tci Part B Insider - 2015 Issue 29

Physician Notes: Family Physician Could Face 10 Years in Prison Over Fabricated Charts

If you’re planning to bill Medicare for visits with patients, ensure that you actually perform the visit first. That’s the word from a recent Department of Justice (DOJ) case involving a New Jersey family physician. The doctor plead guilty this week to billing Medicare, Medicaid and other payers for face-to-face office visits that didn’t actually take place. He “admitted that he also altered patients’ medical charts by inserting fabricated blood pressure readings, other vitals and clinical notes on patients’ charts to make it appear as if they had visited his office on the billed dates...

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