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.
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1992
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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.
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1995
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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.
Publication Name: American Medical News
Subject: Health
ISSN: 0001-1843
Year: 1992
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