Q:

I am currently working at a clinic and ran into some problems. I 
suspect there is illegal stuff going on.......specifically billing for 
things that are not being done in the office. Also I found out they are 
getting there patients threw runners or a 3rd party who makes 
money off of the patients he brings in....This makes me want to 
leave, but I just feel bad leaving right out. It puts them in a 
compromising position. I was going tell them I am leaving and finish 
up my week there, but at the same time don't want to be associated 
with a clinic that does this because I puts my license on the line 
esp. now that I know about it. Not sure how to go about it; would it 
be in my best interest to just leave or should I finish out the week 
as a courtesy. Any help or insight on the matter would greatly be 
appreciated

A:

Thanks for the e-mail. This problem is not unique .. I've answered a 
number of these type questions over the years. Having a license to 
practice also makes us vulnerable to personal weaknesses .. such as 
doing some unethical things to make a buck.

Runners may not be illegal but unethical. There are some states that 
have provisions within the board rules that prohibit this activity .. 
there are also some state attorney generals that use insurance fraud 
units looking for collusion between doctors (mostly DC's) attorneys 
and questionable cases. 

We all must make decisions on how we act .. I have always practiced 
conservatively and attempt to not be hooked into quick buck testing 
and practice growth procedures such as runners to make a living. If 
they charge for services not being performed this is fraud .. if your 
name is on the claims you are guilty .. if not .. you may be okay but 
the atmosphere stinks.

So .. don't panic just be aware that you also must decide if the place 
you practice in is the place you want to be .. whether you make it 
difficult for you to leave them now or not. Start making plans to 
leave and walk away clean .. if they us runners then they are deep 
into it .. it is time to leave. 

Have a Great Day

Dr. M