File a Complaint
The first step is to assess who you should complain to. In some instances, you can complain directly to your doctor. Other times, you may need to talk to the hospital administrator or the state licensing board. It depends on the problem, and how convinced you are that it was intentional. To file a complaint about your doctor (like unprofessional conduct, incompetent practice, or licensing questions), contact your State medical board. Complaints about the quality of your care Contact your Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) for complaints about the quality of care you got from a Medicare provider.
By Shad Withers. Choosing a doctor or hospital is an important decision, so it's wise to arm yourself with as much information as possible. Not all physicians and health facilities are the same, and they don't all provide the same level of care. Mistakes happen, including errors that rise to the level of medical malpractice. One thing you'll certainly want to do before picking a what information does google analytics provide provider is figure out whether there have been any formal complaints made against the doctor or hospital you're considering.
The purpose of this article is to spotlight a few key resources that can help you do a little research on medical professionals and health care facilities. The Federation of State Medical Boards has compiled a database called DocInfowhich provides background data on almost one million licensed doctors in the U. Each state licenses its physicians.
In turn, each state's board of medical licensure handles disciplinary matters. Many state licensing boards have websites you can access for free to determine whether the board has taken any disciplinary action against a particular physician.
If your state does not have a searchable website, you can contact the state licensing board directly. The Federation of State Medical Boards has compiled a list of contact information for each of the state medical boards.
For example, reports of improper care or unsafe conditions are often reported to the state department of health services. These are issues you would certainly want to be aware of before selecting a hospital.
If someone has filed a medical malpractice lawsuit against a doctor in your state, there will be a record of it in the court where the case was filed. Many court records can be found online, although you how to complain about doctors need to do a little preliminary how to configure an email client to figure out what kind of information is actually available online in your state.
At a minimum, you should be able to determine whether any lawsuits have been filed past or present against a particular physician. If the documents related to the lawsuit are not available online, you can usually go to the courthouse and pay for a copy of the record provided the information you're looking for is not confidential. Use caution when searching court records.
Sometimes patients sue their doctor because they were offended by something like poor bedside manner. However, there is still a record of the doctor's being what schools did edgar allan poe attend. Bottom line: Do not assume that merely because someone sued a doctor, that doctor committed some kind of medical error.
Many good physicians have been sued by how to complain about doctors patients, and many of those lawsuits have been dismissed as frivolous. There are a number of potential complaints you may find against a doctor or hospital. Below are some of the most common:. There are organizations whose purpose is to rate the quality of physicians.
This group gathers data about the quality of care that doctors provide to their patients. They use this information to grade the physician. Some health insurance plans also provide information about physicians, such as their education, specialty, and work history. Choosing a doctor, or a hospital where you will have a procedure performed, is a big decision. Unless you are faced with an emergency in which case you will probably have little if any time to make an informed choiceit is well worth the time to carefully investigate your options.
You may not have the time to go through referral after referral to reach a consensus of the best possible physician available; but at a minimum, you should make sure you do not hire a physician with a track record of making mistakes. The information provided on this site is not legal advice, does not constitute a lawyer referral service, and no attorney-client or confidential relationship is or will be formed by use of the site.
State Medical Boards Each state licenses its physicians. Court Records If someone has filed a medical malpractice lawsuit against a doctor in your state, there will be a record of it in the court where the case was filed. Types of Complaints There are a number of potential complaints you may find against a doctor or hospital. Physician Grades There are organizations whose purpose is to rate the quality of physicians.
Health Insurance Evaluations Some health insurance plans also provide information about physicians, such as their education, specialty, and work history. Do Your Homework Choosing a doctor, or a hospital where you will have a procedure performed, is a big decision. Talk to a Lawyer Start here to find personal injury lawyers near you. Practice Area Please select Zip Code. How it Works Briefly tell us about your case Provide your contact information Choose attorneys to contact you.
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Oct 01, · Filing a complaint against a doctor with your state’s medical board is usually the first step in bringing disciplinary action against a doctor. Although the particulars vary by state, when the board receives complaints against doctors, it enters them into a system. The board then reviews complaints or refers them to another agency if needed. Mar 14, · Here are some circumstances worth complaining about: 2 ? If your doctor always runs late, but rarely spends more than a few minutes with you, then register your complaint. That If a member of your doctor's staff is consistently rude or difficult, then report the problem. You have a . Jul 09, · While you are in the hospital: If possible, first bring your complaints to your doctor and nurses. Be as specific as you can and ask how your complaint can be resolved. You can also ask to speak to a hospital social worker who can help solve problems and identify resources. Social workers also organize services and paperwork when patients leave.
While you are in the hospital: If possible, first bring your complaints to your doctor and nurses. Be as specific as you can and ask how your complaint can be resolved. You can also ask to speak to a hospital social worker who can help solve problems and identify resources. Social workers also organize services and paperwork when patients leave the hospital. These groups act on behalf of Medicare to address complaints about care provided to people covered by Medicare.
Typical complaints QIOs handle are getting the wrong medication, having the wrong surgery, or receiving inadequate treatment.
If you get an infection while you are in the hospital or have problems getting the right medication, you can file a complaint with the Joint Commission. This group certifies many U. It does not oversee medical care or how the hospital may bill you. To find out what other patients had to say about their recent hospital stays, visit the Hospital Compare Web site. You'll find answers from patients about how well doctors and nurses communicated, how well patients' pain was controlled, and how patients rated their hospital.
If you are discharged before you're ready: This is a big concern for many patients because insurers balk at long hospital stays. Talk to the hospital discharge planner often a social worker if you don't think you're medically ready to leave the hospital.
The discharge planner will take your concerns to the doctor who makes this decision. If you are covered by Medicare or by a Medicare managed care plan, you can file an appeal about a discharge while you are still in the hospital. You should get a form from the hospital titled "An Important Message from Medicare," which explains how to appeal a hospital discharge decision. Appeals are free and generally resolved in 2 to 3 days.
The hospital cannot discharge you until the appeal is completed. When you get your hospital bill: First, ask your doctor or the hospital's billing department to explain the charges. Find out how the hospital handles complaints about bills, and make your case. If you still have questions, you should contact the Medicare carrier that handles billing issues for your Medicare program.
Make sure you have the date of service, total charge in question, and the name of your doctor and hospital. Even with this information, it's not easy to be as assertive in a health care setting as it is in an auto repair shop or restaurant. But it's a smart move that can help you get the quality care that you deserve. Clancy, M. To sign up for updates or to access your subscriber preferences, please enter your contact information below. Washington, D. Skip to main content.
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