Unethical medical practices are rampant in all aspects of healthcare. Unfortunately, it does not exclude physicians. Some entire practices are involved in fraudulent practices.
Unethical medical practices are rampant in all aspects of healthcare. Unfortunately, it does not exclude physicians. Some entire practices are involved in fraudulent practices.
Unethical medical practices are rampant in all aspects of healthcare. Unfortunately, it does not exclude physicians. Some entire practices are involved in fraudulent practices. If I were the billing specialist in a practice and was in charge of the billing, and found that the charges did not match the procedures, I would investigate the patients’ medical records and try to decipher what was happening.
These are two discussion post read and answer back with 150 words each separately post about what you think about it.
1. Unethical medical practices are rampant in all aspects of healthcare. Unfortunately, it does not exclude physicians. Some entire practices are involved in fraudulent practices. If I were the billing specialist in a practice and was in charge of the billing, and found that the charges did not match the procedures, I would investigate the patients’ medical records and try to decipher what was happening.
It could possibly be an error on the part of the doctor while completing his dictation. Many times they are not aware of all the procedure codes and it could be a mistake. Most likely it is not, it would be up to me as the billing specialist to ensure that financial integrity is maintained. My hope would be that the physician was not actively participating in fraudulent practices. I would then go to the physician and inform him that there were charges entered incorrectly. Once we have discussed the incorrectness of the medical records, I would enter the charge in a manner that was in line with the medical billing practice act.
Each state has statues that govern the practice of medicine in that state. These are called medical practice acts and are meant to protect the health and safety of the general public. (Bonnie F. Fremgen, 2011).
In the event the physician was not receptive to the proper billing and coding procedures, then it would be my duty to turn the information over to the proper authorities. That is known as being a whistle blower. There are laws that protect whistleblowers, and it can be risky to rat out your boss. Often times people don’t want to turn them in under pressure of being fired. But of you are ethical and have morals, stick to your guns.
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