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A federal medicare officer walks into our office, flashes an official badge, and says they want to look at your medical records. What action should or would I take?

2007-03-23 09:00:29 · 11 answers · asked by cindy m 1 in Business & Finance Careers & Employment

11 answers

Tell them that you will have to call the Medicare office and verify their credentials. If you're too busy to do so at that time, they'll have to either sit and wait or come back. Write down the badge name and any other pertinent information.

Medicare and Medicaid are supposed to be doing unannounced visits, which only makes sense because when they were giving a month advance notice, agencies had plenty of time to "fix" records. Even so, I believe you do have to get official notification that they will be there.

I would not, under any circumstances, show them any of the records. It could be a test, so remember the HIPAA laws.

2007-03-23 09:13:27 · answer #1 · answered by Anonymous · 1 0

The solution is to make a contract with a Law Firm so whenever any Federal or State agent appears at the desk, you can call the law firm and they will either send a Junior attorney right out, or schedule an appointment with their attorney and the Federal Or State agent in YOUR OFFICE.

I am speaking from Experience, OSHA would pop up at our company unannounced any time they wished and we would send out a supervior with them and they acted like they owned the place.

To solve this, we contracted a local Law Office to send out immediately a junior attorney to deal with the agent. The lawyer demanded on our behalf exact quotations from the LAW that would allow the agent access, then walk thru on inspection, and each time the agent found a questionable practice, the lawyer again demanded that the agent show the lawyer the exact part of the law that gave the agent specific authority in that area.

Needless to say, this took about 8 hours and our fines for these ridiculous citings disappeared and we finally understood our rights as sharehoulders. Your situtiation, I am sure is just as complex, so from my point of view, you need legal representation with that agent who probably thinks, and wrongfully so, that he owns your business lock stock and barrel.

You will find the attorney's fees a genuine bargain in the long run comparitive to the cost of wasted time by unqualified employees who do their best in trying to accomodate these agents and obligate you in areas which are totally unnecessary.

2007-03-23 09:14:32 · answer #2 · answered by James M 6 · 0 0

Find out your office policy. Generally, it is right to refuse unless the requester has a signed medical authorization or a subpoena.
There reallys is no reason for one to drop in, unannounced, and ask for records immediately.
Such requests are normally made in writing.

2007-03-23 09:05:52 · answer #3 · answered by regerugged 7 · 0 0

NONE, EXCEPT TO ASK TO SEE HER warrant !!! She has to have a COURT ORDER just as any DISTRICT ATTORNEY would have to have a WARRANT -- signed by a Judge who is currently sitting on the bench in your district!!!
Call your super-visor, this is her job!!! If she/he is not available, I would ask to see the warrant. I would sit down and read it thoroughly!!! Then, I would call the court-house and the judge's office who signed it and ask for official confirmation -- have them send you a signed fax from their office confirming what's on the warrant. No one will blame you for being thorough!!! If it's legit, they will respect your BRAINS AND SENSE !!! If it's not legit, who cares what "they" think and as a matter of fact -- I'd secretly detain them, saying confirmation is coming in or being by-passed whatever -- all the while I'd have called a squad car and also have the judge's secretary call the Chief of Police to come arrest this person (sheriff's office, as the case may require.)
If you allow someone to have someone else's personal info & they are scamming you -- guess who else goes to jail and pays huge fines ????? YOU!!!!!

2007-03-23 09:13:34 · answer #4 · answered by Les P 1 · 0 1

Well by law unless they have a search warrent for that person record you are not allowed to show them . If you do then the company could face a possible law suit for privacy reasons

2007-03-23 09:09:02 · answer #5 · answered by Anonymous · 0 0

Send them to your boss. If you are the boss make sure they have legal documents from an attorney. After working ten years in drug retail no one is allowed to look at medical records without legal documents.

2007-03-23 09:07:44 · answer #6 · answered by rmdouglas27 2 · 0 0

Let them talk to someone else above you. They are paid to deal with things like this. You should not be in this type of a position without a supervisor or manager who steps in under a situation like this. Refer them to your superiors and remove yourself from the line of fire.

2007-03-23 10:27:23 · answer #7 · answered by Anonymous · 0 0

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2016-10-20 07:29:37 · answer #8 · answered by ? 4 · 0 0

Tell him his badge is very nice, go show it to someone who really cares.

2007-03-23 09:03:49 · answer #9 · answered by MeanderingMind 2 · 0 0

tell them nicely that in order for them to perform an audit they need to schedule with whomevers in charge at least _____ working days in advance. Take their info and tell them you'll get back to them or tell them they need to notify you in writing.

2007-03-23 09:04:57 · answer #10 · answered by bbq 6 · 0 0

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