tci Medicare Compliance & Reimbursement - 2004 Issue 13

Physicians: What Never To Do If The Feds Come Knocking

Last-minute changes to patient records will only make things worse.There's a high price to pay for careless coding -- but an even higher one for covering it up. Paul Elliott, president and part-owner of Doctor's Care Medical Center, Inc., was convicted March 5 of billing Medicare and Blue Cross of Florida for hundreds of tests that were more comprehensive than the ones actually performed.Through several Doctor's Care clinics in southeast Florida, prosecutors charged Elliott with submitting claims totaling more than $320,000 for MRIs requiring a contrast medium when none was allegedly used, and also for...

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