Workers' compensation fraud and the physician.
Some individuals in the health care system base their actions primarily on individual economic incentives rather than ethical and societal standards. These actions are considered fraudulent when they can be proven to have violated specific laws or statutes and can impact workers' compensation costs. Physicians and other health care providers involved in the management of workers' compensation claims may have little ability to affect employer or insurer fraud. Ethical and efficient practice style, in conjunction with the maintenance of clarity and objectivity in the evaluation of patient symptoms, can help to reduce the degree to which provider and patient fraud is allowed to develop and flourish. In understanding the factors that promote fraudulent behavior and being able to recognize and manage such behavior, health care providers may impact the perpetuation of fraud and its impact on the workers' compensation system.
Genovese
Elizabeth
E
University of Pennsylvania Medical Center, Philadelphia, USA. elizbethgenovese@msn.com
D005607:Fraud; D006300:Health Services Misuse / Q000331:legislation & jurisprudence; D006801:Humans; D007343:Insurance Carriers / Q000331:legislation & jurisprudence; D007344:Insurance Claim Reporting / Q000331:legislation & jurisprudence; D010819:Physician's Role; D014481:United States; D014942:Workers' Compensation / Q000331:legislation & jurisprudence*