Watch out for People-Related ‘Gotchas’

April 15th, 2019 - Wyn Staheli, Director of Research
Categories:   Compliance   HIPAA|PHI   Practice Management  
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In Chapter 3 — Compliance of the ChiroCode DeskBook, we warn about the dangers of disgruntled people (pages 172-173). Even if we think that we are a wonderful healthcare provider and office, there are those individuals who can and will create problems. As frustrating as it may be, there are people who are looking for ways to damage your practice. This can be patients, employees, or even competitors. Protect your practice by being vigilant and implementing good compliance programs.

The following are a few reminders of concerns that need to be addressed in your practice.

Patient Issues

Employee Problems

I am aware of a case where the employee was upcoding claims. The provider only verbally told the person to stop doing that. He later fired the individual who then filed a whistle blower complaint. Unfortunately, this provider did not have sufficient documentation to backup his statements that he had reprimanded the employee and he ended up facing big penalties.

Make sure you take time to address these issues. Ensure that all staff are educated about these pitfalls and that your Policies and Procedure manual covers these topics.

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