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Medical Justice provides free consultations to doctors facing medico-legal obstacles. We have solutions for doctor-patient conflicts, unwarranted demands for refunds, online defamation (patient review mischief), meritless litigation, and a gazillion other issues. We also provide counsel specific to COVID-19. If you are navigating a medico-legal obstacle, visit our booking page to schedule a free consultation – or use the tool shared below.

"Can Medical Justice solve my problem?" Click here to review recent consultations...

We’ve been protecting doctors from medico-legal threats since 2001. We’ve seen it all. Here’s a sample of typical recent consultation discussions…

  • Former employee stole patient list. Now a competitor…
  • Patient suing doctor in small claims court…
  • Just received board complaint…
  • Allegations of sexual harassment by employee…
  • Patient filed police complaint doctor inappropriately touched her…
  • DEA showed up to my office…
  • Patient “extorting” me. “Pay me or I’ll slam you online.”
  • My carrier wants me to settle. My case is fully defensible…
  • My patient is demanding an unwarranted refund…
  • How do I safely terminate doctor-patient relationship?
  • How to avoid reporting to Data Bank…
  • I want my day in court. But don’t want to risk my nest egg…
  • Hospital wants to fire me…
  • Sham peer review inappropriately limiting privileges…
  • Can I safely use stem cells in my practice?
  • Patient’s results are not what was expected…
  • Just received request for medical records from an attorney…
  • Just received notice of intent to sue…
  • Just received summons for meritless case…
  • Safely responding to negative online reviews…

We challenge you to supply us with a medico-legal obstacle we haven’t seen before. Know you are in good hands. Schedule your consultation below – or click here to visit our booking page.

 

The world has changed.

Once upon a time, you would perform a service for a patient, perhaps surgery, and you’d be paid. You might be paid by personal check. By credit card. Or even cash. And that would be that.

Now, much more frequently than in days past, some patients feel entirely comfortable initiating a chargeback from their credit card company. Even if objectively the result was good – even excellent.

This is maddening.

What to do? What to do?

Once notified, make sure you have submitted everything the credit card company needs to properly adjudicate the chargeback in your favor. Do not ignore the deadline to respond. The credit card company doesn’t need much. Mostly a treatment plan that you were going to do “X” for “$Y.” The patient understood this plan and signed on the bottom line. You did “X” on this date, and the result was at or above the standard of care. You can send the appropriate amount of information from the chart to assist with your argument without running afoul of HIPAA. Addressing financial disputes is one domain where you do NOT need the patient’s signed authorization to disclose protected health information. Odds are reasonable the sequestered funds will be returned to you.

Note, you should probably include in such treatment plans a statement that no refunds or rebates will be tendered. If such language is missing, it creates wiggle room for a credit card company to deny your defense.

If you do not prevail, you may have an opportunity to appeal the disappointing ruling with the credit card carrier.

If that fails, you can file a claim in “real court” or small claims court arguing breach of contract. Real court is more labor-intensive but allows you to recoup all funds plus non-attorney expenses. Small claims court is simpler but caps out at low values. Each state is different and establishes different caps. Texas has one of the largest caps, at $20k.  You can always have an attorney write a nasty letter threatening to go to court and see if the conflict can be resolved short of the inevitable “cage fight in court.”

You can send the patient to collections. They will only potentially recoup a percentage of the outstanding debt. But the patient’s credit score may be dinged whether the agency collects anything or not. Such a credit score ding can equate to thousands of dollars if that individual tries to buy a new house or car or refinance an existing home.

If you do have to write this off as bad debt, you can send the patient a 1099 form (after you follow a formal process for declaring this as bad debt). The patient will be required to pay federal and state taxes on this as income. This strategy does not help you recoup any funds. But it will mean the patient’s payday is even less, as they will have to write a real check to the federal and state treasuries.

A chargeback is not the end of the process. Generally, you have options. The question is how much time and effort should be spent on recouping the funds you are owed. The larger the number, the easier it is to justify the time and labor commitment.

