tci Medicare Compliance & Reimbursement - 2016 Issue 8

Industry Note: Physician Under Fire for Outsourcing Surgical Monitoring Services

A Georgia physician is in hot water with the feds after agreeing to perform intraoperative monitoring to check patients’ nerve and spinal cord activity during surgery — and then passing the responsibility off to a medical assistant. The doctor pleaded guilty to health care fraud on March 25 after the government discovered that he had collected over $1.1 million for the services, despite not having personally performed them. In one instance, the doctor billed for monitoring services even though he was on an international flight when the monitoring took place, the Department of Justice (DOJ) said in a...

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