if a patient steals do you report

by Miss Addison Botsford 10 min read

Reporting Patient Incidents: A Best Practices Guide - i-Sight

6 hours ago  · When Colleagues Steal Patients, Redirect Tests. Publish date: July 20, 2012. Patient theft isn’t technically theft. Or even a crime for that matter. It’s unethical, but it happens all the time. Here’s an example: My patient lands in a hospital I don’t go to. Even though it’s clearly documented in the chart that they see me as an outpatient, I see notes from the neurologist … >> Go To The Portal


Advice: It is not unusual for a patient to report to their prescribing clinician that they have discovered that their prescription pain medication (or the written prescription) has been either lost or stolen, leading them to request a new prescription. It is important to distinguish between lost medications and stolen medications.

Full Answer

What should I do if my medical information is stolen?

Medical identity theft can disrupt your medical care, and wastes taxpayer dollars. You should protect your personal information, check medical bills and statements, and report questionable charges or fraud. Questionable Charges? Contact your health care provider first to see if it's a mistake.

What happens if a patient reports their pain medication lost or stolen?

Difficult situation #4: A patient reports their pain medication as lost or stolen. Advice: It is not unusual for a patient to report to their prescribing clinician that they have discovered that their prescription pain medication (or the written prescription) has been either lost or stolen, leading them to request a new prescription.

Do you tell your boss if someone steals your pain meds?

If not, the Pt's whose pain med are being stolen will at least not be given saline from tomorrow on. 2 Posts Official Interview Answer = Tell your manager, EVERY TIME!!! Reality = Depends. Narcs. and meds. assigned specifically to a patient, I would tell the boss. On the other hand, a nurse takes a couple of motrin, not a big deal in my book.

What should a physician do if a patient reports an incompetent/unethical?

Physicians who receive reports of alleged incompetent or unethical conduct should: (f) Evaluate the reported information critically and objectively. (g) Hold the matter in confidence until it is resolved. (h) Ensure that identified deficiencies are remedied or reported to other appropriate authorities for action.

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What do you do when someone steals from you?

Confront her. Tell her you know she stole from you and you want the items back, or she needs to replace them for you. If she refuses, talk to her parents or legal guardians and ask them for help retrieving your items. If all else fails, call the police.

What is medical theft?

Medical identity theft is when someone steals or uses your personal information (like your name, Social Security number, or Medicare number), to submit fraudulent claims to Medicare and other health insurers without your authorization. Medical identity theft can disrupt your medical care, and wastes taxpayer dollars.

Which type of identity theft occurs when a patient uses another person's name and insurance information to receive healthcare benefits?

Medical identity theft occurs when a patient uses another person's name and insurance information to receive healthcare benefits.

What impact might medical identity theft have on the patient's care?

Consequences of Medical Identity Theft For one, if a patient's medical record is corrupted by a shady provider it could lead to mistreatment, misdiagnosis, a delay in care, or even being prescribed the wrong medication from honest physicians — an error with potentially fatal consequences.

Is medical identity theft the same as Hippa?

Medical Identity Theft is a National Crisis Protected health information (PHI) is the bedrock of HIPAA privacy but is widely misunderstood, causing organizations to violate HIPAA without knowing it. Most people think PHI includes a diagnosis or some kind of medical information – NOT true.

What are the two forms of medical identity theft?

Here are a few more types:Insider fraud: Invoicing for fraudulent treatment claims you didn't receive. ... Obtain Prescription Drugs: An identity thief assumes your identity in order to be prescribed prescription medications — restricted or otherwise — and then use your health insurance to purchase the meds.More items...•

What is the Red Flags Rule in healthcare?

The Red Flags Rule requires that organizations have “reasonable policies and procedures in place” to identify, detect and respond to identity theft “red flags.” The definition of “reasonable” will depend on your practice's specific circumstances or specific experience with medical identity theft as well as the degree ...

What is a red flag checklist?

Red Flag Requirements Initial Risk Assessment Policies and Procedures Manual Train Staff on Program Implementation New Account Authentication. (All consumer accounts) Validate Change of Address Requests. (All consumer accounts) Anti-Phishing Program Identity Theft Protection. (All consumer accounts)

What is the role of the HIM professional after medical identity theft has been discovered?

As patient advocates, HIM professionals can and should educate patients about the importance of protecting their medical identity in the same way in which they protect their financial identity.

How does identity theft differ from medical identity theft?

You will most likely realize you are the victim of identity theft fairly quickly, but in most cases you never know you have been a victim until you go in for medical treatments or for some life threatening emergency procedure. Medical identity theft can sit and grow for years without you ever knowing.

Why are healthcare providers targeted by identity theft?

With these compromised credentials, identity thieves can use a victim's data to acquire medical treatment, receive elective surgery, and even fill prescriptions. Additionally, the thief's medical history can become intertwined with the victim's electronic health records.

Can someone steal your identity with your Medicare card?

Medical identity theft happens when someone steals or uses your personal information (like your name, Social Security Number, or Medicare Number) to submit fraudulent claims to Medicare and other health insurers without your permission. Medicare is working to find and prevent fraud and abuse.

What happens if you lose a prescription?

It is important to distinguish between lost medications and stolen medications. Losing a prescription form or a vial of medications may result from the occasional lapses that all patients may have. If this occurs only once it may not have significant medical implications, and the prescriber may choose to replace it without much concern.

