26 Oct Trust Others, but Always Stay Informed to Protect Yourself

We came across an article in Physicians’ Practice this week regarding a bad case of fraud perpetrated on a practice.  Although this is (hopefully) an extreme and rare example, we wanted to share this with you, as well as some other thoughts that came to mind driven by this story.

Physicians have to deal with an increasing volume of administrative burdens.  In the interest of curbing some of this burden, it makes sense to delegate activities to others when possible, but it’s important to ensure you stay informed regarding what you’re signing and know what your staff is submitting on your behalf.

Here are some areas to ensure you maintain an awareness to keep yourself protected:

Ensure that your biller, internal or outsourced, can answer detailed questions presented to them about claims submitted on your behalf.

Don’t let staff members submit credentialing on your behalf without reviewing the information yourself for completion and accuracy.

Make sure people in your office are cross trained on various activities, especially those that are financially sensitive or carry compliance implications. 

If you have one individual in your office handling all financial transactions, and don’t have another staff member who can be cross trained, ensure that you yourself are a check on that staff member’s work, especially if you’ve delegated a high level of authority to that individual.

Most importantly, it is your business, and if something makes you uncomfortable, you should ask the questions you need to ask in order to feel comfortable.  If you don’t obtain the answers that you need, don’t hesitate to change course, even if that means replacing a staff member or vendor.

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