Why Whistleblowers Are Important For Physicians

Whistleblowers
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WorldExecutivesDigest.com | Why Whistleblowers Are Important For Physicians | Trust is a big word. To trust, it needs to build security, transparency, partnership, and security. 

In the pursuit of quality health care, patients place their trust in doctors and nurses. Patients guarantee their data and invest in dollars to be treated properly. However, there are instances that doctors and other medical professionals commit serious errors due to negligence.

Behind the pain of every patient in medical malpractice are silences that keep the awake. Victims are forced to hide and linger these emotional and physical consequences under their sheets. However, the law resides in the weighing evidence provided by an injured party. A physician’s negligence becomes a medical malpractice when the treatment has caused, worsen, or complicates the health of a patient.

Being that case, whistleblowers are your healthcare watchdogs and your medicare fraud attorney is your legal counsel. In this article, you’ll get to know the reasons why whistleblowers are important for physicians.

What is a Whistleblower? 

A whistleblower is a person-in-interest who reports an organization’s abuses, fraudulent activities, graft and corruption, and dangers to the welfare of the general public. 

Generally, a whistleblower works inside in an organization and has firsthand experience of the malpractices that an organization has committed. However, it doesn’t mean that a whistleblower contributes to the success of malpractices since he is part of the organization. While his beliefs are contrary to the practices of the organization, a whistleblower aims to disclose relevant information that wouldn’t be known by the public.

A whistleblower has noble intentions, however, he still needs to follow the due processes of law and comply with the guidelines in providing clear and convincing evidence to get legal protection.

What are the Kinds of Whistleblowing?

External Whistleblowing

External Whistleblowing is committed by an individual who reports an organization’s inimical acts to media outlets, enforcement agencies, and other groups that investigates graft and corruption. 

As a general rule, a party who discloses information must do so in good faith, that he is innocent and not involved in the process. He needs to take reasonable steps in reporting it to the authority.

Internal Whistleblowing 

This type of whistleblowing is contrary to external whistleblowing. Here, a whistleblower presents information to another party within the organization. 

Internal whistleblowing is commonly part of a company’s policy where it mitigates the relationship between employees through authority enforcement. 

Cyber Whistleblowing 

With the rise of technology, social media outlets become the foundation of news sources and information. By posting relevant content, thousands of viewers can share and react to a shocking revelation. 

This type of whistleblowing advocates for consumer and employee protection on an online level. These whistleblowers report on security breaches in cloud storage systems, encryption deficiencies, hacks, and inimical practices.

Why Whistleblowers are Important for Physicians?

#1 Whistleblowers Check Safety Practices Inside the Healthcare Organization

For a more valuable reason, checking safety practices in the process is vital for the trust and reputation of a health organization. Now that fraudsters take advantage of health care benefits, fraudsters are now involved in the practice of medicine and other related medical activities. 

Physicians may bill services for not provided, the bill for unnecessary procedures, violate kickback laws, admit patients who could be treated as an outpatient basis, and engage in other evil designs. 

The case of Dr. Soe Maunglay, an oncologist who saved patients from a deadly fraud scheme, is a great example. In this case, Maunglay reported Dr. Fata, owner of the largest oncology practice, who had prescribed particular expensive forms of chemotherapy to some patients. Meanwhile, upon his investigation, he found out that Dr. Fata’s patience has no cancer. Hence, there was a clear discrepancy between patient symptoms and the treatments they were prescribed. 

As a verdict, Dr. Fata was sentenced to 45 years in prison. He was also ordered to pay back the tens of millions of dollars he stole from public insurance programs like Medicare. 

#2 Whistleblowers Report Health Care Fraud Activities Committed Outside the Organization

There are instances that a third party organization is connected through a health care establishment. For instance, medical representatives offer free check-ups through signing up engagements using their Medicare information. 

Because fraudsters are working inside managed care organizations, some pharmaceutical manufacturers and distributors, pharmacies, and pharmacy benefit managers engage in Fraud through off-label marketing, manipulation of clinical trials, or other violations. Pharmacies may bill for drugs not provided, over-bill, divert drugs for illegitimate purposes, or falsify prescriptions.

#3 Whistleblowers Encourage Other Whistleblowers To Speak Up

The goal of the whistleblower is to expose anomalies and medical malpractices inside the healthcare organization. The act of reporting these malpractices to the authorities ripples an influence and creates awareness to other whistleblowers.

A whistleblower may report physicians, therapists, and other works inside the health care facility for billing services not provided, promoting referral through kickback scheme, upcoding lower costs procedures, etc.

Through this movement, physicians can get awareness through selecting persons who work for them as their third-party organization. 

Key Takeaways

Trust is a big word. To trust, it needs to build security, transparency, partnership, and security.

In the pursuit of quality health care, whistleblowers serve as your health care watchdogs. A whistleblower is a person-in-interest who reports an organization’s abuses, fraudulent activities, graft and corruption, and dangers to the welfare of the general public. 

A whistleblower has three ways to expose information, namely External Whistleblowing, Internal Whistleblowing, and Cyber Whistleblowing. Further, these ways have helped physicians, nurses, and even patients to be informed in the malpractices and corruption that occur inside and outside the health care organization. Thus, a whistleblower is important for a physician because:

#1 Whistleblowers Check Safety Practices Inside the Healthcare Organization

#2 Whistleblowers Report Health Care Fraud Activities Committed Outside the Organization

#3 Whistleblowers Encourage Other Whistleblowers To Speak Up

In the end, we shall live in a world where no victims still weep in silence because of their emotional and physical consequences caused by medical malpractices. 

Whistleblowers are now watching.

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