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Article
April 15, 1992

Physician Fraud and Medicaid-Reply

Author Affiliations

University of California, Irvine

JAMA. 1992;267(15):2037. doi:10.1001/jama.1992.03480150043027
Abstract

In Reply.  —Dr Rios makes several excellent points in her letter regarding our article that appeared in JAMA. We strongly agree with her contention that international medical graduates and minority groups are overrepresented among sanctioned physicians because they are overrepresented "in the care of the disadvantaged and the needy of our society." Enforcement agents, were they to investigate physicians accepting private insurance, Medicare, or direct payment, might well find that these physicians offend as often as do minority physicians practicing in poor areas.Psychiatrists are overrepresented among sanctioned physicians because it is comparatively easy for investigators to build criminal cases against them. Psychiatrists who bill for more than 24 hours of services per day are easy targets for enforcement. Similarly, those who bill for individual therapy that was, in fact, provided in a group setting present no difficulty for prosecutors.Our article did not wish to present international medical graduates

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