21st Century Oncology reaches $35M settelment with DOJ

[Gfunk6]

http://www.journalofclinicalpathway...er-pay-us-347-mln-over-improper-procedure-doj

Sounds like Physics QA which was not reviewed in a timely fashion or billed but not performed.

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[seper]

I think this was discussed before here... some extra test by Varian was being billed.

http://www.journalofclinicalpathway...er-pay-us-347-mln-over-improper-procedure-doj

Sounds like Physics QA which was not reviewed in a timely fashion or billed but not performed.

 

[medgator]

Twice in three months for 21C.

They settled in Dec 2015 for near $20 million for overuse of bladder CA FISH tests by employed urologists who received bonuses based on how many tests they sent to the lab

http://www.wsj.com/articles/cancer-...n-to-settle-medicare-billing-probe-1450408016

 

[radiaterMike]

I believe that they were doing daily IMRT QA to verify dose/mu output and billing for this. Hence the not medically necessary component of billing.


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[Damn_Daniel]

Physicist got $7 million. Not a bad haul. I heard they were doing basically a diode and then another type dose check (might be exactly what you're saying, RM). It was described like if you checked the tire pressure two times with two devices that are basically the same and charged twice for it. Is it any wonder this came from Florida? The last whistleblower lawsuit was from Florida, as well, where that rad onc got a cool mill. Don't get me wrong - I love Disney World, having cocktails at The Delano, and wet t-shirt contests in Panama City as much as the next guy/gal, but Florida is no place to be getting cost effective health care.

 

[scarbrtj]

The physicist who got the $7 million from 21st Century was the chief physicist at MIMA. He was actually named in the suit at that time (was not the whistleblower).

http://www.healthleadersmedia.com/leadership/fl-physicians-pay-12m-settle-false-claims-suit#

 

[thesauce]

Just the latest in a string of such suits. Honestly it's a slap on the wrist for this multi-billion dollar company.