MediGuard
The Doctors Company is fiercely committed to protecting doctors. MediGuard® regulatory risk coverage, part of our core medical liability policy, provides members with legal representation for administrative actions brought by Medicare/Medicaid, medical licensing boards, credentialing reviews and actions, Professional Review Organizations, federal agencies regarding EMTALA, and the DEA.
Coverage features
Utilization
Addresses Medicare and Medicaid utilization and billing review proceedings, including allegations of improper documentation involving overutilization, overbilling, unnecessary services charges, and “up coding.”
Licensing
Covers state medical licensing board reviews involving potential sanctions for unprofessional conduct.
Credentialing
Covers health care provider credentialing reviews that may adversely affect existing clinical privileges, credentialing, or staff membership.
Misconduct
Provides protection for Professional Review Organization proceedings involving allegations of misconduct.
This coverage is also available at higher limits and with enhanced features through MediGuard PLUS.











