In September
2015, we reported on the Declaratory Ruling and Order issued by the Federal Communications
Commission (FCC) on July 10, 2015. In short, this ruling clarified several
exemptions under the Telephone Consumer Protection Act (TCPA) regulations
common to healthcare organizations. These issues were raised in a petition filed by the American Association of
Healthcare Administrative Management (AAHAM) regarding the exemption from prior
express consent of “healthcare-related messages.” [For a thorough breakdown of
the ruling and its component parts, please see our post “Deconstructing the FCC’s
Declaratory Ruling on TCPA Regulations.”]
Now, Prospect Medical Group’s Southern California
Hospital at Culver City is one of the first providers to be targeted with a
class-action lawsuit since the FCC’s July interpretive ruling. The lawsuit alleges that the hospital used an automated dialer to call patient Donna
Ratliff on her cellphone in order to collect a debt and did not have her
express consent to do so.
In its ruling, the
FCC made it clear that debt collectors need express consent before dialing a
cellphone and gave little leeway for when they reach a number that's been
reassigned.
As of January 28,
2016, Prospect Medical Group claimed it was not formally served with a
complaint. Yet, the company insisted it follows the necessary practices to
obtain consent to call patients on their cellphones in that “all [of our] patients
are asked to sign an irrevocable authorization permitting our hospitals to
contact them via telephone—including, specifically, via cellphone—in their
efforts to collect outstanding debt."
Attorney Bradley
Andreozzi of Drinker Biddle suggests the best policy for any hospital is “to
have written consent during the admissions process that is broadly worded to
include all types of automated calls and texts.”
TCPA violations are already an active area for plaintiffs, with
TCPA-related lawsuits increasing 560% between 2010 and 2014, according to ACA
International, the Association of Credit and Collection Professionals.
Penalties for TCPA infractions start at $500 per call and can reach as much as
$1,500 for willful violations.
Still, the most controversial part of the FCC ruling – when a debt
collector reaches someone in error – is left unexamined. The FCC allows medical
debt collectors to call a number just once without penalty, regardless of
whether someone picks up. ACA International has sued the FCC challenging the
July order.
In sum, attorney Lewis Wiener of Sutherland, Asbill, & Brennan
asserts that the best way for providers to protect themselves is to have a
rigorous process for getting consent, use broad language, respect the wishes of
those individuals who “opt out,” and whenever possible, use email to create a
paper trail.
Has your organization developed a new protocol for
obtaining patient consent in light of the FCC ruling? Do you feel sufficiently
protected from exposure to litigation? Let us know your concerns in the
comments below.
The original article by Beth Kutscher
can be found at the following address: http://www.modernhealthcare.com/article/20160128/NEWS/160129854
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