internal controls

An embezzling story to learn from

A marketing director for Castle & Cooke, a mortgage firm, is believed to have stolen almost $200K from her employer in less than a year of employment -- until she was caught and charged with fraud. While the case does not involve a medical practice or healthcare organization, it does offer some reminders about protecting a small office from internal theft. The employee allegedly ran up large false expense reimbursements and forged company checks -- both possible in any small business with inadequate controls, including medical practices. Practices can learn from this incident.  Check stock should be protected, and managed by a physician owner.  No one should be allowed to sign checks except a physician owner -- no signature stamps!  And owners should reconcile the bank statement monthly, so that any unauthorized checks could be spotted. Unauthorized expense reimbursements or charges are common routes to embezzlement in medical practices.  Be cautious about allowing employees -- even a manager -- unsupervised control of a credit card or an expense account with a vendor.  Review purchases "for the office" carefully -- make sure that everything on the Costco or Amazon bill can be accounted for in the office. Remember, not allowing temptation is the best way to prevent embezzlement -- and the best way to maintain a relaxed, family like atmosphere in your office, because you have less need to be suspicious of anyone.  Internal controls are a gift to your practice -- they protect against profitability loss while also helping to support trust and morale.

By |2022-01-01T22:52:12-08:00December 3rd, 2013|

New study about workplace theft; are your internal controls in order?

A new study from the Rotman School of Management in Toronto about workplace theft and cheating may have important implications for medical practices. The study found that deprivation effects -- such as being harmed by the recent recession, or by new public policies -- reduce employees' commitment to ethical behavior.  Prior to feeling deprived, people tend to believe they'll maintain their moral standards regardless of circumstances; however, when put to the test of reduced financial well-being -- especially compared against peers -- the study found that people may relax their standards, especially when they believe their change in position is unfair. This is a helpful reminder to practices to make sure internal controls are in place, to reduce temptation.  The recession (ongoing in some markets), deep resentment of the ACA among some staff, and the added workload from new regulations all may contribute to employees feeling disadvantaged versus peers outside of medicine, or even versus patients.  (Some employees may also feel sympathy for patients whose health plans will carry more patient responsibility payments in the coming year, too -- perhaps resulting in losses from co-pay waiving and the like.) Internal controls are the kindest way to protect your practice against internal theft.  By setting up procedures and structures that reduce temptation and make theft more difficult, you reduce the need to be suspicious or personally monitor employees -- and allow your practice the freedom to cultivate the family-like atmosphere that so many of us want.  If your internal controls need a review, please don't hesitate to get in touch.

By |2022-01-01T22:52:14-08:00October 17th, 2013|
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