Why does it feel like as doctors we're getting so much heat lately? I have audits coming in, and stress over employees. Is it just me?
No. It is most definitely not just you. A good portion of my job is being a counselor - listener -and I'm hearing that many of your colleagues are going through the same. Audits, pressures from staff AND patients alike, fear of reporting - its tough out there.The level of oversight has gone from moderate to severe in the past 10 years. Especially for the feds related to federal funding - Medicare and Medicaid monies. Why? There's money in it for them - specifically - your money that you have billed for (hopefully) legitimate services. So, why the effort? There are some "bad dudes (and dudettes)" out there - which you can see from the case the government makes through its propaganda headlines -
January 27, 2017; U.S. Department of Justice
January 27, 2017; District of Idaho
January 25, 2017; U.S. Department of Justice
January 25, 2017; U.S. Attorney; Central District of Illinois
Guilty. Guilty. Guilty.
And, maybe so. Innocent people don't fork over millions of dollars and agree to jail time (usually). We have cases of the few ruining it for the many. What I will say, as serving as counsel to healthcare fraud matters (which I do, because unfortunately there is a need), especially in these matters where medical necessity may be an issue, or documentation - there are absolutely 2 sides to each story - and the "facts" are not as presented by the government - most of the time.
How do you sleep at night? Work to preventatively protect your practice by having an expert check your documentation, confirm your patient and staff policies and procedures - and do the best you can to do the right thing (best you can estimate). Work with your team, which includes me, your healthcare attorney, to stop problems before they start and get out of control.
Sparks are much easier to put out then flames.