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Keep your own notes of what you document. By building your own notes, you could dispute what has been corrected. Either way, what’s been done is illegal and constitutes fraud. You don’t want to be an accessory to insurance fraud because I believe that’s a federal crime. Report all the ones you believe are involved with the fraud. Don’t go down with the ship!
Please share to whom should she report?
I would definitely report the supervisor. I would only have to debate if I was going to give them any sort of warning about the $hit storm I was about to call down upon them. What they are doing is a VERY serious crime that could cost them AND YOU the ability to ever work in healrhcare again. Medicare fraud is frowned upon and taken rather seriously.
Oh and anyone with high enough access to the computer system can see who made each key stroke and when they did it, so if someone does an audit they will see what you wrote and when and then what your supervisor then altered at a later date.
Upcoding is illegal and puts patients, the organization, and your license at risk. I recommend:
1. Keep detailed, dated personal notes of all communications and changes made to your documentation.
2. Report it through the official compliance channel or anonymous ethics hotline (this protects you legally).
3. Consult a healthcare attorney or your malpractice insurance for guidance.
Protecting your license and doing the right thing should come first. You’re not alone in this.
Do you have a no-retaliation at your work? I'm sure you can file a complaint and remain anonymous....I hope.
Are they changing the documentation in an EMR and then co-signing? There will be an audit trail of what was changed, by who, and when. If they are just changing the note before you sign it, I would refuse to sign. You could lose more than your relationship with leadership.
That is FRAUD and when she ish his the fan you gonna be taken down if you don't report it to corporate ASAP