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New York OPD Lawyers – NY Nursing License Defense Lawyers

If you are a nurse in New York or New Jersey who urgently needs advise from legal counsel regarding your job or nursing license, we can provide you the counsel you need. Our nursing law team has represented the nursing community of New York and New Jersey years in many cases from professional licensing and hospital investigations to criminal defense.

The veritable backbone of medical practice is indeed nursing. Nurses are some of the most consistent and diligent healthcare professionals. Regrettably, they can concurrently be taken for granted, overworked, and the most susceptible to malpractice accusations. Nurses put in hard work to win their credentials and then once they graduate, they toil even more arduously for their employers. Ostensibly tiny missteps and, sometimes, other causes may totally ruin a nurse’s hard earned career. If you think you would be well served by qualified legal counsel, call our office and schedule a consultation today.

Situations we can handle for you

  • You were notified of suspension pursuant to allegations of wrongdoing
  • You were told to attend to a meeting with your supervisors or human resources/personnel after a suspension or receiving a written reprimand
  • You have been through an investigation by the New York Office of Professional Discipline or the New Jersey Board of Nursing
  • An Investigator from the Office Medicaid Fraud Control Unit contacted you
  • You were arrested for a criminal offense
  • Your application for a nursing license is on hold or under review
  • You were denied access to Medicaid by the Office of Medicaid Inspector General
  • You received a directive to be a participant in the RAMP program and think this is not necessary.

If any of these describes your present circumstances, you have good reason to want to talk to a well versed lawyer who has helped numerous nurses in your shoes. Our experienced attorneys Joseph Potashnik and Associates have triumphantly defended hundreds of nurses with myriad legal calamities.

How Nurses Come Under Professional Discipline

On account of the fact that nurses are licensed professionals, the nursing profession, similarly to other health care disciplines, is closely regulated by state boards. The Office of Professional Discipline oversees nurses in New York and in New Jersey they are under the purview of the State Board of Nursing. The laws of each of these states define myriad types of professional misconduct. The New York list points to around forty different conceivable violations that can lead to a nurse being disciplined. If a nurse is determined to be guilty of one of these violations, he or she could get hit with sanctions and penalties that can vary in severity from fines and administrative warnings to repercussions as heavy as license suspension and revocation.

The most frequent accusations a nurse can suffer in professional misconduct a nurse are:

  1. Negligence or incompetence
  2. Practice outside the scope of profession
  3. Negligence in record-keeping
  4. Controlled substance abuse
  5. Diversion of controlled substances (yes, this is a big one)
  6. Fraud
  7. Conviction of a crime

Worksite and Other Employer-Based Situations

The majority of disciplinary difficulties nurses face begin at work. It is exceedingly stressful being a floor nurse at a hospital or nursing facility on a regular day. Many of our clients endure much stress on the job, where   understaffed and inherently unhealthy conditions are the unfortunate norm. Sadly, mishaps by nurses occur on a regular basis and are mostly connected to the keeping of records. True or fabricated mistakes frequently turn out in a report by a facetious co-worker or retribution by a supervisor, and this can launch an unfortunate series of events. Oftentimes, a nurse gets targeted for breaching their employer’s internal rules regardless of the fact that such regulations can be unclear or even non-existent, and irrespective of the truth that other coworkers including fellow nurses and physicians can get away with worse violations. To assert the idea that a majority of the nurses accused of negligent conduct at work are falsely or capriciously accused would be misleading, nonetheless we agree that numbers are greater than the real stories would reveal.

Have you been suspended from your job or accused of a transgression and had to attend a meeting with your supervisor, hospital administration, or the HR/personnel department, be vigilant. We have seen employers use this method often to extract statements from you that they can subsequently rear their heads at you in the establishment’s ultimate decision to fire you and report you to the Board of Nursing or the Office of Professional Discipline. You do have the right to bring your union representative to this meeting to support you, but a union representative is not an attorney and cannot offer you with sound legal counsel. It is our recommendation that you check in with your attorney, one that has a proven track record in nursing malpractice matters, before attending a meeting. This may read like an easily resolved internal employment situation but more frequently it ends up being a much more serious matter – it could be a big legal problem that calls for skilled legal representation.

