Master the upcoming ICD-10 code and IPPS changes! Prepare your team for the upcoming changes taking effect on October 1. Discover the benefits of IPPSPalooza and how it can drive your success. Click here >

Cohen Raid Shines National Spotlight on Attorney-Client Privilege

Misinformation abounds in wake of execution of search warrants.

The recent raid on President Trump attorney Michael Cohen’s office has brought much discussion about the attorney-client privilege to the forefront of the nation’s consciousness. But many of the statements being made are categorically incorrect.  

Fox News anchor Sean Hannity asserted that “Michael Cohen has never represented me in any matter. I never retained him, received an invoice, or paid legal fees. I have occasionally had brief discussions with him about legal questions about which I wanted his input and perspective.”

Contradicting his claim he never paid money, he recently told his listeners, “I might have handed him 10 bucks (and said) ‘I definitely want your attorney-client privilege on this,’ something like that.” The Washington Post called that the “Breaking Bad” definition of attorney-client privilege. And bad it is.

Mr. Hannity seemed to be setting up two tests: one based on the exchange of money, the other based on the formality of the engagement. Some misguided commentator on CNN did the same, with a focus on the formality of the relationship. Both are totally wrong. Nether the exchange of money nor some formal engagement are required for a communication to be protected by privilege.

If you make an inquiry with the expectation that you might engage me as counsel, that request is privileged even if you ultimately never engage me. It certainly doesn’t require the exchange of money. That should be obvious: Pro bono clients are protected by privilege even though they don’t pay.

The real question is whether the person engages an attorney with the expectation that he or she may possibly serve as legal counsel. Note that this does not mean every conversation you have with someone who happens to be a lawyer is privileged. If, knowing my proclivity for storm chasing, you called and asked whether there was likely to be a tornado out in your hometown?That is seeking meteorological opinion, not legal advice. It would not be privileged. 

Similarly, assume you type a question into the chat box during a Monitor Mondays broadcast. Is that communication privileged? No. Because the chat box is public, your request isn’t confidential. But if you send me an email right after the broadcast with a question, that changes everything. You are confidentially seeking my legal opinion at that point, and you might engage me. Even if I can’t accept the job because of conflicts, that inquiry is still confidential, and I can’t disclose it.

Perhaps the grayest line exists regarding business advice. Generally, business advice from legal counsel isn’t privileged. Obviously, there can be times when there is an interesting intersection between legal and business advice. If you called me and said, “I’ve heard you argue that the government can only go back 48 months on an overpayment. Do you think we should go back six years, as required by the 60-day rule, or 48 months when we do a voluntary disclosure?” My response is likely to include both a legal recommendation and thoughts about what I would do. 

The better argument is that this entire response is privileged as legal advice. If your question is, “we’ve heard that payor X is really slow paying claims, would you enter into a contract with them?” There is a good argument to be made that my reply to that question would be business advice and not protected. The bottom line is that anytime you speak to a lawyer confidentially seeking his or her legal opinion, that inquiry should typically be privileged – unless your inquiry is intended to further a crime. Neither the exchange of money nor any formal agreement is required.  

It appears that the two big questions present in the Cohen situation are first, whether Mr. Cohen was acting as a lawyer or a business advisor, and second, whether the legal inquiries were intended to advance a fraud. If a client is seeking to advance a fraud, related advice from counsel is not protected. Your inquiry is protected if you are trying to comply with the law, but it isn’t if you’re not.

It can be a risky business if you try to get legal advice from large media outlets. And make sure you know the limits of the attorney-client privilege. 


Program Notes:

Register to attend “Learn Legal Secrets for Combating Denials and Winning Appeals,” Thursday, May 16, 2018, 1:30-2:30 PM ET, featuring healthcare attorney David Glaser.

Listen to David Glaser every Monday on Monitor Mondays, 10-10:30 a.m. EDT.

 

Comment on this article

Print Friendly, PDF & Email
Facebook
Twitter
LinkedIn
Email
Print

David M. Glaser, Esq.

