Doctor OPMC New York

What Happens During OPMC Investigation

New York medical license defense lawyers of Norman Spencer Law Group PC have successfully represented numerous physicians before the OPMC (Office of Professional Medical Conduct) in disciplinary proceedings for professional misconduct.

When we represent health care professionals and medical professionals matters with the New York State Department of Health’s Office of Professional Medical Conduct – OPMC, we always strive to resolve issues quickly before the situation escalates to possible physician discipline with the physician’s license being suspended for professional misconduct. We would begin legal counsel through the investigatory process of interviews and document reviews. We will then present our position to the OPMC investigator – often convincing the OPMC investigators to terminate the case before it reaches the next level.

What Happens When a Professional or Medical Misconduct Complaint is Filed Against a New York Physician?

The professional medical conduct and disciplinary action process for New York physicians, physician assistants, and licensed health professionals usually begins with a complaint filed with the OPMC. A complaint can include:

  • Negligence of patient care
  • Refusing to provide medical care based on a patient’s race or national origin
  • Performing professional services that were unauthorized, treating patients with a suspended or inactive license
  • Permitting unlicensed persons to treat patients when it requires a medical license.
  • Billing fraud
  • Not updating medical charts or patient charts, etc.

The OPMC will investigate any complaint alleging professional misconduct. Office practice issues, rude behavior from the medical staff, or the physician’s poor “bedside manner” do not fall under their jurisdiction. During OPMC investigations, OPMC investigators may interview the physician and potential witnesses, such as the county medical society, subpoena medical records or patient records, etc.

Doctor OPMC New York

When the OPMC investigation is concluded and there appears to be sufficient evidence suggesting medical misconduct, the case investigator will refer the investigative report to an investigation committee that consists of two physicians of the special OPMC two-thirds physicians and one non-physician panel. The committee will make a recommendation regarding the next step. For example, they may determine no cause for further professional discipline, and the case will be closed. Alternatively, they may demand an additional investigation, issue an administrative warning to the licensee, or require the licensee to undergo a physical or psychiatric evaluation for mental illness or a similar outcome.

The committee may recommend that formal charges against the licensee be filed. In this case, an administrative hearing will be scheduled. Many physicians or physician assistants seek to settle the case by a Consent Agreement instead of a formal administrative hearing.

Under certain circumstances, when the New York Department of Health determines that a physician is an imminent threat to the health, safety, and welfare of the public, or in the case the licensee has been convicted of a felony, there may be a temporary medical license suspension before the administrative hearing.

When a New York physician is found guilty of professional misconduct, either after a formal hearing or by consent agreement, they will be subject to a variety of potential penalties, including:

  • Revocation of license
  • Full or partial suspension of license with or without conditions
  • Annulment of license
  • A maximum fine of $10,000 for each charge of misconduct
  • Public reprimand
  • Community service
  • A requirement of additional education and training.

Can a Physician Appeal the Panel’s Finding?

Physician-Appeal

There are two ways to appeal the hearing outcome. First, there is an administrative avenue where both the physician and the State may appeal the hearing outcome to the Administrative Review Board (ARB). It is the only administrative appellate remedy. The Board consists of three physicians and two laypersons. An Administrative Law Judge oversees the process. Both parties may file legal briefs, and the Board will issue its decision within 45 days after the briefs are filed.

Another avenue is the judicial one. The panel’s hearing findings and/or the ARB’s determination may be appealed by bringing an Article 78 action in the Appellate Division of the New York Superior Court.

What is the Right Way to Respond to an OPMC Investigation?

When you discover that you are the subject of an OPMC investigation, you must consult with an experienced attorney who has handled OPMC actions.

As a licensee, you are obligated to cooperate with OPMC investigations. Failure to cooperate is professional misconduct on its own. Cooperation, however, does not mean forfeiting your rights, and you do have the right to have legal counsel present before discussing the case with the OPMC investigator. You do not have to speak with the investigators.

It is essential to understand that every word you say and any information you provide will become part of the investigative report comprised by the investigator. It will not matter that you did not say or mean exactly what the report says; and it will be your word against the investigator, and the odds will not be in your favor. Moreover, you may be subject to additional charges based only on your voluntary statements.

When approached by an OPMC investigator, the only correct way to handle the situation is to assure the investigator that you are willing to comply with the investigation and insist on discussing the matter with your attorney first. Your experienced counsel will then contact the OPMC investigator on your behalf, and this will save you from implicating admissions that could make the case more difficult to resolve. Participation in an OPMC interview without prior legal consultation and preparation may be fatal to the outcome of your case and your future ability to practice medicine.

When you are under an OPMC investigation, call our experienced New York OPMC attorneys for immediate consultation!