Health Care Fraud Cases

If you learn that Doctor Jones filled an “incident report” which of the following is most likely the case?
A. There has been a case of child abuse. B. There has been an instance of health care fraud C. A patient has shown symptoms of domestic violence victimization. D. A patient is unhappy with something the doctor did or failed to do.
D. Is the only answer that will work.
It has to be something that happened within the facility for there to be an incident report. Unless the child was abused in the facility, the healthcare fraud was committed in the facility or the domestic violence happened in the facility there would be no need for an incident report. It should be reported to the proper people but no incident report because there is no way the facility could be accused of anything if the incident didn’t happen there.
If a patient falls at the facility or is unhappy about their care or received the wrong med or treatment or whatever at the facility then there needs to be an incident report to turn to if the patient sues. This is not put in the chart and is not a part of the patient’s medical record. It is kept separately and used so that important facts are not forgotten. Sometimes lawsuits take years and this helps to keep the facts straight about what really happened with that incident.
New York: Medicare Fraud Summit Health Care Fraud Panel
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