Office of Professional Discipline/Board of Nursing Specialists

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A great deal of our work in the representation nurses in  New York and New Jersey takes place before the Office of Professional Discipline (OPD) and the Board of Nursing. Each year, complaints numbering in the thousands are filed against nurses and trigger investigations by the licensing boards. As is the usual procedure, the OPD puts an investigator on each case. The investigator then begins to probe into the complaint, which can happen over the space of a few months or, in some cases, longer than a year.  They are seeking to determine whether there are solid grounds on which to bring formal charges against that nurse. In the early stages of the investigation, a letter is sent in which the investigator asks to schedule a time to interview you. Your response to this marks a crucial moment in your case. Stop! Don’t agree to the interview! First, you should vet, select and meet with a good nurse attorney. If you do agree to get interviewed, you run the risk of making poorly selected statements and admissions that could ultimately threaten your nursing license. It is not mandatory to talk with the investigator. We can come to your aid and assist you through this process and protect your rights.

In the event that the investigator discovers enough evidence to file charges against you, your case moves into the hands of a prosecuting attorney. Next, your case undergoes a complex negotiation process.  Indeed, it can reach as far as a disciplinary hearing. The nursing license lawyers at our firm have represented nurses throughout all genres of disciplinary cases and we stood by our clients through every step, from the beginning of the investigation to the hearing. Give us a call today to see how we can assist you.

Office of Medicaid Fraud Control Unit Nurse Attorneys

There is a New York Office of Medicaid Fraud Control Unit (MFCU) that is part of the Attorney General’s Office. There are also several regional offices operating around the state (3 offices in the NYC Metropolitan Area).  The MFCU investigates and prosecutes circumstances of Medicaid fraud and patient abuse. A nurse can come onto the unit’s radar in several situations. One is when a visiting nurse is accused of billing for services which they did not provide. This can happen when a nurse untruthfully documents a patient  visit on specified dates and the rendering of specified services. Alternatively if a nurse in an adult care facility is accused of being a part of a larger scheme to defraud Medicaid, he or she can be the subject of an investigation by this unit. Another cause can be an occurance in a nursing home or other similar facility where a nurse may be accused of some type of patient abuse.

Being investigated by the Medicaid Fraud Control Unit is serious business. A case like this can end up in your arrest and criminal prosecution. In the event that an investigator from the MFCU contacts you, refrain from discussing anything with them. Get in touch with an attorney at our office right away to make sure that your rights are protected.

General Exclusions of Nurses by the Office of Medicaid Inspector 

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Todd Spodek

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Featured on Netflix's "Inventing Anna," Todd Spodek brings decades of high-stakes criminal defense experience. His aggressive approach has secured dismissals and acquittals in cases others deemed unwinnable.

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Numerous nurses who ended up being excluded from Medicaid in New York by the Office of Medicaid Inspector General (OMIG) have come to us for help. This OMIG is a government authority that commands and controls the administration of the New York’s Medicaid Program. They are charged with the power to exclude any healthcare professional from access to the Medicaid program for a range of reasons. The circumstances under which the OMIG could decide to exclude a nurse from the New York Medicaid Program as follows:

  • An arrest and charge of a healthcare related crime (even though you have not yet been convicted. Unfortunately, the OMIG see you as guilty before you were actually proven guilty through due process)
  • A guilty ruling in a case of professional misconduct connected to or affecting the Medicaid program, such as fraud

An exclusion from Medicaid can be the end of your nursing career since it will make it impossible for you to get work at any healthcare facility that provides services covered by Medicaid – and that means most potential worksites. If a Notice of Intended Agency Action from the Office of Medicaid Inspector General arrives at your doorstep, don’t delay in contacting our offices. Your window of time to respond to a notice is tight and if you don’t get your response to them within the allotted time limits, you are effectively forfeiting your rights to any appeals.

Top New York Nursing Attorney

Our history of nursing representation and defense is long, with hundreds of nurses served through a multitude of circumstances. Enlist our experts to go to battle for you. We are easy to reach right in lower Manhattan and we represent nurses from New York City, Long Island, upstate New York and even New Jersey.

 

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ABOUT THE AUTHOR

Todd Spodek

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With decades of experience in high-stakes federal criminal defense, Todd Spodek has built a reputation for aggressive, strategic representation. Featured on Netflix's "Inventing Anna," he has successfully defended clients facing federal charges, white-collar allegations, and complex criminal cases in federal courts nationwide.

Bar Admissions: New York State Bar New Jersey State Bar U.S. District Court, SDNY U.S. District Court, EDNY
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Community Discussion

Real questions and discussions from readers about this topic.

74
SC stressed_contractor Business Owner 3w ago

Settled my $55k MCA for $33k — here’s exactly what happened

Just closed this chapter so wanted to share. I'm a electrician in the New York area. Took out $55k from a well-known MCA company about 14 months ago. Daily payments of $480. When a big project fell through I couldn't keep up.