What to do if you don't replace lost medication?

If you are not replacing the lost medication, you will need to inform the patient about the potential for withdrawal, and offer to prescribe medications to help diminish withdrawal symptoms. Prescribing these medications needs to be individualized, based upon the patient’s age, presence of other medical problems, use of other medications, and the patient’s ability to follow-up.

Why is it important to report stolen prescriptions?

The problem of reports of stolen prescriptions is more ominous because there is another person involved, and potentially, another person has been put at risk. Medication theft is a situation that requires some form of investigation and should be reported to the appropriate authorities. It is important for the patient to think about who might have stolen the medication.

What is the difficult situation #4?

Difficult situation #4: A patient reports their pain medication as lost or stolen.

What does it mean when a patient loses medication?

Repeated medication loss, or theft, is a strong indication that the patient is at high risk and that it is not safe for this patient to remain on this medication. If a medical reason, like cognitive decline, is discovered, this may be successfully addressed so that the patient can continue on the medication. However, if this cannot be done, or if the patient lives in an unsafe environment, the best course may be to taper and discontinue these medications, substituting treatments that are lower risk.

What is the purpose of describing how you address these problems before the patient has begun treatment?

Describing how you address these problems before the patient has begun treatment, and before incidents of lost or stolen medication, is part of your description of the treatment plan , and it demonstrates the principal of shared responsibility .

Do clinics have to have a one and done policy?

Clinicians in practice with multiple-providers should establish and circulate a uniform, clinic-wide policy among patients and staff, to avoid confusion about what they do. Some practices choose a “one and done” policy, (the first time you lose it I will refill it, but never again), or a stricter policy of zero-tolerance, and no early refills, under any circumstance.

What is Medical Identity Theft?

Medical identity theft is when someone steals or uses your personal information (like your name, Social Security number, or Medicare number), to submit fraudulent claims to Medicare and other health insurers without your authorization. Medical identity theft can disrupt your medical care, and wastes taxpayer dollars. You should protect your personal information, check medical bills and statements, and report questionable charges or fraud.

How to report questionable charges to Medicare?

Questionable Charges? Contact your health care provider first to see if it's a mistake. If your issue is not resolved by your provider, report the questionable charges to 1-800-MEDICARE or contact your local Senior Medicare Patrol for assistance: 1-877-808-2468 or www.SMPResource.org

How does identity theft affect healthcare?

Medical identity theft can disrupt your medical care, and wastes taxpayer dollars. You should protect your personal information, check medical bills and statements, and report questionable charges or fraud.

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Why is medicine a self-regulated profession?

Medicine has a long tradition of self-regulation, based on physicians’ enduring commitment to safeguard the welfare of patients and the trust of the public. The obligation to report incompetent or unethical conduct that may put patients at risk is recognized in both the ethical standards of the profession and in law and physicians should be able ...

Why report a colleague who is incompetent?

Reporting a colleague who is incompetent or who engages in unethical behavior is intended not only to protect patients , but also to help ensure that colleagues receive appropriate assistance from a physician health program or other service to be able to practice safely and ethically.

How to tell your nursing manager if she is absent?

The answer is that you tell your nursing manager if she is in the building. If not, you go to the phone and page the nursing supervisor, or the manager who is covering for your manager while she is absent, immediately and report what you saw.

Should pharmacy be reported to security?

It should be reported to Security as well. And don't be surprised if they come down hard and fast. (This has happened to me when I was a supervisor.) I believe Pharmacy has to do a report as well.

Do nurses take motrin?

Narcs. and meds. assigned specifically to a patient, I would tell the boss. On the other hand, a nurse takes a couple of motrin, not a big deal in my book. But that is just me.

What happens if you find a caregiver on Craigslist?

If you found a caregiver through a neighbor or Craigslist and the caregiver steals, chances are your only recourse is firing the caregiver and whatever the police may be able to do. Often, even if the police prove theft, it can be very hard to prosecute (though states are working on this) and especially to recuperate the item or get compensation.

Why is using an agency a good practice?

This is why using an agency is a good practice and why the agency should have consistent processes and policies. Sometimes caregivers who develop a close relationship with clients feel somehow justified in stealing or don’t see what they’re doing as stealing.

What to do if something is missing?

If the item is missing, then go to the police . It’s not your job to try and question a suspect. That’s a job for law enforcement. The more facts you can share with the police, the better. Tell them:

Why do you have to be in a wheelchair after leaving the hospital?

You are in that wheelchair because the hospital takes their responsibility to protect you from harm literally until the last minute you are on their premises.

Do you get a personalized case evaluation from a licensed attorney?

The above is general information. Laws change frequently, and across jurisdictions. You should get a personalized case evaluation from a licensed attorney.

Is our response legal advice?

Disclaimer: Our response is not formal legal advice and does not create an attorney-client relationship. It is generic legal information based on the very limited information provided. Do not rely upon the information in our response, or anywhere else on this site, when deciding the proper course of a legal matter. Always get a personalized case review from a local attorney.

Can a hospital patient run away from danger?

Answer. While staying in a hospital patients are quite vulnerable. They usually cannot run away from danger, or react quickly enough to protect themselves from injury. As a result the courts have traditionally held hospitals to very high standards of care for its patients.

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