Medical Justice provides free consultations to doctors facing medico-legal obstacles. We have solutions for doctor-patient conflicts, unwarranted demands for refunds, online defamation (patient review mischief), meritless litigation, and a gazillion other issues. We also provide counsel specific to COVID-19. If you are navigating a medico-legal obstacle, visit our booking page to schedule a free consultation – or use the tool shared below.

I am a surgeon in private practice and, frankly, don't know how I ever did without Dr. Jeff Segal and the absolutely outstanding team at Medical Justice. This team has had my back from the day I signed on about one year ago with extraordinarily prompt, clever, and reasonable advice always delivered with sincere compassion.Private practice can be isolating and, when it comes to patient interactions, the stakes are always high. As a MD/JD, Dr. Segal draws from a wealth of experience to validate and contextualize my concerns while plotting a smooth and effective course to resolution. Most importantly, Medical Justice provides the resources and support to leave me better positioned for the future.I am endlessly grateful to have access to Dr. Segal and Medical Justice as a trusted sounding board and resource. Five stars doesn't seem like enough!
A M.
Medical Justice is always responsive and gets to solutions. We especially appreciate Josh P and his relentless drive to help us satisfy our customers. Their knowledge of the digital landscape brings us closer to prospective patients.
What's N.
Jeff and his colleague Josh were both very prompt and knowledgeable in helping me resolve an issue with Instagram. Recommended to any healthcare provider needing help online with social media.
Spencer H.
Dr. Jeffrey Segal and Medical Justice are amazing! They helped me deal with a frivolous and false board complaint to my license quickly and professionally. I was impressed with the amount of attention and copious amounts of time they committed to resolving my case. Dr. Segal also helped greatly in advising me how to protect my practice and avoid similar issues moving forward. I'm fortunate to have found their services! While I hope to not have to deal with more frivolous complaints in the future, I feel better knowing that Dr Segal and Medical Justice are there to help me navigate through what may come.
Lisa W.
Dr. Jeff Segal is great at what he does! As a physician and lawyer he understands clearly the difficulty of practicing in this day and age. Having both backgrounds is his biggest strength in the medico-legal arena. He gives sound logical advice and is very responsive. I am glad that I trusted him with my issue which he solved by doing background research into the issue from other specialists. He approached the problem like a physician in a very methodical and detail -oriented way. I'm so happy to have found him! I highly recommend!!!
Nicole B
Medical Justice is the GO TOO for any medical provider.
Curt L.
Medical Justice exceeded my expectations on delivery of professional services. Top notch professionals, only the Best, and advisors on every medico-legal area of health care, especially Dentistry, with the Great, Vince Monticello, DDS, MBA, JD, on-board. By far a great investment. I enjoy doing business with Jeff and his Outstanding Team!
Rob E.
I’ve now been a subscriber and client of medical justice for over a year. Dr. and attorney Jeff Segal has been helpful on several occasions. He has guided me through both potential patient issues as well as recent HR pandemic concerns. He along with the Medical Justice team have given me reassuring legal advice that allows me to proceed with confidence through these difficult times. This is one of my best investments in business and personally.
Walter T.
I cannot give enough thanks for Medical Justice’s existence! It is a company that fills such a highly needed niche’ in medicine – especially aesthetic medicine. And it was founded and continues to be led by a visionary, Dr. Jeff Segal. I admire his drive and envy his intelligence. He first completes a rigorous Neurosurgery Residency. That by itself deserves tremendous kudos from anyone in the medical universe. Yet, he eventually goes back to obtain his JD. Yet what he has done in blending those two degrees into an amazing entity, Medical Justice, is nothing short of phenomenal.I was an early adopter of Medical Justice, and all that it provided for me as a surgeon and a business owner, as I am in my 12th year (this year being 2021) of being a member of Medical Justice. Throughout those twelve years, I have leaned on their team in helping maintain a fair and hard-earned online reputation when unfairly attacked. Also, Dr. Segal has always been personally involved with assisting me in resolving conflicts with difficult and unreasonable patients. He has always been only a phone call away, and prompt with his response.What I have especially appreciated is in my discussions resolving these occasional issues with patients over many years, Jeff seems to possess a third therapist certification as a compassionate, empathetic peer that understands my hurt and frustration. He has a way through the phone to put his arm around me, making me feel he sympathizes with my hurt and frustration, and together we will get through whatever issue, and the sun will rise in the morning. He then produces what he promises, as he has threaded the needle to resolution more than once for me. He feels like the big brother I never had that is there for you with honest, realistic guidance to amicable conclusions, when called upon.I just hope I retire before him. I can’t image practicing my specialty without someone like him, as well as his amazing team that he has gathered, that has and continues to have my back. - Dr. Burke Robinson, Robinson Facial Plastic Surgery
Burke R.
Jeff Segal, MD, JD was a tremendous help to me when battling a frivolous and retaliatory complaint to the State Medical Board. Jeff and the Medical Justice team fought immediately and tirelessly to clear this absurd complaint. It was validating, vindicating, and made me have hope again to practice medicine. It renewed my faith in the justice system and made it a pleasure to practice medicine again. Skillful. No - Masterful. There is really nothing that can replace the knowledge of an MD/JD or DO/JD to defend physicians. They were absolutely in my corner. Additionally, Medical Justice found negative reviews that I was not aware of and helped me address those concerns. Well worth every penny!
Terri B.
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"Can Medical Justice solve my problem?" Click here to review recent consultations...

