tci Part B Insider - 2004 Issue 4

Physician Notes: LA Dodgers Team Physicians Hit With False-Claims Act Settlement

If you find compliance problems through internal audits, you'd better take action on them if you want to avoid getting tagged by a whistle-blower.   Kerlan-Jobe Orthopedic Clinic - which includes physicians for the Los Angeles Lakers, Dodgers and Kings - learned this the hard way after Trevor Baylor, former information systems director, blew the whistle on eight years of alleged foul play. The suit charges Kerlan-Jobe with defrauding Medicare and other federal health insurance programs of millions, even after internal audits had flagged the overpayments.     Prosecutors announced that the clinic, though not admitting any wrongdoing...

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