investigating complaints. 3 scenarios review the complaint investigative procedure tools overview...
TRANSCRIPT
INVESTIGATING COMPLAINTS
3 Scenarios• Review the complaint• Investigative procedure• Tools overview• Discussion
A national insurance company filed a complaint against a local chiropractor.They alleged he was using the same CPT codes for several personal injury patients.
Scenario 1
Dr. Sneaky stated on his board application that he had never had an action (including reprimands) taken against a professional license by any jurisdiction.A standard records check uncovered a reprimand in Idaho for failure to notify the board of a change in practice location and for failure to submit CE hours for renewal.
Scenario 2
A 23-year-old female naturopathic student filed a complaint alleging she and a 56-year-old chiropractor had engaged in a romantic relationship while she was attending his educational seminars and under his care.
Scenario 3
Must be submitted in writing
Creation of complaint file, review for completion, submission to Board Investigator
Board investigator acts independently
Review of report, discussion, issuance of correspondence or recommendation to AAG
Investigation Procedures
Board Action
Complaint
Submission
Investigation
Collect stories:• Complainant• Respondent• Witnesses
Subpoenas:• Production of
records• Sworn
statements• Recorded
statements• Video
surveillance
Interviews:• Complainant• Respondent• Witnesses• Families• Co-workers• Friends• Attorneys
Investigative Process
More Information?FCLB.org
Sample procedures posted online in publications library