tci Part B Insider - 2015 Issue 39

Physician Notes: Doctor in Hot Water for Billing Massage Therapist's Services As PT

Some people might consider time with a massage therapist their own personal form of therapy, but Medicare doesn’t consider the two synonymous. An Arkansas physician learned that lesson the hard way after he admitted to $2.2 million in fraudulent billing last week over this very issue. The physician referred patients to a massage therapist for massage services, but the doctor billed the visits under his own number as if they were physical therapy. In fact, some of the claims were submitted when the doctor was not even on the continent. “Bills to health insurers ultimately surpassed...

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