We’ve been protecting doctors from medico-legal threats since 2001. We’ve seen it all. Here’s a sample of typical recent consultation discussions…

  • Former employee stole patient list. Now a competitor…
  • Patient suing doctor in small claims court…
  • Just received board complaint…
  • Allegations of sexual harassment by employee…
  • Patient filed police complaint doctor inappropriately touched her…
  • DEA showed up to my office…
  • Patient “extorting” me. “Pay me or I’ll slam you online.”
  • My carrier wants me to settle. My case is fully defensible…
  • My patient is demanding an unwarranted refund…
  • How do I safely terminate doctor-patient relationship?
  • How to avoid reporting to Data Bank…
  • I want my day in court. But don’t want to risk my nest egg…
  • Hospital wants to fire me…
  • Sham peer review inappropriately limiting privileges…
  • Can I safely use stem cells in my practice?
  • Patient’s results are not what was expected…
  • Just received request for medical records from an attorney…
  • Just received notice of intent to sue…
  • Just received summons for meritless case…
  • Safely responding to negative online reviews…

We challenge you to supply us with a medico-legal obstacle we haven’t seen before. Know you are in good hands. Schedule your consultation below – or click here to visit our booking page.

 

Learn how Medical Justice can protect you from medico-legal mayhem… 

Jeffrey Segal, MD, JD

Chief Executive Officer and Founder

Dr. Jeffrey Segal, Chief Executive Officer and Founder of Medical Justice, is a board-certified neurosurgeon. Dr. Segal is a Fellow of the American College of Surgeons; the American College of Legal Medicine; and the American Association of Neurological Surgeons. He is also a member of the North American Spine Society. In the process of conceiving, funding, developing, and growing Medical Justice, Dr. Segal has established himself as one of the country’s leading authorities on medical malpractice issues, counterclaims, and internet-based assaults on reputation.

Dr. Segal was a practicing neurosurgeon for approximately ten years, during which time he also played an active role as a participant on various state-sanctioned medical review panels designed to decrease the incidence of meritless medical malpractice cases.

Dr. Segal holds a M.D. from Baylor College of Medicine, where he also completed a neurosurgical residency. Dr. Segal served as a Spinal Surgery Fellow at The University of South Florida Medical School. He is a member of Phi Beta Kappa as well as the AOA Medical Honor Society. Dr. Segal received his B.A. from the University of Texas and graduated with a J.D. from Concord Law School with highest honors.

In 2000, he co-founded and served as CEO of DarPharma, Inc, a biotechnology company in Chapel Hill, NC, focused on the discovery and development of first-of-class pharmaceuticals for neuropsychiatric disorders.

Dr. Segal is also a partner at Byrd Adatto, a national business and health care law firm. Byrd Adatto was selected as a Best Law Firm in the 2021 edition of the “Best Law Firms” list by U.S. News – Best Lawyers. With over 50 combined years of experience in serving doctors, dentists, and other providers, Byrd Adatto has a national pedigree to address most legal issues that arise in the business and practice of medicine.