[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.211.82.105. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
Letters
September 20, 2000

Should Physicians Manipulate Reimbursement Rules to Benefit Patients?

Author Affiliations
 

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorPhil B.FontanarosaMD, Executive Deputy EditorIndividualAuthor

JAMA. 2000;284(11):1382-1383. doi:10.1001/jama.284.11.1378

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.

First Page Preview View Large
First page PDF preview
First page PDF preview
×