In this situation, what is the most appropriate action for the LPN to take?
ACTION ONE
Donna should check with the office manager to ensure that it is OK to circle the procedure.
ACTION TWO
Donna should ask the physician if she is aware that the test has not been performed.
ACTION TWO
Donna should ask the physician if she is aware that the test has not been performed.
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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