David M. Glaser is a shareholder in Fredrikson & Byron's Health Law Group. David assists clinics, hospitals, and other health care entities negotiate the maze of healthcare regulations, providing advice about risk management, reimbursement, and business planning issues. He has considerable experience in healthcare regulation and litigation, including compliance, criminal and civil fraud investigations, and reimbursement disputes. David's goal is to explain the government's enforcement position, and to analyze whether this position is supported by the law or represents government overreaching. David is a member of the RACmonitor editorial board and is a popular guest on Monitor Mondays.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Mastering the Two-Midnight Rule: Keys to Navigating Short-Stay Admissions with Confidence

Mastering the Two-Midnight Rule: Keys to Navigating Short-Stay Admissions with Confidence

The CMS Two-Midnight Rule and short-stay audits are here to stay, impacting inpatient and outpatient admissions, ASC procedures, and Medicare Parts C & D. New for 2024, the Two-Midnight Rule applies to Medicare Advantage patients, requiring differentiation between Medicare plans affecting Case Managers, Utilization Review, and operational processes and knowledge of a vital distinction between these patients that influences post-discharge medical reviews and compliance risk. Join Michael G. Calahan for a comprehensive webcast covering federal laws for all admission processes. Gain the knowledge needed to navigate audits effectively and optimize patient access points, personnel, and compliance strategies. Learn Two-Midnight Rule essentials, Medicare Advantage implications, and compliance best practices. Discover operational insights for short-stay admissions, outpatient observation, and the ever-changing Inpatient-Only Listing.

Print Friendly, PDF & Email
September 19, 2023
Secondary Diagnosis Coding: A Deep Dive into Guidelines and Best Practices

Secondary Diagnosis Coding: A Deep Dive into Guidelines and Best Practices

Explore comprehensive guidelines and best practices for secondary diagnosis coding in our illuminating webcast. Delve into the intricacies of accurately assigning secondary diagnosis codes to ensure precise medical documentation. Learn how to navigate complex scenarios and adhere to coding regulations while enhancing coding proficiency. Our expert-led webcast covers essential insights, including documentation requirements, sequencing strategies, and industry updates. Elevate your coding skills and stay current with the latest coding advancements so you can determine the correct DRG assignment to optimize reimbursement, support medical decision-making, and maintain compliance.

Print Friendly, PDF & Email
September 20, 2023
Principal Diagnosis Coding: Mastering Selection and Sequencing

Principal Diagnosis Coding: Mastering Selection and Sequencing

Enhance your inpatient coding precision and revenue with Principal Diagnosis Coding: Mastering Selection and Sequencing. Join our expert-led webcast to conquer the challenges of principal diagnosis selection and sequencing. We’ll decode the intricacies of ICD-10-CM guidelines, equipping you with a clear grasp of the rules and the official UHDDS principal diagnosis definition. Uncover the crucial role of coding conventions, master the sequencing of related conditions, and confidently tackle cases with equally valid principal diagnoses.

Print Friendly, PDF & Email
September 14, 2023
2024 IPPS Summit: Final Rule Update with Expert Insights and Analysis

2024 IPPS Summit: Final Rule Update with Expert Insights and Analysis

Only ICD10monitor delivers what you need: updates on must-know changes associated with the FY24 Inpatient Prospective Payment System (IPPS) Final Rule, including new ICD-10-CM/PCS codes, plus insights, analysis and answers to questions from the country’s most respected subject matter experts.

Print Friendly, PDF & Email
2024 IPPS Summit Day 3: MS-DRG Shifts and NTAPs

2024 IPPS Summit Day 3: MS-DRG Shifts and NTAPs

This third session in our 2024 IPPS Summit will feature a review of FY24 changes to the MS-DRG methodology and new technology add-on payments (NTAPs), presented by senior healthcare consultant Laurie Johnson, with bonus insights and analysis from two acclaimed subject matter experts

Print Friendly, PDF & Email
August 17, 2023

Trending News