tci Medicare Compliance & Reimbursement - 2005 Issue 5

Enforcement Watch: The Road To Compliance Is Paved With Good Intentions

 Why federal appeals court allowed office manager some distance from doctor's crimeHow much culpability do members of the billing staff really bear if the feds dig up compliance problems? According to a ruling upheld Jan. 7 by the U.S Court of Appeals from the 5th Circuit, office personnel who follow a doctor's unlawful billing orders should be allowed special consideration - especially if the intent to commit a fraud is unclear. Example: Clinic operator turned fugitive Dr. Dippakumar Patel was tried in absentia last year and convicted of a multi million-dollar Medicare fraud scheme. His office...

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