tci Part B Insider - 2014 Issue 32

Physician Notes: Unnecessary Services Lead to Criminal Charges for Cardiologist

Plus: Check out new interventional cardiology specialty code. An Ohio cardiologist is under fire for allegedly performing catheterizations, tests, stent insertions and other procedures that weren’t medically necessary to the tune of $7.2 million. The 55-year-old doctor was indicted on 16 counts of federal charges, including health care fraud and making false statements stemming from the charges. “The charges in this case are deeply troubling,” said U.S. Attorney Steven M. Dettelbach in an Aug. 21 statement. “Inflating Medicare billings alone would be bad enough. Falsifying cardiac care records, making an unnecessary referral for...

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