If they are impaired they could be under the influence of drugs or alcohol and might not be in control of their actions. Some signs that Edge and Grove give in regards to substance abuse are “absenteeism, illogical decision making and excessive errors.” Now in regards to gaming the system it is seen more like trying to get more money out of the patient. In Edge and Groves they define it as “diagnosis or clinical condition is described in such a manner that the process stretches the truth or is fraudulent in order to get the plan to pay for a test that is not strictly covered or to pay at a higher rate.” (Edge 125) Once I have an idea of which one it is I will plan to either stay quiet or proceed to whistle blowing. I also need to make sure that I do not disparage (talking ill of) the practitioner that I am questioning so that I will not get into legal trouble. Ethically I wish I could tell all I can so that they know of his behavior and will not get misdiagnosed but there are many codes to follow and I would not be allowed to partake in such behavior. Now in according to whistle blowing I would follow the protocols on page 134 of Edge and
If they are impaired they could be under the influence of drugs or alcohol and might not be in control of their actions. Some signs that Edge and Grove give in regards to substance abuse are “absenteeism, illogical decision making and excessive errors.” Now in regards to gaming the system it is seen more like trying to get more money out of the patient. In Edge and Groves they define it as “diagnosis or clinical condition is described in such a manner that the process stretches the truth or is fraudulent in order to get the plan to pay for a test that is not strictly covered or to pay at a higher rate.” (Edge 125) Once I have an idea of which one it is I will plan to either stay quiet or proceed to whistle blowing. I also need to make sure that I do not disparage (talking ill of) the practitioner that I am questioning so that I will not get into legal trouble. Ethically I wish I could tell all I can so that they know of his behavior and will not get misdiagnosed but there are many codes to follow and I would not be allowed to partake in such behavior. Now in according to whistle blowing I would follow the protocols on page 134 of Edge and