Thursday, March 11, 2010

When Is A Bribe Not A Bribe?

The LV Sun is reporting that a man has come forward with inside information regarding the UMC patient data leak scandal. If you don't recall the story, UMC was accused back in November 2009 of selling patient information to local attorneys who could then use the info to contact potential clients.

According to the Sun's latest story, UMC was also selling referrals to local doctors. The Sun spoke to Dr. Steven Holper, who claimed that he was approached by the "manager" of a local PI law firm with an "unusual proposal" on how to get patient referrals from UMC: give a gift card to a particular, well-placed employee of the hospital.

Holper, being the upstanding citizen that he is, immediately purchased a $200 gift card to P.F. Chang’s China Bistro and delivered it to Deep Throat ... you know, just out of curiosity. The LV Sun describes the exchange:
Leichty [Holper's girlfriend/gift card mule] told the Sun that the encounter with the hospital employee was awkward, possibly because three people were within earshot of their conversation. She thought the hospital employee expected the visit, so she handed the employee the gift card and explained it was a gift from Holper.

The employee “looked surprised,” Leichty said — and kept the gift card.

Holper later realized there was a hitch to the referral plan: He did not have credentials to practice at UMC, which would be required to accept its patients. The law firm manager urged him to start the process, Holper said.
Awwww maaaannnn! Maybe next time Holper will read the fine print before attempting to bribe someone. Holper, of course, had no idea he was doing anything wrong ... it was all that sneaky "law firm manager":
Parts of the law firm manager’s pitch made Holper wonder if the deal was legitimate. For example, the manager allegedly emphasized it was just a gift card — not a bribe — to help the UMC employee remember to send the doctor patients.

It’s just something nice for Christmas so (the UMC employee will) remember you, Holper recalls the manager saying about the gift card.
So, let's get this straight. Holper managed to make it through medical school, yet somehow was convinced by a "law firm manager" that a bribe isn't a bribe so long as it's paid in Chang's Spicy Chicken? Sounds fish-saucy to us. Holper's justification is even better:
Holper figured the plan would benefit everyone involved. The gift card seemed harmless, he reasoned, and patients who couldn’t pay for their care or were uninsured would benefit because he would not charge them for medical care. Instead, he would refer them to the law firm that, according to the plan, would represent the patient in litigation and use a jury award or settlement to pay the doctor’s fees and its legal fees. Because doctors refer patients to attorneys frequently, he said, there was no problem sending the patients to this law firm.
Yeah, win-win-win. Doctors and law firms working together to achieve a common goal, no problem there ... what could possibly go wrong? Funny how there's no mention of the types of patients that would be referred, just anyone who couldn't pay the doctor's bill. "Been to UMC, you need a check!" ... just doesn't have the same ring to it.

Holper's only regret?
Holper now wonders why the employee accepted the gift card.

“I want my $200 gift certificate back!” he said.
Somehow we think the good doctor is missing the big picture here.

What are your thoughts, commenters? Is Dr. Holper a do-good-know-nothing-whistle-blower, or is something else going on here? We'd love to hear the inside scoop if any of you know which firms are about to be dragged into this mess.

12 comments:

  1. WWL said: "So, let's get this straight. Holper managed to make it through medical school, . . ."

    Yeah, in a third-world location where indoor plumbing remains unavailable.

    Holper's harmless. He has no hospital privileges, makes a terrible plaintiff's witness, can't perform surgery, and stops treating as soon as med pay runs out. There's no chance that he'll hook up with one of the big-time lawyers any time soon and start creating multi-million dollar verdicts out of parking lot tippy-tappers.

    Relax, this is not Medical Mafia II.

    ReplyDelete
  2. Dean Pritchard, can I talk to you for a second?

    Megan, I'm a little busy.

    I didn't get into Columbia Law School.

    How awful.

    You said if I revoked their charter, you'd get me into Columbia.

    You're right, I did say that.

    No one at Columbia has even heard of you.

    Oh, Megan.

    Look, I did my part. Now you have to do yours. That's how bribes work.

    I know how bribes work. I bribe people all the time, but I changed my mind. It's a free country. Lesson learned.

    ReplyDelete
  3. I've heard so many rumors of different ways that ethically attorneys try to get around the bright line rule of paying for referrals that it makes me wonder how an honest attorney without a big advertising budget could ever open a business.

    The sad thing is, none of the firms that do this crap are known in the legal community for their competence but they still get alot of business.

    ReplyDelete
  4. ethically "challenged" attorneys

    missed a word

    ReplyDelete
  5. Just got a call yesterday from a prospective client who was in a motor vehicle accident and treated at UMC. She received a cold call from an attorney who had intimate knowledge of her medical maladies. When she confronted this attorney, whom I'll call Dick Paris, with the fact that he should not been in possession of her medical records, he quickly hung up the phone.

    As an aside, isn't the Michael Vick of Las Vegas attorneys known to employ a tow truck driver or two for referrals?

    ReplyDelete
  6. I've heard of one attorney (who advertises alot) paying tow truck drivers, and insurance agents (or their receptionists) though his "marketing rep." The most effective form of advertising is definitely a outright payoff.

    There's another firm who used to advertise but has been quiet since the news ran a story regarding tow truck drivers and alleged payoffs for referals. The rumor is that they have an ownership interest in a tow yard.

    I could go on and on. As a PI attorney who actually litigates I find these type of actions ethically repulsive. The attorneys who pull these shenanigans do more to harm injured victims in the eyes of the public than any insurance company does.

    These guys are not competent enough to be recomended by former clients so they have to pay for clients. Then they actually think that we don't know who they are. If the bar would do a little digging they could really make some heads roll.

    ReplyDelete
  7. On one hand, ambulance chasing, bribery, payoffs and/or "greasing palms", whether with gift cards or cash, is repugnant and wrong.

    On the other hand, I should be able to invest in business opportunities, including land speculation, tow truck companies/tow yards (per 11:40), or even bail bonds.

    After all, there's no limitation on doctors investing in business opportunities that may or may not interact with their medical practice.

    ReplyDelete
  8. I think there are pretty clear rules against paying for clients, advancing clients money to insure they retain you.

    ReplyDelete
  9. How many of your own staff members are on the receiving end of these same types of, er, ah, "marketing techniques" from your service providers?

    ReplyDelete
  10. I suggest abcgiftcards.com is best website for online buying,selling of gift cards at cheapest price.

    ReplyDelete
  11. Happened my wife was in a waiting room of a doctor's office, TV playing in background and an advertisement for a well-known, personal-injury, law firm came on. She'd never heard of him at that time, but every single other person in the waiting room said, "Oh, I've heard about/been to/know somebody who's been to him. He's terrible, nobody should go to him." So, almost every lay person in town knows this law firm is not who you want to represent you in a personal-injury case? Yet, said firm is raking in legions of clients and raking in dollars thereafter.

    ReplyDelete