BC Advantage - 2023 Issue 8

Monthly Spotlight on Fraud, Waste, and Abuse

The following cases highlight fraud, waste, and abuse (FWA) and serve as a reminder to uphold high ethical standards when providing patient care and services. United States Files a Lawsuit Against a Radiologist for Allegedly Performing Unnecessary Peripheral Artery ProceduresIn its complaint, the United States alleged that the interventional radiologist, his practices, and his management entities billed Medicare and the Federal Employees' Health Benefits Program for medically unnecessary invasive peripheral artery procedures in patients' legs between at least January 1, 2016, and December 31, 2019.The complaint also alleges that they were reimbursed at least $6.5 million...

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