INVESTIGATING COMPLAINTS 3 Scenarios Review the complaint Investigative

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INVESTIGATING COMPLAINTS

INVESTIGATING COMPLAINTS

3 Scenarios • • Review the complaint Investigative procedure Tools overview Discussion

3 Scenarios • • Review the complaint Investigative procedure Tools overview Discussion

Scenario 1 A national insurance company filed a complaint against a local chiropractor. They

Scenario 1 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 2 Dr. Sneaky stated on his board application that he had never had

Scenario 2 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 3 A 23 -year-old female naturopathic student filed a complaint alleging she and

Scenario 3 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.

Investigation Procedures Complaint Must be submitted in writing Submission Creation of complaint file, review

Investigation Procedures Complaint Must be submitted in writing Submission Creation of complaint file, review for completion, submission to Board Investigator Investigation Board investigator acts independently Board Action Review of report, discussion, issuance of correspondence or recommendation to AAG

Investigative Process Collect stories: • Complainant • Respondent • Witnesses Subpoenas: • Production of

Investigative Process Collect stories: • Complainant • Respondent • Witnesses Subpoenas: • Production of records • Sworn statements • Recorded statements • Video surveillance Interviews: • Complainant • Respondent • Witnesses • Families • Co-workers • Friends • Attorneys

More Information? FCLB. org Sample procedures posted online in publications library

More Information? FCLB. org Sample procedures posted online in publications library