.  We have hurricanes.  If you have a house you own, you purchase insurance on it to protect yourself in the event of a hurricane.
Without your license, you will not have an income and you will not be able to even make house payments.  Why wouldn't you purchase professional insurance that would pay for a defense in the event of that worst case scenario, an investigation of your license.  Why wouldn't you defend yourself to the max if this happened?  This will probably feel worse to you and have worse long-term implications to you financially than any hurricane.
Stay tuned to this blog for more.


Don't Wait Until It’s Too Late;  Consult with an Experienced Health Law Attorney Early.
Do not wait until action has been taken against you to consult with an experienced attorney in these matters.  Few cases are won on appeal.  It is much easier to win your case when there is proper time to prepare and you have requested a formal hearing so that you may actually dispute the facts being alleged against you.
The lawyers of The Health Law Firm are experienced in both formal and informal administrative hearings and in representing massage therapists in investigations and at Florida Board of Massage Therapy hearings.  Call now or visit our website www.TheHealthLawFirm.com.


About the Author: George F. Indest III, J.D., M.P.A., LL.M., is Board Certified by The Florida Bar in Health Law.  He is the President and Managing Partner of The Health Law Firm, which has a national practice.  Its main office is in the Orlando, Florida, area.  www.TheHealthLawFirm.com  The Health Law Firm, 1101 Douglas Ave., Altamonte Springs, FL 32714, Phone:  (407) 331-6620.

"The Health Law Firm" is a registered fictitious business name of George F. Indest III, P.A. - The Health Law Firm, a Florida professional service corporation, since 1999.
Copyright © 1996-2012 The Health Law Firm. All rights reserved.

 

Wednesday, July 11, 2012

AHCA Justified in Withdrawing Home Health Agency's License Application According to Appeal Court

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law

The First District Court of Appeal ruled that the Agency for Health Care Administration (AHCA) had substantial justification to withdraw a home health agency's application for licensure in a recent case.

To view the opinion, click here.

AHCA Withdrew Home Health Agency's License Application.

AHCA withdrew the home health care facility's license application because the application allegedly contained insufficient information. The application did not provide enough information for AHCA to verify actual ownership of the facility.

Home Health Agency Challenges AHCA's Decision to Withdraw License Application.

The home health agency challenged AHCA's decision. The administrative law judge (ALJ) ruled that AHCA incorrectly withdrew the application. According to the ALJ, the application was complete, and the home health agency met all the requirements for licensure at the time the application was submitted.

To view the recommended order, click here.

Home Health Agency Awarded Attorney's Fees by ALJ.

After receiving this favorable order, the home health agency moved for attorney's fees pursuant to section 57.111(4)(a), Fla. Stat. The home health agency argued that AHCA had no justification for withdrawing its license application. At a separate hearing, the ALJ awarded attorney's fees to the home health care facility.

Appeal Court Reverses ALJ's Ruling.

AHCA appealed the ALJ's decision. On its license application, the home health agency had allegedly claimed that one person had sole ownership of the facility. However, a letter informing AHCA of litigation contesting the sole ownership claim was included with the license application. According to the court of appeal, given the uncertainty the home health agency created concerning its ownership, there was substantial justification for AHCA's action. The ALJ's ruling was reversed by the court of appeal.

Contact Health Law Attorneys Experienced in Representing Home Health Agencies.

The Health Law Firm and its attorneys represent home health agencies and home health agency employees in a number of different matters including incorporation, preparing contracts, defending the facility against malpractice claims, licensing and regulatory matters, administrative hearings, and routine legal advice.

To contact The Health Law Firm, please call (407) 331-6620 or (850) 439-1001 and visit our website at http://www.thehealthlawfirm.com/.

Sources Include:

Agency for Health Care Administration v. MVP Health, Inc. 74 So. 3d 1141 (Fla. 1st DCA 2011)
Smallwood, Mary F. "Attorney's Fees." Administrative Law Section Newsletter. (Apr. 2012).

