Justice stance: no such thing as 'small' fraud

Article Abstract:

The Justice Dept and the Federal Bureau of Investigation (FBI) plan to pursue health fraud cases no matter what their size. At an Oct 1992 National Lawyers Assn meeting, officials cited examples of small frauds they consider clearly illegal, such as billing 100% of a procedure to Medicare and waiving the copayment for the patient. They also stated that physician confusion about Medicare regulations would not excuse violation of the laws. The FBI may use wiretaps, searches of medical records and seizure of assets in investigating fraud.

Legal counsel and prosecution, United States. Department of Justice, Medical professions, Ethical aspects, Fraud

---

Law thwart physician networks

Article Abstract:

The American Medical Assn seeks to overturn laws that would prevent physician-sponsored coordinated care organizations (PCCO) from having a larger presence in health care distribution and financing. These PCCO organizations are less costly than other managed care options, but they maintain good quality medical care and patient choice. Legislative and regulatory obstacles to PCCO expansion include antitrust laws and state prohibitions against direct contracting.

Health Maintenance Organizations, HMO Medical Centers, Physicians & Surgeons, Offices of Physicians (except Mental Health Specialists), Osteopathic Physicians, Management, Managed care plans (Medical care)

---

The fraud police; AMA joins FBI effort to identify and thwart health care fraud

Article Abstract:

The FBI and the American Medical Association (AMA) are working together to stop health care fraud. The AMA is training FBI agents to investigate fraud without alienating ethical doctors. 'Operation Goldpill' has made over 100 arrests and seized $6 million in drugs and money. Forty-three percent of the cases investigated involve services not rendered and 33% involve fraudulent diagnoses.

Similar abstracts:

• Abstracts: Fraud-busting efforts get house seal of approval. Ethics panel spells out physician role in executions. Canadians vow 'zero tolerance' for sex abuse by doctors
• Abstracts: A prospective study of exercise and incidence of diabetes among US male physicians. Sugar-sweetened beverages, weight gain, and incidence of type 2 diabetes in young and middle-aged women
• Abstracts: Armed resistance. Training for two: how to stay fit while body-building. Triceps trap
• Abstracts: Training with Arnold. Ground rules for training partners. 10 steps to speed recuperation
• Abstracts: Boning up on calcium: a high-calcium diet provides inner strength. Getting a little rusty? Antioxidant nutrients are like an oil can to the Tin Man

This website is not affiliated with document authors or copyright owners. This page is provided for informational purposes only. Unintentional errors are possible.