Case Study: Whistleblower Case

Decent Essays
1. DaVita Health Care partners were accused of using more medicine vitals or unnecessary spreading medicine dosages across multiple treatments. They were allegedly doing this knowing that Medicare would pay for this “unavoidable” waste. A nurse and a Dr. that worked together noticed that expensive medicine was just being thrown away. These two men were upset this was happening and when nothing was being done to change it they filed a whistleblower case.

2. $800 million dollars was made by overbilling the government from just these two drugs.

3. The attorney of DaVita claimed that the vitals/medicine were not wasted. She states that you have to look at all of the issues such as; infection control. What the doctors did was appropriate given

Related Documents

  • Superior Essays

    Dorrough V. Wilkes (2002)

    • 1733 Words
    • 7 Pages

    NUR 714 Legal Case Study Analysis Paper Dorrough v. Wilkes (2002) No 2001-CA-00117-SCT Jonathan R. Heshler California University of Pennsylvania NUR 714 Legal Case Study Analysis The purpose of this paper is to analyze and review the case of Dorrough v. Wilkes (2002). This civil case involved a female patient (Gwendolyn Wilkes) presenting to the emergency room at Boliver County Hospital, being misdiagnosed and discharged by Dr. Dorrough, dying the next day at another hospital after emergency surgery and the patients husband and son bringing a wrongful death medical malpractice action suit forth.…

    • 1733 Words
    • 7 Pages
    Superior Essays
  • Decent Essays

    D-Met with the patient upon his arrival. This writer addressed with the patient about TEAM's decision of not reinstating him for treatment due to his non-compliance of his multiple AWOLs and following through with Hartford Dispensary with regards to making his payment to the clinic. According to the patient, he did everything on his end with the Hartford Dispensary, but the clinic wants him to be taper off on his methadone. This writer questioned the patient if he had obtained a letter from his prescriber stipulating that he cannot get off on his benzos script and no response to this question. When the patient was questioned as to whether or not he did indeed paid the Hartford Dispensary, he says, " I did, but if I have to do it again, I will."…

    • 462 Words
    • 2 Pages
    Decent Essays
  • Decent Essays

    I investigated the 2009 Texas Whistleblower case concerning registered nurses Anne Mitchell and Vickilyn Galle, and Dr. Rolando Arafiles Jr.. Mitchell and Galle anonymously reported their concerns to the Texas Medical Board, on the standards of care provided, at Winkler County Memorial Hospital and the Winkler County Rural Health Clinic, by physician Dr. Arafiles. The letter reported that Dr. Rolando Arafiles Jr. was promoting his herbal supplements by encouraging his patients to purchase them and that he had performed a procedure on a patient in their home using the hospital's supplies. In August of 2009, Galle and Mitchell decided to settle their civil lawsuit against Dr. Arafiles and the federal lawsuit, without acknowledging liability,…

    • 342 Words
    • 2 Pages
    Decent Essays
  • Improved Essays

    In a Walgreens pharmacy in Indiana, Abigail Hinchy dropped off her prescription and picked it up like she has done many times before. However, behind the counter was a pharmacist that didn’t uphold the Health Insurance Portability and Accountability Act. The pharmacist (Audra Withers) shared confidential medical information about the client that once dated her boyfriend. Withers improperly reviewed Hinchy’s prescription history and shared the confidential information. Withers current husband had previously fathered a child with Hinchy.…

    • 202 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Dr. Bud Shaw Case

    • 501 Words
    • 3 Pages

    Dear Children’s Hospital and Medical Center Administration, I am a Doctor of Naturopathic Medicine, and I have worked at Children’s Hospital and Medical Center for eleven years. I am writing to disclose information that I believe demonstrates a misuse of locus of authority, a breach of the American Medical Associations Code of Medical Ethics, and a breach of Children’s Hospital and Medical Center Code of Conduct by Dr. Bud Shaw. After verifying the facts of Dr. Shaw’s story with the employees that were on duty at the time of the incident, I have chosen to share the information with the administration of Children’s Hospital and Medical Center. On October 15, 2015 in a personal conversation that took place in the cafeteria of Children’s Hospital and Medical Center between Dr. Sally Doe, Dr. Shaw, and myself; Dr. Bud Shaw shared the actions he took in the care of his daughter while she was a patient at Children’s Hospital and Medical Center in late September of 2015.…

    • 501 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    James Hitesman was a registered nurse and shift supervisor at Bridgeway, Inc, nursing home. He displayed concerns to management about that amount of infectious diseases within the nursing home. He claimed that the incidents of infections were rising at a disturbing rate. The management did not take care of the situation as he desired. Therefore, he told a television reporter about the problems in this nursing home.…

