Maryland Board of Physician Quality Assurance v. Felsenberg

718 A.2d 579, 351 Md. 288, 1998 Md. LEXIS 802
CourtCourt of Appeals of Maryland
DecidedOctober 2, 1998
Docket26, Sept. Term, 1998
StatusPublished
Cited by4 cases

This text of 718 A.2d 579 (Maryland Board of Physician Quality Assurance v. Felsenberg) is published on Counsel Stack Legal Research, covering Court of Appeals of Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Maryland Board of Physician Quality Assurance v. Felsenberg, 718 A.2d 579, 351 Md. 288, 1998 Md. LEXIS 802 (Md. 1998).

Opinion

*290 WILNER, Judge.

The dispute before us is principally one of statutory construction: whether two provisions of the Maryland Medical Practice Act—Maryland Code, § 14-404(a) and (b). of the Health Occupations Article—are inconsistent to the point that § 14-404(b) cannot be given effect as written. The Circuit Court for Baltimore County said “yes.” We shall hold “no.”

The Board of Physician Quality Assurance is currently the licensing and disciplinary agency for physicians in Maryland. Except as otherwise provided in the Medical Practice Act, a person is not allowed to practice medicine in this State without a license issued by the Board. Section 14-404(a) authorizes, but does not require, the board to reprimand a licensed physician, place a licensee on probation, or suspend or revoke a license to practice medicine for any of 36 enumerated reasons. Among the listed grounds for discipline are that the licensee:

“(3) Is guilty of immoral or unprofessional conduct in the practice of medicine;
(11) Willfully makes or files a false report or record in the practice of medicine;
(21) Is ... convicted ... by a court of any state or country ... for an act that would be grounds for disciplinary action under this section; [or]
(23) Willfully submits false statements to collect fees for which services are not provided.”

It is clear, and really undisputed, that, under paragraphs (21) and (23), the board is authorized to suspend or revoke the license of a physician who is convicted in a Federal court for a crime involving the willful submission of false statements to collect fees for which services were not provided.

Section 14-404(b) provides:

*291 “(1) On the filing of certified docket entries with the Board by the Office of the Attorney General, the Board shall order the suspension of a license if the licensee is convicted of or pleads guilty or nolo contendere with respect to a crime involving moral turpitude, whether or not any appeal or other proceeding is pending to have the conviction or plea set aside.
(2) After completion of the appellate process if the conviction has not been reversed or the plea has not been set aside with respect to a crime involving moral turpitude, the Board shall order the revocation of a license on the certification by the Office of the Attorney General.”

(Emphasis added.)

Appellee, Stanley Felsenberg, is a physician who was licensed by the board to practice medicine. On December 27, 1995, based on a guilty plea, Felsenberg was convicted in the United States District Court for the District of Maryland of one count of mail fraud—a violation of 18 U.S.C. § 1341. 1 The scheme alleged in the indictment was that Felsenberg submitted to various insurers false claims for medical and physical therapy services that he did not, in fact, perform. The indictment contained ten counts, each based on a separate submission; Count One involved a claim to GEICO Insurance Company for $1,248. The Statement of Facts filed by the Government in response to the guilty plea stated, in relevant part:

“The evidence would show that Dr. Felsenberg routinely had unlicensed secretarial and clerical employees perform physical therapy on his patients, and then billed the insurance companies as if he personally had performed the services. Moreover, on numerous occasions Dr. Felsenberg *292 billed for services performed by him, when in fact he was on vacation and/or out of state at the date and time billed.”

Although Count One involved only one claim for $1,248, the Statement of Facts alleged, and in his written plea agreement Felsenberg conceded, that he and his staff generated fraudulent claims of more than $200,000. Felsenberg agreed that he was, in fact, guilty of the offense and would so advise the court. In conformance with the plea agreement, Felsenberg was convicted on Count One. Sentencing was deferred pending a pre-sentence investigation report. 2

The board has adopted regulations governing its procedure under both § 14-404(a) and § 14-404(b). Proceedings under subsection (a) cover a much greater variety of circumstances. Some of the grounds listed involve the failure to meet appropriate standards of medical care; others do not. Ones that do involve a failure to meet standards of medical care must be sent to the Medical and Chirurgical Faculty of the State of Maryland—the State medical society (Med Chi)—for investigation and peer review evaluation; further action by the board awaits a report from Med Chi. See § 14-401(c)(2) and (e)(3). COMAR 10.32.02.03C(9) provides that, after the service of charges filed under subsection (a), the board shall offer the respondent a “case resolution conference,” which the regulation defines as “a voluntary, informal, and confidential proceeding to explore the possibility of a consent order or other resolution of the matter.” The regulation continues that, “[i]f there is no basis for an agreement between the respondent and the administrative prosecutor, the matter proceeds to a hearing.” The hearing is an evidentiary one conducted by an administrative law judge, who issues to the board written proposed findings of fact, proposed conclusions of law, and a proposed disposition. If timely exceptions are filed to the ALJ’s proposals, the board conducts a hearing on those excep *293 tions; otherwise, the board issues its order based on the proposed findings and conclusions. COMAR 10.32.02.03F and G.

The procedure is different with respect to a petition filed under § 14—404(b)(1). Essentially what occurs is as follows:

(1) The Attorney General must provide the board with certified docket entries of the criminal court proceeding and “appropriate underlying documents of the certified court record relevant to the conviction, plea of guilty, or plea of nolo contendere.” Those documents must include at least one of the following: a stipulated statement of facts or statement of facts on the record; the plea agreement containing agreed facts; a transcript of the plea agreement proceeding; a trial transcript; or a written opinion of the trial judge. COMAR 10.32.02.04B.

(2) The board must then determine whether (i) the documents provided to it indicate that the doctor “comes within the language and intent” of § 14-404(b), and (ii) the board “has a basis for finding preliminarily that [that section] applies to the respondent.” If the board makes those preliminary determinations, it issues an order directing the doctor to show cause why the board should not take action under § 14-404(b). COMAR 10.32.02.04B(3).

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Bluebook (online)
718 A.2d 579, 351 Md. 288, 1998 Md. LEXIS 802, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maryland-board-of-physician-quality-assurance-v-felsenberg-md-1998.