Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor
To the Editor: Dr Wynia and colleagues1 found that physicians sometimes manipulate reimbursement
rules to benefit patients, themselves, or both. When reimbursement rules are
bent, the physician always benefits.
Under fee-for-service arrangements, common manipulations include unnecessary
hospitalizations and additional hospital days, higher levels of coding of
services, or alleging nonexistent pathology to justify cosmetic procedures.
Each of these actions increases income for the physician.
O'Neal LW. Should Physicians Manipulate Reimbursement Rules to Benefit Patients?. JAMA. 2000;284(11):1382-1383. doi:10.1001/jama.284.11.1378