tci Medicare Compliance & Reimbursement - 2023 Issue Q2

Industry Notes: Medically Unnecessary Surgeries Bring Major Penalties

Not only is performing medically inappropriate surgery on your patients morally wrong, it’s Medicare fraud when you bill the procedures to the government. Scoop: Spokane, Washington-based former neurosurgeon Jason A. Dreyer agreed to pay the government more than $1.17 million to resolve Medicare, Medicaid, and other fraud charges for allegedly performing medically unnecessary neurosurgery procedures on patients from 2013 to 2018. This is the second financial penalty Dreyer has garnered as Providence Health & Services Washington (Providence), the hospital he worked at, already paid the feds more than $22 million in April 2022 to resolve the alleged...

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