What should the LPN do next?
ACTION ONE
Donna should tell the physician that she’s going to report her to the office manager.
ACTION TWO
Donna should report the physician’s actions directly to the office manager without confronting the physician directly.
ACTION TWO
Donna should report the physician’s actions directly to the office manager without confronting the physician directly.
FOR THE PATIENT
The patient was not charged for the test. She stayed at the
practice, but when her physician’s fraud became public, she switched to a different practice.
FOR THE PRACTICE
The physician’s billings were closely investigated by the office manager, and she was found to have been committing insurance fraud on a frequent basis. She was fired and prosecuted. Because the practice was seen to have been proactive and monitoring itself successfully, the negative publicity was minimized and the practice lost only a small number of patients.
FOR THE EMPLOYEE
The employee was recognized for her honesty and forthrightness in exposing the fraud and helping avoid a potentially devastating scandal. At her next review, she received a promotion.
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