Freeman et al1 outlined how managed health care organizations have limited physicians' autonomy and imposed preapproval criteria that have utilization restraints. In the past, it was realized that physicians entered occasionally false information in medical records to deceive health insurance carriers to secure health benefits for their patients or to protect their patients' confidentiality and even to secure higher physicians' reimbursements; however, it was always assumed that this was done by a small fraction of practitioners. The authors concluded that many physicians use and approve of subterfuge to meet the health needs of their patients.
Fusaro RM. The Factuality of Health Records. Arch Intern Med. 2000;160(14):2224. doi:
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