Stranger Than Fiction: Strangers Conducting Compliance Interviews

Stranger Than Fiction: Strangers Conducting Compliance Interviews

“Stranger danger” is a staple of Halloween safety chats.

(Personally, I disagree with that approach. It isn’t clear to me that strangers are any more likely to pose a threat than folks who are well-known, but that is outside the scope of this article!) 

However, there is a real benefit to having “strangers” conducting interviews during internal investigations. The ability to conduct an effective interview will often determine whether the investigation will properly identify all the issues. I want to challenge a notion that’s quite common. 

In fact, it’s a position I held for some time, before witnessing a situation that caused me to change my mind. It’s easy to assume that having an interview conducted by someone the interviewee trusts and knows well will yield the most effective results. I will concede that there may be times when this is true. But more often, I think that as long as the interviewer is amiable and skilled, an outsider can be more effective.

Here’s the story that changed my mind.

I was representing a skilled nursing facility (SNF) that was talking to its employees to get to the bottom of some False Claims Act (FCA) allegations. The nursing facility’s general counsel, let’s call her Chris, was observing the interviews with me. She felt like she had a good relationship with her staff, and that people would be more likely to talk if she were present. I deferred to her. First, my client is the boss. I make recommendations but serve at their pleasure. And her position didn’t seem crazy to me. 

Wow, were we wrong. 

During our very first interview with an employee who both knew and liked the general counsel, Chris stepped outside to take a call. Within seconds after she left, the witness interrupted a question to say “Hey, there’s one thing I want to talk about before Chris comes back.” So began my lesson into the advantages of being an outsider. She wanted to describe a concern she had about some of the actions within the corporation, but she was worried about Chris’s reaction. The employee specifically worried that the information may reflect badly on Chris and that sharing it could cause Chris to view the employee negatively. In essence, the employee thought sharing the information may hurt their relationship with the general counsel. 

The more I considered it, the more I realized that outsiders offer a material advantage when it comes to interviews. If you’re looking for brutal honesty, do you go to the neighborhood barbeque or the Internet? By no means am I suggesting reading the comments on Internet articles, but it’s important to recognize that the anonymity of online forums often leads to increased candor. 

I live in Minnesota, and while some people misunderstand “Minnesota Nice” to be a form of kindness, it’s really passive-aggressive. Many will be hesitant to be completely honest with someone inside the organization. That will be particularly true if the person is embarrassed by what they have to say or worried that a more senior person will hold it against them.

I do believe that there are situations where close relationships matter. I have talked about the benefit of compliance professionals buying coffee for staff. I am starting to see a divide between situations where you are trying to reassure an employee that the organization has their back and internal investigations. 

My current thinking is that such assurances should come from insiders, and investigation is often best done by outsiders.

One final quick point. One of the strikes against external investigation is cost. And it’s true, it can cost a bit more to have an outsider perform an investigation. But if you’re thinking one of those costs is travel, I will note even before the pandemic, I did many interviews over the phone. Just as the Internet can lead to heightened honesty, so can a remote interview. There’s something about the distance that often results in people being more open.

The bottom line is that when you’re thinking about conducting interviews, you, like Pat Benatar, might be best served looking for a stranger. She was doing it because she was tired of the “same old Hello baby, how ya doing” and “looking for a little danger in her life.” But you should do it because it is likely to get you a better interview. 

Print Friendly, PDF & Email
Facebook
Twitter
LinkedIn

David M. Glaser, Esq.

David M. Glaser is a shareholder in Fredrikson & Byron's Health Law Group. David assists clinics, hospitals, and other health care entities negotiate the maze of healthcare regulations, providing advice about risk management, reimbursement, and business planning issues. He has considerable experience in healthcare regulation and litigation, including compliance, criminal and civil fraud investigations, and reimbursement disputes. David's goal is to explain the government's enforcement position, and to analyze whether this position is supported by the law or represents government overreaching. David is a member of the RACmonitor editorial board and is a popular guest on Monitor Mondays.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Navigating AI in Healthcare Revenue Cycle: Maximizing Efficiency, Minimizing Risks

Navigating AI in Healthcare Revenue Cycle: Maximizing Efficiency, Minimizing Risks

Michelle Wieczorek explores challenges, strategies, and best practices to AI implementation and ongoing monitoring in the middle revenue cycle through real-world use cases. She addresses critical issues such as the validation of AI algorithms, the importance of human validation in machine learning, and the delineation of responsibilities between buyers and vendors.

May 21, 2024
Leveraging the CERT: A New Coding and Billing Risk Assessment Plan

Leveraging the CERT: A New Coding and Billing Risk Assessment Plan

Frank Cohen shows you how to leverage the Comprehensive Error Rate Testing Program (CERT) to create your own internal coding and billing risk assessment plan, including granular identification of risk areas and prioritizing audit tasks and functions resulting in decreased claim submission errors, reduced risk of audit-related damages, and a smoother, more efficient reimbursement process from Medicare.

April 9, 2024
2024 Observation Services Billing: How to Get It Right

2024 Observation Services Billing: How to Get It Right

Dr. Ronald Hirsch presents an essential “A to Z” review of Observation, including proper use for Medicare, Medicare Advantage, and commercial payers. He addresses the correct use of Observation in medical patients and surgical patients, and how to deal with the billing of unnecessary Observation services, professional fee billing, and more.

March 21, 2024
Top-10 Compliance Risk Areas for Hospitals & Physicians in 2024: Get Ahead of Federal Audit Targets

Top-10 Compliance Risk Areas for Hospitals & Physicians in 2024: Get Ahead of Federal Audit Targets

Explore the top-10 federal audit targets for 2024 in our webcast, “Top-10 Compliance Risk Areas for Hospitals & Physicians in 2024: Get Ahead of Federal Audit Targets,” featuring Certified Compliance Officer Michael G. Calahan, PA, MBA. Gain insights and best practices to proactively address risks, enhance compliance, and ensure financial well-being for your healthcare facility or practice. Join us for a comprehensive guide to successfully navigating the federal audit landscape.

February 22, 2024
2024 SDoH Update: Navigating Coding and Screening Assessment

2024 SDoH Update: Navigating Coding and Screening Assessment

Dive deep into the world of Social Determinants of Health (SDoH) coding with our comprehensive webcast. Explore the latest OPPS codes for 2024, understand SDoH assessments, and discover effective strategies for integrating coding seamlessly into healthcare practices. Gain invaluable insights and practical knowledge to navigate the complexities of SDoH coding confidently. Join us to unlock the potential of coding in promoting holistic patient care.

May 22, 2024
2024 ICD-10-CM/PCS Coding Clinic Update Webcast Series

2024 ICD-10-CM/PCS Coding Clinic Update Webcast Series

HIM coding expert, Kay Piper, RHIA, CDIP, CCS, reviews the guidance and updates coders and CDIs on important information in each of the AHA’s 2024 ICD-10-CM/PCS Quarterly Coding Clinics in easy-to-access on-demand webcasts, available shortly after each official publication.

April 15, 2024

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’  is just $99 for a limited time! Use code WorldHealth24 at checkout.

SPRING INTO SAVINGS! Get 21% OFF during our exclusive two-day sale starting 3/21/2024. Use SPRING24 at checkout to claim this offer. Click here to learn more →