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The real victim in imaging center fraud

by Gus Iversen, Editor in Chief | May 13, 2015
MRI Risk Management

2. Conduct frequent Corporate Compliance Audits: Record the findings and compare them against the Code of Conduct every medical corporate entity should have and live by. Audit for compliance, proper billing, anti-kickback, price fixing, employee practices, etc., etc., etc. The idea is to audit to determine if the entity is conducting an ethical practice.

3. Use an outside auditor to review contracts, billing, employee practices, price fixing, anti-kickback, etc. on an annual basis. An outside auditor will find aspects of practices that entities may not recognize because they are too close to the issue, or simply do not have the skill to conduct unbiased audits. (Outside auditors do not accept excuses).

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4. Report unscrupulous providers. OIG will investigate, and if the practice alerts authorities, they will be a witness (and a victim) and not a defendant!

When radiologists — or any other kind of specialist — are compensated for anything other than the diagnostic value of their services, health reform's ideals take a step away from realization and the balance is often deducted in patient confidence.

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