Help has arrived for health care providers who are fed up with the burdens and delays of credentialing with multiple health carriers in the state of Washington.
Beginning this year, a new law should address two significant problems that have long plagued the credentialing process, which is the method insurance carriers use to ensure that a health care provider is qualified to provide services to their enrollees. Historically, health care providers have been required to provide different applications and information to each of the dozen or more carriers, and filling out and submitting these applications is a time-consuming process. Additionally, many providers have experienced significant delays in the processing of their applications.
Fechner v. Volyn, ___ Wn. App. ___, 418 P.3d 120, 2018 WL 2307703 (May 22, 2018), was painted against the backdrop of a medical malpractice case. The plaintiff was the personal representative of her late husband’s estate. She believed that her husband had died as a result of being prescribed inappropriate medications. The plaintiff contended she first consulted the defendant lawyer in October 2011 about pursuing a medical malpractice claim against the doctor involved and that the lawyer had agreed orally at that time to take on her case. The lawyer, by contrast, argued that he did not begin to represent the plaintiff until August 2012 when she signed a written authorization for him to investigate the claim. The significance of the two dates is that the statute of limitation on the medical malpractice claim ran in the meantime. Read more
Division I of the Washington Court of Appeals recently addressed a subpoena duces tecum to former counsel in State v. Rogers, ___ Wn. App. ___, 414 P.3d 1143, 2018 WL 1602957 (2018). The lawyer had represented the criminal defendant. On his own, the defendant had written a letter to the victim apologizing and offering to pay her to drop the charges. The victim gave the lawyer a copy of the letter. The victim, however, did not retain the handwritten original. After the lawyer left the case, the prosecutor subpoenaed the lawyer’s copy of the letter. The lawyer and new counsel for the defendant both moved to quash the subpoena. The trial court denied both motions. When the lawyer still declined to produce the letter, the trial court also held the lawyer in contempt. The lawyer appealed the contempt order and the defendant appealed the denial of the motion to quash. Read more
Division I of the Washington Court of Appeals held recently that the attorney-client privilege is waived when claiming attorney fees for the work involved as damages in a subsequent legal malpractice case. Leen v. Defoe, 2018 WL 582448 (Wn. App. Jan. 29, 2018) (unpublished), arose against the backdrop of a commercial transaction. The plaintiffs had hired the defendant law firm to represent them in negotiating the sale of a business. Read more
New enforcement of previously overlooked legal requirements could significantly raise costs for physicians seeking to establish or expand small outpatient surgery centers. The Washington State Department of Health recently limited exemptions in its Certificate of Need Program, which regulates how health care providers can build or expand facilities and offer new services. Read more