About the Author:  George F. Indest III, J.D., M.P.A., LL.M., is Board Certified by The Florida Bar in Health Law.  He is the President and Managing Partner of The Health Law Firm, which has a national practice.  Its main office is in the Orlando, Florida, area.  http://www.thehealthlawfirm.com/  The Health Law Firm, 1101 Douglas Ave., Altamonte Springs, FL 32714, Phone:  (407) 331-6620.

Wednesday, May 30, 2012

Emergency Suspension Order Issued to Florida Cardiologist for Performing Stem Cell Treatments

By George F. Indest III, J.D., M.P.A., LL.M., Board Certified by The Florida Bar in Health Law
A Florida cardiologist recently had his medical license emergently suspended by the Florida Department of Health (DOH) for performing stem cell treatments. According to the emergency suspension order (ESO), the DOH had previously warned the doctor to stop performing these treatments in 2011. Now, his license is at risk of being revoked. To view the ESO click here.

Cardiologist's License Suspended by the DOH Because He Was Allegedly Performing Stem Cell Treatments.

The DOH ordered the emergency suspension of the cardiologist's medical license in March 2012. He is being accused of violating an emergency restriction order (ERO) against using stem cell treatments in Florida. He is also being accused of causing the death of a patient.
We want to be perfectly clear that these are just allegations being made by the DOH at this point in time. All persons are presumed to be innocent until found guilty in a court of law (or, in DOH licensure cases, in an administrative final order).

Stem Cell Treatment Allegedly Factor in Patient's Death.

According to the ESO, the doctor performed a stem cell treatment on a patient who had both pulmonary hypertension and pulmonary fibrosis. Both of these conditions restrict blood flow to the heart. According to the ESO, the stem cell treatment included harvesting adipose tissue from the patient's abdomen and concentrating stem cells from the tissue in a lab. The concentrated stem cells were then infused into the patient's bloodstream to help treat the patient's pulmonary hypertension and pulmonary fibrosis. Allegedly, the cardiologist's patient suffered a cardiac arrest and died during the treatment.

Doctor Now Awaits Administrative Hearing.

An administrative hearing regarding the doctor's license suspension is scheduled for June 2012.

To view the administrative complaint issued by the DOH, click here.

To see a diagram or flow chart of the procedures followed by the Florida Department of Health, click here.

For an explanation of the differences between a formal administrative hearing and an informal administrative hearing under the Florida Administrative Procedure Act, Chapter 120, Florida Statutes, click here.

For the Florida Administrative Procedure Act, Chapter 120, Florida Statutes, click here.

Contact Health Law Attorneys Experienced with Emergency Suspensions and Other Adverse DOH Actions.

The attorneys of The Health Law Firm are experienced in handling all types of DOH cases, including emergency suspensions, administrative complaints, investigations, administrative hearings, investigations, licensing issues, settlements and more. If you are currently facing adverse action by the DOH contact one of our attorneys by calling (407) 331-6620 or (850) 439-1001. You can also visit our website for more information at http://www.thehealthlawfirm.com/.

Sources:

Fitzpatrick, David and Drew Griffin. "Florida Suspends Doctor Accused of Illegal Stem Cell Therapy." CNN. (Mar. 8, 2012). From:
http://www.cnn.com/2012/03/08/health/stem-cell-doctor-suspension/index.html

Miller, Reed. "Flouting Warning, Florida Stem-Cell Cardiologist has License Suspended." theheart.org. (Mar. 8, 2012). From:
http://www.theheart.org/article/1368039.do

About the Author:  George F. Indest III, J.D., M.P.A., LL.M., is Board Certified by The Florida Bar in Health Law.  He is the President and Managing Partner of The Health Law Firm, which has a national practice.  Its main office is in the Orlando, Florida, area.  http://www.thehealthlawfirm.com/  The Health Law Firm, 1101 Douglas Ave., Altamonte Springs, FL 32714, Phone:  (407) 331-6620.