New York

The Physician Advocacy Program® offers physicians immediate access to their own legal defense team, led by experienced healthcare legal counsel and expert medical/legal reviews for members seeking advice regarding, and/or are subjected to a legal investigation.

~Scope of Plan Coverage~
  • Telephone conferences with legal counsel concerning matters within the scope of the program.
  • All in-person conferences with an attorney related to matters within the scope of the program will also be without cost to the enrolled physician.
  • Full range of legal services (telephone consultations, written communication, preliminary hearings, interviews, settlement conferences, hearings, etc.) through all investigative stages of a disciplinary action.
~Plan Enrollment Costs~

The Physician Advocacy Program® provides members with the following cost-effective options:

Basic Program:
  1. Office of Professional Medical Conduct
Cost: $250.00 per program year
MSSNY Member Discounted Price: $195.00
Additional Discounted Price for MSSNY Members insured by MLMIC/PRI: $150.00*
 
*The price for MLMIC/PRI Insureds who are not members of MSSNY is $250.00
Comprehensive Program:
  1. Office of Professional Medical Conduct
  2. Medical Quality Improvement Organization
  3. Office of Inspector General U.S. Department of Health and Human Services
  4. Federal Occupational Safety and Health Administration
  5. Office of Civil Rights (HIPAA)
Cost: $750.00 per program year
MSSNY Member Discounted Price: $550.00
Additional Discounted Price for MSSNY Members insured by MLMIC/PRI: $495.00*
 
*The price for MLMIC/PRI Insureds who are not members of MSSNY is $750.00
PREMIER Program:
In addition to the extensive coverage currently provided under the Comprehensive Plan, the Premier Level benefits include:
 
  1. Billing and Coding Assessment
  2. HIPAA/HITECH Compliance Assessment
  3. Estate Planning Consultation
Cost: $995.00 per program year
MSSNY Member Discounted Price: $895.00
Additional Discounted Price for MSSNY Members insured by MLMIC/PRI: $850.00
 
*The price for MLMIC/PRI Insureds who are not members of MSSNY is $995.00
~Additional Benefits~
  • A complimentary copy of the medical/legal publications, StatLaw Monthly, StatLaw Q&A and The OPMC Reporter.
  • A full 10% discount from the normal Kern Augustine, P.C. fee schedule for all legal services provided which fall beyond the scope of the PAP coverage.
  • Access to the Kern Augustine, P.C. website and Legal Resources section.
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