tci Part B Insider - 2015 Issue 30

Physician Notes: Unsupervised PA Billing Lands Doctor in Prison

Plus: You can keep using DSM-IV and V under ICD-10. Asking your physician’s assistants to take over your patient care can be helpful if you’re on-site and supervising—but if you’re nowhere to be found, your NPPs can’t bill under your provider number. A New York physician learned that lesson the hard way last week after being sentenced to prison for two years for his part in a $13 million health care fraud scheme, the Department of Justice announced on Aug. 14. For three years, the doctor was the medical director of a clinic where...

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