Has anyone ever reported SSI fraud on a patient?

I know I see it all the time, and it is starting to get ridiculous. I am nervous about reporting patients due to providing too much information that would violate HIPPA. Need advise and input on reporting SSI fraud on patients!
SSI fraud? Whaaaaaaat? Sliding Scale Insulin???????? Huh? Yes, It's late and I'm tired/waiting for the dryer to be done with the umpteenth load before bed... and I still don't understand how a patient could provide "too much information that would violate HIPPA".....?

Well that is a new one for me. I wouldn't give out too much detail on here.. Hopefully someone on the board can be of some help. I will say I feel this way about some of the Medicaid patients we see. They use different addresses, don't report others who live in their homes, etc. it's frustrating.

Quote from Mommy2beI know I see it all the time, and it is starting to get ridiculous. I am nervous about reporting patients due to providing too much information that would violate HIPPA. Need advise and input on reporting SSI fraud on patients!

Quote from JoryReporting someone for a felony doesn't violate HIPAA. That is an obvious exception.

Quote from JoryReporting someone for a felony doesn't violate HIPAA. That is an obvious exception.

Quote from Mommy2beI know I see it all the time, and it is starting to get ridiculous. I am nervous about reporting patients due to providing too much information that would violate HIPPA. Need advise and input on reporting SSI fraud on patients!

Are you allowed to do that? Aren't patients supposed to be honest with health care providers without fear of being reported?

I don't know a lot about SSI... supplemental security income. I agree with sali22. Do you want ill people NOT getting medical care? You see them all the time? What are they in your clinic or hospital for? Are they drug seeking? Do they have chronic medical issues? Again do you want them in your community ill and NOT getting whatever medical care they need? Are you, the tax payers, paying for treatment they could pay for themselves but they are cheating the system? I believe SSI is issued through the social security administration. Perhaps you could ask them, visit or write a letter to your nearest social security center. Tell them you suspect fraud is there anyway, anywhere, to report it.You could write or visit your local or state representative. Tell them your concerns. How, or to who, do you report suspected fraud?

It's usually considered poor form to take advantage of the relationship you develop with a patient to report them to authorities. If a patient confided in you that they smoke pot, would you then report them to authorities? Aside from mandatory reportable issues and imminent risk of harm to the patient or others, reporting an SSI issue or other information that patient should assume is confidential is arguably poor Nursing ethics.

Quote from MunoRNIt's usually considered poor form to take advantage of the relationship you develop with a patient to report them to authorities. If a patient confided in you that they smoke pot, would you then report them to authorities? Aside from mandatory reportable issues and imminent risk of harm to the patient or others, reporting an SSI issue or other information that patient should assume is confidential is arguably poor Nursing ethics.

but, so is condoning fraud.Quote from MunoRNIt's usually considered poor form to take advantage of the relationship you develop with a patient to report them to authorities. If a patient confided in you that they smoke pot, would you then report them to authorities? Aside from mandatory reportable issues and imminent risk of harm to the patient or others, reporting an SSI issue or other information that patient should assume is confidential is arguably poor Nursing ethics.

I do get rather tired of seeing that the patient is divorced and lives with their ex-spouse. It's pretty tiring to bust butt 13-14 hours a day for people who spend more time defrauding the system than it would take to make an honest living.