Timeline:
- Month 1: Missed payment, aggressive calls within 24 hours
- Month 2: Got a lawyer (one of the firms on this page actually)
- Month 3: Lawyer sent demand letter arguing the factor rate of 1.45 was effectively a 78% APR, usurious under New York law
- Month 4-5: Negotiation. MCA initially offered 80%.
- Month 6: Settled for 42 cents on the dollar.

AMA if you have questions.

28
NE NewYorkCPA Verified CPA 3w ago

Tax note: the forgiven amount may be taxable as cancellation of debt income. There are exceptions if you're insolvent (IRS Form 982). Don't get surprised at tax time.

23
CN curious_new_york_biz 3w ago

How much did the lawyer cost? That's what's holding me back.

22
SC stressed_contractor Construction 3w ago

My attorney charged a flat fee of $3500 for the negotiation. Some work on contingency. Shop around — I talked to three before choosing. The free consultations are genuinely free.

20
SC stressed_contractor Construction 3w ago

Yes, there was a UCC lien. My lawyer got it released as part of the settlement. Make sure that's in writing before you pay a dime.

13
NT nearby_tradesman Business Owner 3w ago

Did they file a UCC lien against your business? That's what I'm worried about.

54
SD Sarah_downtown Salon Owner 1w ago

Success story: settled $42k MCA debt for $18k — don’t give up

Just want to post something positive. I own a yoga studio in New York. Took out an MCA when I needed to renovate. $42k advance, $63k payback. Daily debits of $240 were eating me alive.

Got connected with a settlement company from this page. Within 2 weeks they had the MCA company at the table. Settled for $18k paid over 6 months. That's 43 cents on the dollar.

The whole process took about 10 weeks. If you're reading this at 2am stressed out — make the call tomorrow.

21
NE NewYorkRetailGuy Retail 1w ago

This is exactly what I needed to read. Thank you. Making the call tomorrow.

17
SD Sarah_downtown Salon Owner 1w ago

Great question. I was able to get a small SBA microloan through a local credit union 3 months after settlement. The key was having the settlement agreement and UCC release on file.

11
BM Bellevue_Mike 1w ago

How did it affect your ability to get future financing?

53
NE NewYorkRetailGuy Retail 2w ago

Multiple MCAs stacked on top of each other — drowning

I own a auto body shop in New York. Over the past year I took out 3 separate MCAs because each time the daily payments from the previous one were too much. Now I'm paying $850/day across all three. My gross revenue is maybe $2,500/day on a good day.

Total payback would be around $180k for $135k in advances. Is there any way out without closing?

37
ND NY_debt_relief_pro Verified 2w ago

We see stacking cases regularly. Typical approach:
1. Close the account being debited, reroute revenue
2. Enter all funders into negotiation simultaneously
3. Use the stacking argument as leverage
4. Negotiate a single consolidated settlement

With those factor rates, you have strong ammunition for a usury argument in New York under N.Y. Gen. Oblig. § 5-501.

26
SC stressed_contractor Construction 2w ago

You NEED professional help — this isn't something you negotiate yourself with multiple funders. Each has a UCC lien and they'll fight each other. The stacking itself is leverage — a good attorney will argue the funders knew the combined payments were unsustainable, which is predatory lending.

17
AL anonymous_local 2w ago

Former retail owner here. Was in your exact situation. Settled all 3 for a combined 48 cents on the dollar. Took about 4 months. My business survived.

49
NE NewYorkBizOwner2025 Retail 1mo ago

ACH withdrawals are draining my account — anyone in New York dealt with this?

I own a restaurant in New York. Took out an MCA about 8 months ago. At first the daily withdrawals were manageable but then business slowed down and now they're pulling $480/day from an account that barely covers it. Getting hit with overdraft fees constantly. The MCA company won't negotiate. Has anyone in New York gone through this?

38
NS NY_small_biz_atty Verified 1mo ago

Attorney here. Important thing to know: N.Y. Gen. Oblig. § 5-501 defines what constitutes a loan vs. a purchase of receivables in New York. Many MCAs are structured as receivables purchases to avoid usury caps, but if the agreement has a fixed repayment amount and a reconciliation clause that's never actually used, there's a strong argument it's a disguised loan. Get a consultation — most MCA attorneys offer free ones.

32
MS mca_survivor_NY Settled $87k 1mo ago

Went through the same thing with my construction business near Albany. What worked was getting a lawyer who handles MCA disputes specifically. They sent a cease and desist and within a week the MCA company agreed to restructure. The key was arguing the MCA was actually a loan under New York's usury statutes (N.Y. Gen. Oblig. § 5-501) because of how the agreement was structured. New York caps interest at 16% (civil) / 25% (criminal) for non-licensed lenders.

