None of these duplications appeared to indicate a problem. Duplicate addresses were found for 13 patients because of relocation (6), town name discrepancies (3), or apartment or post office address discrepancies (4). Duplicate names were encountered in 10 records owing to middle initial or name misspelling. The review sample consisted of 100 consecutive patients, and they were predominantly female (86%). However, the data do show issues that can be identified from these reports. A similar behavior was documented in a 2017 National Public Radio segment in which 2 prior abusers in a recovery program described how they maintained broken teeth in their mouths to get dentists to prescribe opioids.Ī brief review of data obtained from patients in a tertiary-level hospital oral and maxillofacial surgery and orofacial pain practice is by no means representative of the general patient population in oral and maxillofacial surgery or dentistry (DA Keith, BDS, FDSRCS, DMD, written communication, January 2018). Dental practices are particularly susceptible as they are predominantly small with limited communication between practices in adjacent areas. This type of activity has been difficult to detect without the real-time data provided by the PMP. This scam can also involve several members of a group practice especially if they have more than 1 office location and do not have a robust and timely way to communicate repeat appointments, multiple medications, and outside of business hours’ refill requests. The behavior may or may not be factitious. This behavior is typically characterized by multiple pill bottles labeled for the same medication, prescribed by multiple practitioners, with the same opioid prescribed, and frequently filled at multiple pharmacies to avoid detection. The individual states’ PMP elects to classify such cases as “activities of concern” as more detail is often needed before assuming illegal behavior. JADA Supplements and Reprint Collectionsĭoctor shopping implies that the patient is going from 1 physician’s or dentist’s office to another and obtaining multiple prescriptions for opioids or other controlled substances for the same symptom.
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