How to Prevent Embezzlement in your Practice

Recently, I had to fire an employee who hadrequired for check signatures.
stolen money from our office. She wasn't caught3. Prohibit pre-signed checks and signature stamps
in the act, and I wouldn't have missed the money.- At the very least, every time you write a
I only found out because she had a guiltycheck, know exactly what you are paying for.
conscience. She had overspent her bank account4. Enforce job rotation and vacation policies - It is
during Christmas, and had some personal financialsuggested that employees take at least five
problems. When I found out and offered toconsecutive days off for vacation; having
advance her a small loan on her salary-a bad ideasomeone else who can step in to do their job is
which I rarely do-she broke down and admittedgood in case of emergencies, and a fresh pair of
to the theft. I appreciated her honesty, but hadeyes can usually spot any wrongdoing during
to fire her immediately.someone's absence.
According to an article in the American Academy5. Bonding employees - Employee bonds are
of Family Physicians newsletter, "a recent studyinsurance policies that reimburse you for your loss
of community health clinics found that more thanif the employee commits fraud or embezzlement.
40 percent had experienced some type ofBonding also serves as a deterrent to financial
financial crime during the previous five years." Notcrime because bonding companies prosecute
only that, this was supposedly underestimating theperpetrators.
problem, as it is frequently an unreported crime.6. Issue receipts for cash collected - In this era of
Fortunately, the article had six clear steps to helpfrequent co-pays, cash can accumulate quickly at
prevent embezzlement:a practice. Whether you use an automated
1. Check candidates' references and job histories -receipt system or an old fashioned booklet with
Supposedly, many embezzlers are repeatcarbon copies, make sure receipts noting the
offenders, so a thorough vetting of all applicants isdate, amount received and the patient's name are
suggested; if you haven't got the HR department,scrupulously kept.
you can always outsource this step.I found these steps both easy to implement, and
2. Review individual expenses - It's smart to havevery effective. Making each employee involved in
one person order supplies, another to verifythe process accountable for their co-workers, as
receipt, and a third to sign the checks forwell as for themselves, left me feeling more
payment; also occasionally spot-check expensesconfident that this problem won't occur in the
to be certain they are legitimate; for a largerfuture.
practice it even makes sense to have two people