26
SA stressed_and_tired 1mo ago

SAME. New York area here too. Got into an MCA cycle where I took a second one to pay off the first. Death spiral. I ended up closing my original bank account and opening a new one at a different bank. Yes they sent threatening letters but my attorney handled it. Settled for 52 cents on the dollar.

48
CT cautionary_tale_biz Business Owner 1mo ago

Warning: don’t take a second MCA to pay off the first

Let me be the cautionary tale. I took a $20k advance for my small restaurant. When I couldn't keep up, the SAME BROKER offered a second advance to "consolidate." Second was $35k — $20k paid off the first, I got $15k cash.

Factor rate on the second: 1.55. Instead of owing $28k (original payback), I owed $54,250. For $35k in actual cash.

Don't do it. Talk to a professional, not the broker who put you here.

34
MB mca_broker_reform 1mo ago

Former MCA broker here (not proud). This is called "stacking" and it's how companies make real money. The broker gets commission, the funder gets a fresh contract. The only person who loses is the business owner. I left the industry because of this.

32
NE NewYorkBizOwner2025 Business Owner 1mo ago

THIS. The brokers earn commissions on EACH deal. Of course they suggest a second advance.

37
NY new_york_trucking B2B Services 1w ago

MCA company threatening to contact my clients — is this legal?

The MCA company is threatening to contact my clients directly to intercept payments. They say the agreement gives them the right to redirect my accounts receivable. I'm a consulting firm — if my clients find out about my financial issues they'll drop me.

27
NS NY_small_biz_atty Verified 1w ago

This is a pressure tactic. Even if the MCA agreement includes assignment of receivables, actually contacting your clients is different. Under New York's UCC Article 9, there are proper legal channels. More importantly, if this causes reputational harm, you may have a claim for tortious interference. Document everything.

20
MS mca_survivor_NY Settled $65k 1w ago

They pulled this same threat on me. Never followed through. Get a lawyer to send them a letter and it stops.

34
TC throwaway_coj_scared 4w ago

Got served a confession of judgment from an MCA company — what do I do??

I got a letter from a New York court saying there's a judgment against my business for $98,000. Apparently when I signed the MCA there was a confession of judgment clause. I'm in New York — how can a NY court have jurisdiction? Can they enforce this in New York?

43
NS NY_small_biz_atty Verified 3w ago

Take a breath. This is more common than you think.

1. To enforce a NY judgment in New York, they must "domesticate" it through New York courts under the Uniform Enforcement of Foreign Judgments Act. You can challenge this.
2. You can move to vacate the NY judgment — NY courts have been increasingly skeptical of COJs from MCA companies.
3. New York has its own protections under N.Y. Gen. Oblig. § 5-501.

Do NOT ignore this. Get a lawyer immediately — there are filing deadlines.

28
MS mca_survivor_NY Settled $65k 3w ago

Had the same thing happen. My attorney filed to vacate in NY and challenged domestication in your state simultaneously. The MCA company backed down and we settled. They use the COJ as a scare tactic.

34
LN late_night_worrier 3w ago

Can an MCA company garnish my personal bank account?

My MCA is in my LLC's name but I signed a personal guarantee. If I default can they come after my personal checking? My family is terrified they'll drain our savings.

36
NS NY_small_biz_atty Verified 3w ago

The personal guarantee doesn't mean automatic access to your personal account. They'd need to: (1) get a judgment against you personally, then (2) use that judgment to garnish.

In New York, there are significant exemptions. Talk to an attorney about New York-specific protections — many personal guarantees have defects that make them voidable.

15
CS concerned_spouse 3w ago

We went through this. Moved personal savings to a separate account at a different bank. Not legal advice, but it bought us time to get proper counsel. The PG was negotiated down as part of the settlement.

31
NT new_to_mca_problems 2w ago

How long does the settlement process actually take?

Everyone says "get a lawyer" but nobody talks about the timeline. I'm hemorrhaging money every day. How long from first call to resolution? Need to plan cash flow.

41
ND NY_debt_relief_pro Verified 2w ago

Typical timeline:
- Week 1-2: Consultation, retain counsel, send notices
- Week 2-4: ACH debits stop
- Month 2-3: Active negotiation
- Month 3-5: Settlement reached and paid
- Month 5-6: UCC liens released

Stacking cases take 4-8 months. COJ cases add 2-3 months.

28
SC stressed_contractor Construction 2w ago

From first call to signed settlement: about 6 months for me. But the daily debits stopped within 2 weeks once my attorney got involved. That's the key — immediate relief even though full resolution takes time.

