How would you refuse a payment-linked imaging recommendation while protecting the patient?

Instruction: Give your response to the manager, state what goes into the clinical report, and identify how you would address the conflict without making unsupported accusations or legal claims.

Context: In this fictional practice, a manager offers a personal bonus for adding follow-up scans to referrals from a partner clinic. For the patient currently being reported, you have reviewed the clinical question and relevant guidance and find no imaging indication for the proposed follow-up. The manager says the arrangement is normal and asks you to sign before discussing it further.

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I would say, “I cannot add a scan recommendation that I do not consider clinically justified, and I will not accept payment for doing so.”...

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