Set it up so if you make a mistake, you're suspended from being able to issue any denials for a month. Make a second mistake, 2 months. 3 mistakes, 4 months. 4

Set it up so if you make a mistake, you're suspended from being able to issue any denials for a month. Make a second mistake, 2 months. 3 mistakes, 4 months. 4 mistakes, 8 months... In a 40 year career each Doctor Nick would only get 9 mistakes. Maybe a month suspension for a first offense is too harsh; let's say a day instead, that's still only 14 mistakes in a career. Is the money saved from that handful of extra denials going to justify the cost of taking care of those doctors for life?