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Dr. Steinberg regularly represents optometrists and ophthalmologists being audited by third-party payers such as VSP, or, more commonly, appealing the results of targeted audits by VSP's Special Investigations Unit (SIU). VSP audits typically result in either disciplinary orders (e.g. probation or removal from the VSP panel) and/or restitution orders demanding the repayment of tens, and often hundreds of thousands of dollars, plus audit costs of more than $5,000. And, recently, EyeMed has increased it's doctor auditing activity.
A new law that takes effect January 1, 2019, changes the VSP audit and collections process. It is essential, before you engage with VSP to dispute the results of an audit, that you consult with experience counsel. Anything you talk to VSP about will be used by VSP to prove their audit is correct and to try and collect from you.
If you've been audited by VSP and received a Notice of Adverse Action, click here for information you will want to know.
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Welcome to the Law Offices of
Craig S Steinberg, O.D., J.D.
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Craig S Steinberg, O.D., J.D., brings a very unique perspective and expertise to the field of Optometric and Healthcare Law and Consulting. He is one of a select few actively practicing lawyers in the United States who also provides eye care to patients on a regular basis as a practicing optometrist. Though now primarily engaged in the practice of law, Dr. Steinberg maintains his license to practice optometry and continues to actively practice both law and optometry. As a result, Dr. Steinberg's knowledge and expertise in the myriad legal issues affecting optometrists and medical providers is both practical and extensive.
In addition to healthcare litigation and general business litigation cases, Dr. Steinberg has handled numerous legal matters concerning optometrists, including State Board defense (defending accusations by the Board of Optometry which can lead to the suspension or revocation of your license), fraud in the purchase of practices, misappropriation of patient lists, breach of contract, defense of VSP and other Third Party discipline or panel expulsion hearings, expert witness testimony concerning practice valuation, standard of care, billing, and much more. Dr. Steinberg is regularly retained to draft and/or review agreements concerning the formation and leasing of optometric practices, optometric buy/sell agreements, and partnership agreements. For out-of-state optometrists, though Dr. Steinberg cannot provide legal services, he is routinely hired as an outside consultant.