Allegations of healthcare fraud may result in license suspension

On Behalf of | Jan 13, 2020 | Medicare / Healthcare Fraud

A physician licensed by the State of Texas Medical Board may have his or her medical license suspended while facing allegations of fraud. The Board does not need to provide a warning notice when issuing a temporary suspension, as reported by D CEO Healthcare. A suspension generally remains in effect for as long as an investigation of wrongdoing occurs. 

As a result of the opioid epidemic sweeping the nation, fraud allegations involving healthcare and prescription drugs have become more prevalent. When a medical practitioner suspects that law enforcement officials are investigating his or her practice, remaining prepared to fight any possible charges may help avoid a conviction. 

After prosecutors have filed charges against a physician, two critical issues will require attention: defending against the charges and reinstating a suspended license. 

Fighting allegations of fraud 

Healthcare fraud charges are often complex and could require a strong legal defense to counteract allegations. A prosecutor must produce substantial evidence, however, to prove that a physician engaged in wrongdoing such as submitting false insurance bills. The case may not result in a conviction if patient records could successfully dispute the prosecution’s claims. 

Reinstating a suspended medical license 

Reinstating a suspended license requires submitting a request to the Lone Star State’s Medical Board. An individual may request a hearing in writing with the Board, as noted on the Secretary of State’s website. A doctor seeking reinstatement must wait until at least one year has passed from the date of the suspension before making the request. A physician must also present proof that he or she has either resolved the issue that led to the suspension or conducted a successful defense against any allegations. 

Maintaining good standing 

Medical professionals dedicate a great portion of their careers to caring for their patients. Acting quickly to counteract any suspicions of healthcare fraud may help to prevent a situation from developing into a complicated matter affecting patient care. Preventing a charge from becoming a conviction can play a decisive role in a doctor maintaining his or her professional integrity in the community.