Going Rate for Bogus Pain Referrals?
Evidently it’s about $240 per patient.
I’m linking to a press release from the New Jersey Office of Insurance Fraud Prosecutor regarding a physician participating in a fraudulent conspiracy and money laundering scheme.
We have seen this story before. Evidently, five chiropractors received almost $200,000 for 790 patient referrals to a pain management clinic. As if the kickbacks weren’t bad enough, the pain doctor is then accused of submitting over $4.4 million in illegal bills for services to insurance companies.
The answer is the same if you want to do better:
- Who is building your provider network?
- Are you aggressively limiting your networks to the best physicians?
- Is evidence-based utilization review part of your plan?
- Is professional credentialing just an afterthought?
Call us. We can do better.