A: Lisa Miliken – “You could trigger an investigation. Or if a surveyor found that error, they could fine the facility and withdraw the Medicare or 3rd party reimbursement. If you find an error like that, its always best practice to back out the charges yourself and resolve the situation to make it right. Always document for services for the actual day of treatment.
Whether or not you face action will depend on the OIG auditor and the state or federal surveyer.I’ve seen it go both ways… If you prove you were honestly trying to do the most ethical thing, they may just fine the facility and watch to make sure it doesn’t happen again. But if they think you’re trying to cover something up, they may continue to investigate until they could take your license. I’ve also seen a lot of companies just fire the therapist in question.”
Learn more about this, and other related topics in the course “Maintaining Ethics in the Healthcare Setting”.