What should you do upon discovering unreported discrepancies about enrollees in a monthly report?

Reporting unreported discrepancies about enrollees through your compliance department's anonymous tip line is essential to uphold ethical standards and regulatory compliance. This action promotes transparency and accountability within the organization. By using the anonymous tip line, you ensure that the discrepancies are addressed appropriately while also protecting yourself from potential backlash. It's critical to follow established protocols for reporting concerns related to fraud, waste, and abuse, as this contributes to the organization's integrity and the overall mission of delivering quality care and services.

Options such as ignoring the issue or discussing it with coworkers undermine the seriousness of the findings and could perpetuate the problem rather than resolve it. Such actions fail to align with the obligations to report any suspicion of wrongdoing, risking compliance violations and potential harm to enrollees. Documenting the discrepancies and disregarding them also does not fulfill the responsibility of addressing issues that could impact beneficiary care and services. Thus, reporting through the compliance department's channels is the most responsible and ethical course of action.