Justinian Lane

Let’s tackle fraudulent billing first

If we’re looking for ways to save money in the medical system, let’s tackle fraudulent billing practices like this first:

Dr. Roland Borrasi chuckled as he told three doctors how he used kickbacks and cash bribes to shuttle unsuspecting nursing home residents into Chicago-area hospitals and psychiatric wards.

"Basically, I have a commodity; my commodity is nursing home patients," Borrasi explained.

He didn't know it at the time, but federal agents were secretly recording that meeting.
. . . .

While taxpayers paid millions of dollars in fraudulent Medicaid and Medicare bills, one Alzheimer's patient was given inappropriate brain radiation treatments, a Borrasi associate told federal agents. A second patient, a disoriented elderly woman, was sent to an acute psychiatric ward after she refused to eat in her nursing home dining hall, another medical professional told federal agents.

Source: Nursing homes: Vulnerable patients, taxpayer money caught in web of corruption -

It seems to me that we should weed out this sort of behavior before we start “reforming” the justice system to make it harder for injured citizens to sue.

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Posted at 7:44 PM, Apr 18, 2010 in Civil Justice | Medical Errors
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ahh the frustration.... Again, more generalizations of the whole when speaking specifically about the one. These behaviors are evident in all professions but to say that we should fix the medical before the justice... hey why can't we tackle these all at the same time?

How bout we deal with fraudulent billing with both lawyers and doctors at the same time?

Posted by: Adam | April 19, 2010 1:05 AM

Lawyers aren't ordering tests that are never performed, or shuttling patients from one facility to another, or performing unnecessary surgeries. Unless they also happen to have an M.D. after their J.D., lawyers aren't able to directly order medical tests or procedures, and thus cannot commit Medicare/Medicaid/insurance fraud.

While tackling fraudulent lawyer billing is something we should do, we should not therefore expect it to have any meaningful effect on overall medical spending. Thus, if we're looking for ways to reduce the amount of total health care expenditures, we're better off going after medical billing fraud than making changes to the tort system.

Posted by: Justinian Lane | April 19, 2010 8:25 AM

fraudulent billing practices must have to be stopped,preventive measure should come into force to stop this.

Posted by: Liability Insurance | August 27, 2010 7:19 AM