When a patient isn't on the up-and-up, what steps should you take to protect yourself?
Posted in Articles on Wednesday, January 15, 2025
When you first enter into practice, you imagine all the wonderful things in store, including the patients you’ll help and the relationships you’ll build. Occasionally, though, there’s the flip side—you may run into uncooperative predatory patients who may become dangerous.
Predatory patients are patients with a hidden agenda that could put your practice and reputation at risk.
Types of Predatory Patients
- Patients whose intent is to harm the doctor
- Patients looking for someone to sue
- Patients wanting a doctor’s excuse for potentially fraudulent reasons
Dealing with these types of patients can be stressful, and in worst-case scenarios, can put you or your staff in harm’s way. So, how do can you help manage these problematic situations?
Use the REDUCE Method
Report the Behavior
If the behavior is severe or constitutes harassment, report it to your supervisor, HR, or the appropriate authorities within your institution.
Exude Professionalism
Although it might be difficult at times, try to avoid emotional reactions that could escalate the situation. Address the behavior without confrontation.
Depend on Staff & Your Instincts
If you feel uncomfortable or threatened, trust your instincts. It’s important to prioritize your safety. Utilize your staff to observe any inappropriate behavior the patient exhibits, including:
- Being rude
- Making disparaging comments when in the office
- Disregarding staff instructions
- Continually trying to schedule appointments after-hours/the last spot of the day
Use Non-Threatening Interventions
Address the behavior without confrontation. Use "I" statements to express how their behavior affects you (e.g., "I feel uncomfortable when you say that").
Call for Support
We encourage you to call NCMIC’s Claims Advice Hotline at 800-242-4052 as a first line of defense. As a policyholder, you can confidentially share concerns you don't know how to handle. Your call will not open a claim file, unless a request for damages has already been put in writing.
Extra-Detailed Documentation
Keep detailed records of any inappropriate behavior or interactions. Note the date, time, what was said or done, and any witnesses. Documentation is critical for legal protection and accountability.
Dismissing the Patient
Should you decide to part ways with your patient, documentation will be critical to avoid allegations of patient abandonment. Before dismissing any patient, check with your state board to ensure you are complying with their jurisdictional rules. Additionally, call our free and confidential Claims Hotline, 800-242-4052, for advice tailored to your specific situation.
By having a plan, you’ll be able to deal with predatory patients efficiently, which will allow you to spend more time on patients who seek your quality care.