tci Part B Insider - 2003 Issue 33

Fraud & Abuse: Physicians Pay Millions to Settle Allegations

Fraud-busters saved Medicare and other federal healthcare programs $23 billion in 2003, over $1 billion more than the 2002 total and 117 times the amount spent, the HHS Office of Inspector General reports in its latest semiannual report. Settlements included $1.6 million refunded by City of Hope Medical Center and City of Hope Medical Group, which paid up to settle claims that they didn't document physician supervision of care adequately. Also, a Wisconsin pathologist lost his state license after dispensing drugs via the Internet without first examining patients in person. An internal medicine physician in Texas...

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