BC Advantage - 2023 Issue 3

Spotlight on Fraud, Waste, and Abuse - March 2023

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.   ATexas Psychiatrist Settles Claims for Unnecessary Brain Stimulation Treatments   A doctor and companies he owned and operated have agreed to pay the United States $3 million to resolve claims they improperly billed to Medicare.   Allegedly, the psychiatrist and his companies knowingly and willfully submitted, or caused the submission of, false claims to Medicare.   The allegations included intentionally pressuring patients to accept unnecessary medical treatments and billing for those treatments, falsifying...

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