New Jersey

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 involving a range of actions, from state licensing investigations brought by the State Board of Medical Examiners (SBME), the Office of Civil Rights (HIPAA violations) and through to investigations by Medicare (CMS/OIG) and/or Medicaid (OMIG).

~Scope of Plan Coverage~
  • No limit as to the number of 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 PAP 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. New Jersey Board Of Medical Examiners
Cost: $250.00 per program year
County/Specialty society members: $195.00
MDAdvantage/PIC/Coverys Discounted Price: $150.00
Comprehensive Program:
  1. New Jersey Board Of Medical Examiners
  2. Medical Practitioner Review Panel
  3. Quality Improvement Organization
  4. Medicare Administrative Contractor and the OIG
  5. New Jersey Department of Banking and Insurance
  6. New Jersey Attorney General
  7. Department of Environmental Protection
  8. Federal Occupational Safety and Health Administration
  9. U.S. Department of Health & Human Services’ Office for Civil Rights
Cost: $750.00 per program year
County/Specialty society members: $550.00
MDAdvantage/PIC/Coverys Discounted Price: $495.00
~Additional Benefits~
  • A complimentary copy of the medical/legal publications, StatLaw Monthly, StatLaw Q&A and The SBME 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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