Medicaid Audit: Crisis in Confidentiality and the Patient-Psychiatrist Relationship

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Abstract
The authors describe their experience with a routine Medicaid audit and discuss the damage such a procedure can do to the trust between psychiatrists and patients, confidentiality, doctors’ reputations, transference reactions, and patients’ own emotional states. The authors point out that these crucial issues have broad implications because of the possibility of passage of national health insurance legislation.