28
ND NewYork_dental Healthcare 1w ago

MCA paid off but UCC lien still showing — blocking my SBA loan

I own a veterinary clinic in New York. Paid off my MCA 2 years ago but the UCC lien was never removed. Now it's blocking an SBA loan for expansion. Called the MCA company 5 times — they keep saying they'll "process it." 3 months of runaround.

26
NS NY_small_biz_atty Verified 1w ago

Under New York's UCC Article 9, a secured party must file a UCC-3 termination within 20 days of receiving a written demand. Send a formal demand via certified mail referencing the specific UCC filing number. If they don't comply, they're liable for statutory damages plus any actual damages from the delayed loan.

15
NB nearby_biz_owner Business Owner 1w ago

Had the same issue. The certified letter worked within a week. Include a copy of your final payment confirmation.

27
NS night_shift_nurse_biz 1w ago

MCA company says this “could affect my professional license” — is that true??

I'm a nurse practitioner who started a staffing agency. Took an MCA, now behind on payments. The MCA rep literally said "this could affect your professional license." Is that possible?

32
NS NY_small_biz_atty Verified 1w ago

No. Full stop. An MCA company cannot affect your professional license. Licensing boards do NOT discipline based on business debts. This is a scare tactic and arguably violates the Fair Debt Collection Practices Act.

Document who said this, when, and how. This kind of threat strengthens your position — shows bad faith, can be used as leverage or basis for a countersuit.

18
HB healthcare_biz_owner Verified 1w ago

Had a similar scare. Your license and business debts are completely separate. Do not let them intimidate you.

25
MD Midtown_Dan Auto Repair 1w ago

Has anyone actually used the companies listed on this page?

Looking at the companies ranked here. Has anyone in New York actually used them? I want real experiences, not just website reviews.

14
MS mca_survivor_NY Settled $65k 1w ago

Good experience overall. Key things: (1) no large upfront fees, (2) they should know your state-specific laws, (3) realistic settlement range — anyone promising 20 cents on the dollar is lying.

13
MP Maria_P Boutique Owner 1w ago

I called two of the top ones. Both professional, no pressure, both offered free consultations with realistic timelines. Go with whoever you feel most comfortable with.

24
SB small_biz_newbie 4w ago

What’s the difference between debt settlement and debt consolidation for MCAs?

I keep seeing both terms. Are they the same? Which is better for MCA debt?

21
ND NY_debt_relief_pro Verified 4w ago

Very different:\n\nSettlement: Stop paying, attorney negotiates reduced lump sum (typically 40-55 cents on the dollar for MCAs). Most common for MCA debt.\n\nConsolidation: New loan pays off all MCAs. Still owe full amount but at lower rate. Harder because most traditional lenders won't refinance MCA debt.\n\nFor most New York business owners, settlement is better because: (1) factor rates are so high consolidation rarely makes sense, (2) legal arguments against MCAs give strong leverage you lose if you consolidate.

21
PS pandemic_survivor_ny Business Owner 1mo ago

Took MCA during COVID, business never fully recovered

Like many, I took an MCA during the pandemic when PPP wasn't enough. My wedding venue business in New York was devastated. Three years later business is at maybe 65% of pre-COVID levels. The MCA was supposed to be a bridge but became an anchor. Factor rate 1.45 on $50k. Paid back about $40k of $71k total but can't keep going. Options?

16
ND NY_debt_relief_pro Verified 1mo ago

You still have options. The remaining ~$31k can potentially be settled for 40-50 cents (~$12-15k). Your good faith payments actually help your negotiating position. Also worth exploring whether pandemic relief protections apply — some MCAs from 2020-2021 have been challenged on economic duress grounds.

18
SF startup_founder_local 5d ago

Thinking about getting an MCA — is it always a bad idea?

Reading all these horror stories. I run a new food truck and need $25k for expansion. Banks won't lend because I've been in business 8 months. Is an MCA always predatory?

23
NE NewYorkEntrepreneur Business Owner 5d ago

MCAs aren't inherently evil but the cost is extreme. Try these first:
1. SBA microloans (up to $50k, even for newer businesses)
2. CDFI lenders (community development financial institutions)
3. Business credit cards (even at 24% APR, cheaper than most MCAs)
4. Revenue-based financing from transparent companies
5. Kiva loans (0% interest, crowdfunded)

If you MUST do an MCA, keep the factor rate under 1.3 and ensure there's a real reconciliation clause.

16
NE NewYorkCPA Verified CPA 4d ago

If you need the money for 30-60 days and have high margins (buying inventory you'll sell at 3x markup), an MCA CAN work. Run the numbers. But if margins are thin or timeline uncertain — stay away.

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