Question

As a health care manager, how would learning about a fraud or abuse violation in your organization make you feel? How would you respond professionally to these violations?

Answer 1

Frauds and abuse within healthcare organisation results in financial losses and deters the growth of company.
These frauds and abuse can occur at any level within the organisation and strategies to deal with such cases is necessary for growth of the organisation.

Healthcare managers holds the responsibility to deter, prevent, detect and respond to such frauds and malicious abuses. If I being a healthcare manager get to know about a fraud or abuse in my healthcare organisation I would definitely feel disappointed. I believe that I am an integral part of my organisation and any harm done to the organisation impacts me. Also I hold the responsibility to protect the organisation and would definitely feel little let down.
Once the fraud has taken place and it comes to my knowledge it is my responsibility to report it immediately to higher authorities for further action. I would try to find the root cause of such violations. I would have a thorough investigation and evaluation of the working of the company and try to find any faults in the system. I would design strategies and procedural control techniques to prevent such incidents in future. Increasing basic security controls and alertness will also help prevent frauds. A secure data collection system and information storage will help in preventing such frauds in future. Increased surveillance, alertness, secure information and data storage, validation and verification of enployees and associates are some of the techniques to prevent frauds and abuse.