    • 1276 Words
    • 6 Pages
    Improved Essays
  • Improved Essays

    Whose Hospital Case Study

    • 1133 Words
    • 5 Pages

    The petition demanded Don Wherry’s resignation and even included threats of forgoing patient care if he did not step down. Four doctors and nurse representatives met with the board of trustees to deliver the petition. The petition accused Wherry of being incompetent, devious, acting in an unprofessional manner along with several other allegations. Wherry defended himself against the allegations that were brought forth by the medical…

    • 1133 Words
    • 5 Pages
    Improved Essays
  • Improved Essays

    Stark Law Case Study

    • 436 Words
    • 2 Pages

    There is an issue with the overspending of health care as it is, but to compromise the care which is being received by performing fraud and abusing the laws is ethically wrong. I believe that Dr. S. and Dr. V. knowingly interpreted the law into their own definitions resulting into…

    • 436 Words
    • 2 Pages
    Improved Essays
  • Great Essays

    Prosecutors. 1. The text discusses the prosecutor’s office at work. From the tape, cite some examples of work issues related in the text.…

    • 1470 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    The House Select Investigative Panel on Infant Lives has issued a subpoena ordering Dr. LeRoy Carhart to answer questions regarding botched late-term abortions at his Maryland clinic. He allegedly sent at least five women to hospital within a span of about five months due to complications after abortive attempts. Carhart's clinic, Germantown Reproductive Health Services (GRHS), is one of the few abortion facilities in the United States that performs third-trimester abortions. Subpoenas have also been issued to staff of his abortion clinic, and other providers who are associated with him. Carhart will be summoned to court for personal testimony on June 13.…

    • 566 Words
    • 3 Pages
    Improved Essays
  • Great Essays

    Physician Manipulation of Reimbursement Rules for Patients Between a Rock and a Hard Place Matthew Wynia, Deborah Cummins, Jonathan Van Geest, Ira Wilson American Medical Association Synopsis and Summary A study was done to determine at what rate physicians manipulate the rules of reimbursement in order for patients to receive services for which they may not otherwise be granted under utilization review rules though the physician may find the service necessary. The 1998 study was a random study that contained a national sample of 1124 physicians who were surveyed through mailings and the response rate was 64%. Three areas of concentration were involved that asked if the physician’s (1) exaggerated the severity…

    • 1392 Words
    • 6 Pages
    Great Essays
  • Improved Essays

    This paper will discuss liability and negligence in the healthcare field as well as negligence issue in the healthcare field. Liability is defined as a potential for a lawsuit (Dunn 114). Liability can be found just about anywhere and is a concerning area in today’s age. Healthcare workers are very familiar to this word and been familiarized throughout their careers with this word. I can’t be a scary thing to think about in this field the potential to be sued from an employee level all the way to a corporate level.…

    • 714 Words
    • 3 Pages
    Improved Essays
  • Improved Essays

    Here is the process which employee should follow if the employee decides to blow the whistle. First is to approach immediate manager, provided the manager isn’t involved in the problem. If the first time the manager ignores the situation, approach him or her again and this time write a memo or document your concern. Also find out if the company has a process that one needs to follow to raise any concerns and follow the process to the letter.…

    • 888 Words
    • 4 Pages
    Improved Essays
  • Improved Essays

    Medicare fraud occurs when healthcare providers bill the government for services or supplies that have not been provided. Such fraud is uncontrollable, costing taxpayers hundreds of billions of dollars each year, according to some estimates. In the managed era, accusations of fraud and abuse sometimes involve what are called “kickbacks” or other types of financial arrangements that encourages to order tests, refer patients to favored laboratories or specialty services for financial and not medical reasons. These forms of fraud and abuse have caused the most definitional problems, because many of these relationships and practices are not considered fraud or abuse by those who engage in…

    • 106 Words
    • 1 Pages
    Improved Essays
  • Improved Essays

    Good time management was very necessary so that I could always deliver the tasks on time and also live up to the professional expectations of my colleagues. Time management techniques are really important in an organization, because it will ultimately affect my performance. I had to understand each task that was given to me properly whilst recognizing the issues that could arise with it. This way, I always had a systematic approach to my work, which helped me become more efficient and thus would increase my work productivity. Sometimes when a few tasks were given to me that had to be completed in a short deadline, I had to have good organizational skills so that I could deliver on time.…

    • 964 Words
    • 4 Pages
    Improved Essays