The Insider Threat: The Assistants
Posted: August 23rd, 2016 | Author: Shauna | Filed under: Basics, Controlled Substances, Dental, In the News, Security | Tags: Controlled Substances, DEA, Dental, Dental e-Prescribing, dental practice management, DoseSpot, e-Prescribing, e-Prescribing controlled substances, e-Prescribing Integration, e-Prescribing Software, healthIT, Opioid Epidemic, Opioids | No Comments »
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As we continue our Insider Threat series, we look to the role of the assistants within a dental practice. Specifically, the office assistant and the dental assistant. Though their responsibilities may vary from one practice to another, as well as from each other, assistants are often tasked with a myriad of similar duties, including having access to a dentist’s prescription pad or prescription software. The dental assistant, in particular, serves as a direct extension to the dentist and typically writes or calls in prescriptions on the dentist’s behalf.
Though the perceived trusting relationship between a dentist and their assistant(s) may alleviate the daily mundane tasks for the dentist, how much trust is too much? Should a dentist’s prescription pad or prescription software really be that accessible to anyone within the office? Let’s take a deeper dive and review three cases of prescription fraud committed by an office or dental assistant.
First up, in a West Michigan dental office, an office assistant decided to stay after hours and throw a party for some friends. Not only were multiple items stolen, but her friends utilized the dentist’s DEA number to call in and obtain unauthorized prescriptions from multiple pharmacies. Of the items stolen were the dentist’s prescription pad and signature stamp, of which, both were laying around in plain sight and available for anyone to take.
Another office assistant in Bethlehem, PA, whom had free access to a dentist’s prescription pad, admitted to taking two prescription slips, filling them out in the dentist’s name and authorizing 10 Percocet tablets on each for a family member. Not only were the unauthorized prescriptions filled, but the quantity dispensed was altered from 10 to 20 pills, which is easy to do given that they were paper prescriptions.
Lastly, a dental assistant in Alaska was found guilty of prescription fraud for phoning in numerous prescriptions for Vicodin on behalf of the dentist for a non-patient. In her capacity working in the dental office, she was allowed to call in prescriptions for patients, but took complete advantage of that authority. The pharmacist found the situation to be suspicious and contacted the dentist, whom confirmed that he had never authorized such prescriptions.
While the saying “any publicity is good publicity†may work in certain situations, bad press for a local dentist can be extremely detrimental. All three articles pertaining to the stories above include the dentist’s name and practice location, therefore there is no real way to hide from such unfortunate circumstances and stories like these have the potential to deter both current and prospective patients from a dental practice.
Luckily with e-Prescribing, there is no more need for paper prescriptions, therefore no more altered dispense quantities and no more stolen prescription pads. Furthermore, prescriptions will no longer need to be phoned in since it’s a simple click to send a prescription on its way to the pharmacy with no intermediary. A significant decline will also occur relative to the rate of fraud, resale and abuse of controlled substances because e-Prescribing secures all information exchanges from diversion.
 Click here to learn more about e-Prescribing and start saving time and money today!
This is not to say that assistants cannot aid a dentist with their patient’s prescriptions, quite the opposite in fact. When utilizing DoseSpot and with a dentist’s permission, office and dental assistants can receive their own e-Prescribing account and create prescriptions on behalf of the dentist. However, the dentist must utilize their own unique security passcodes to authorize and send the prescriptions along to the pharmacy, which is especially important when prescribing controlled substances.
To complete our Insider Threat series, we will be discussing how it’s not only office staff, but also fellow dentists, who can be a potential risk for prescription fraud within a dental practice. Look out for our next installment coming to you on Thursday, August 25th!
Sources: Juneau Empire; Wood TV; WFMZ
About DoseSpot
DoseSpot is a Surescripts certified e-Prescribing platform specifically designed to integrate with electronic health record, electronic dental record, practice management and telehealth software. DoseSpot is certified to e-Prescribe controlled substances and has provided simple, affordable and integratable e-Prescribing solutions to healthcare IT companies since 2009. For more information, please visit http://www.DoseSpot.com
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