My residency manager is forcing me to see off the record patients..

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You’re kind of all over the place....

Was the rep mad at you or on your side?

By unregistered do you mean not actually a patient on the record? Or doesn’t have an appt? Those are drastically different

Is your ethical problem about payment? They are right, not your concern
Them jumping line? Again, not your concern
Not being able to do an appropriate workup to medically justify the treatment(ie being told to write a rx for a patient you did not examine)? Because then you are right

It’s important to note even if you are 100% right you can get burned, being right doesnt mean you are safe
 
You’re kind of all over the place....

Was the rep mad at you or on your side?

By unregistered do you mean not actually a patient on the record? Or doesn’t have an appt? Those are drastically different

Is your ethical problem about payment? They are right, not your concern
Them jumping line? Again, not your concern
Not being able to do an appropriate workup to medically justify the treatment(ie being told to write a rx for a patient you did not examine)? Because then you are right

It’s important to note even if you are 100% right you can get burned, being right doesnt mean you are safe
 
Do you mean to say that you are seeing patients, performing treatment on them, and not documenting it? I'm no expert here, but this sounds like something the state dental board would be interested in hearing about. It would be certainly interesting if they came for a visit during one of these times, especially since the liability is apparently not on you but on the attending
 
I think if this were a private practice, you are allowed to treat a patient free of charge. But you're not allowed to give them a discount because their insurance doesn't cover the procedure/you don't accept the insurance. That would be insurance fraud. So you can either treat the patient free of charge or they pay out of pocket (if their insurance doesn't cover the procedure). It looks like your residency program (practice) is treating them free of charge. As long as you keep appropriate records, you can treat them free of charge. If your residency program doesn't keep treatment notes, they're f***d by the state board.
 
Is your residency "manager" a DDS? Not sure what that title means.

Either way this sounds shady as ****. Definitely something the state dental board and CODA would want to hear about.
 
"S: This pt. was seen, as directed by Dr.______, Residency Manager."

The words "AS DIRECTED BY" in the progress notes have helped this old dentist navigate safely though the tricky waters of a number of bureaucratic organizations.
 
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