Who is ultimately responsible in a case of insurance fraud committed by an office manager?

In the context of insurance fraud, the practitioner holds ultimate responsibility, especially in a clinical setting. This responsibility stems from the fact that practitioners are legally and ethically accountable for the actions taken in their practice, including those performed by their staff. Even if the office manager is the one committing the fraudulent acts, the practitioner must ensure proper oversight and compliance with legal and ethical standards. Practitioners are expected to implement checks and balances within their office to prevent fraudulent activities, thereby assuming responsibility for the overall functioning of their practice including the actions of their employees.

The notion that a trial might have to determine culpability emphasizes the legal aspects but doesn't absolve the practitioner of their responsibilities in maintaining ethical practices within their office. Therefore, while the office manager may be directly involved in the fraudulent activities, the practitioner’s duty to oversee their practice makes them ultimately responsible for any acts of fraud that occur under their supervision.