According to the lawsuit, school districts across the nation have been improperly collecting federal education subsidies meant to fund things like physical therapy, occupational . Plaintiff did not make a claim that he required any ongoing medical care and treatment. Were a Boston-Based team focused on leveraging technology to make insurance simple and affordable for professionals and small businesses. The NP told him to keep giving the child ginger ale and ensure that he was urinating every once in a while. When the pulmonologist tried to intubate her, she went into cardiac arrest. A 10-year study, from 2001 to 2011, revealed that $44 million in malpractice payments had been made during that time. Click here for full disclosures. We insure a range of professions, including real estate brokers and technology consultants. At 8:30 a.m., the boy wasnt breathing, and the father called 911 and started administering CPR. You can expect weeks or months of therapy, and to see a therapist anywhere from 3-5 times a week. This case is the 67 th medical malpractice case filed in Maryland Health Claims Arbitration in Maryland in 2017 and was filed on February 7, 2017. At FindLaw.com, we pride ourselves on being the number one source of free legal information and resources on the web. 23 Chronic Inflammatory Demyelinating Polyneuropathy. News. Physical pain and suffering you've experienced. This fraud can also extend to other types of therapy services for Medicare beneficiaries, such as occupational or speech therapy. In addition to knee injuries, the plaintiff suffered soft-tissue back and neck injuries. She was then transferred to a rehab facility, where she was to receive therapy before going home. The suit says the defendants were negligent in failing to appreciate the complications posed by osteopenia in physical therapy, proceeding with a course of treatment involving spinal compression when it was unsafe to do so, applying physical pressure to Walker's spine, when it was likely to cause injury, and other negligent acts or omissions. Log in to your account to update your information or manage your policy. In this chapter of our Medical Malpractice Insurance Guide, we'll share some real-life examples of malpractice cases that involved a variety of different healthcare professionals. She receives services on a continual basis for three months and then has a right total ankle arthroplasty done at Georgetown University Hospital. See, Levin Aff., Ex. Thanks to our partners in this case, the defendants are in custody and facing serious federal charges., HHS Special Agent in Charge Scott Lampert said: These allegations describe a greed-fueled scheme that undermined our health care system and the people it serves. Whether you have questions about a claim, need proof of coverage, or just want to update your payment information, were here to help you however we can. John Owasso Physical Therapy, 8300 N Owasso Expy, Owasso, OK 74055, USA This is a physical therapy medical malpractice lawsuit filed by a woman in Prince George's County. 21 Hydrotherapy: Warm Whirlpool. It took roughly 17 minutes to transfer the patient to the ICU, and in that time her condition worsened. Learn the Outcome, A Registered Dietician Is Sued After an Allergic Reaction. 14 Chronic Obstructive Pulmonary Disease. D. Censki alleges that her physical therapist at Madison Avenue-Tzvi Barak, P.T., Ph.D.-departed from acceptable standards of physical therapy care by, among other things, (1) ordering her to begin weight bearing exercises too soon after surgery, (2) placing too much weight on the weight bearing machine, (3) failing to properly supervise her physical therapy regimen, and (4) based on his assistant erroneously informing her that the knee-pain was related to scar tissue. Relying on case law holding that a suit against a physical therapist can be deemed an "action for medical malpractice" for purposes of the 2 1/212-year statute of limitations contained in CPLR 214-a, plaintiff maintains that this is an "action for medical malpractice" pursuant to CPLR 3101 (d) and neither the identity of her medical expert nor Audrey Strauss, the United States Attorney for the Southern District of New York, and Scott Lampert, Special Agent in Charge of the New York Office of the U.S. Department of Health and Human Services, Office of Inspector General (HHS-OIG), announced the unsealing today of an indictment charging acupuncturists JUNYI LIU, a/k/a Jenny, and HONGXING WANG, as well as physical therapists GLEEN ANCIRO, NOEMI ALGODON, MOHAMED ELMANDOUH, GERARD ESTRELLA, RAMON GARCIA III, and HENLER DATU TAHIL, and cashier ZIHAO CHEN with operating an over $20 million health care fraud scheme at fraudulent medical offices in Manhattan, Brooklyn, and Queens. EST (except holidays). Alternatively, our qualified essay writers can deliver you an original Physical Therapy Case Study model written from scratch according to your individual instructions. All Rights Reserved. [1] In a typical case, Medicare terminated coverage of skilled nursing care and physical therapy for an 81-year-old woman because she had "exhibited a decline in functional status." Boston, Massachusetts--(Newsfile Corp. - August 17, 2021) - Block & Leviton announces that a class action lawsuit has been filed against ATI Physical Therapy Inc. (NYSE: ATIP) and certain of its . Monday to Friday: 8AM-8PM EST We work with like-minded companies to provide our customers with special offers and discounts that can help them thrive both personally and professionally. Will be used in accordance with our terms of service & privacy policy. Savings are based on industry pricing averages. Last updated on The contact form sends information by non-encrypted email, which is not secure. Utilize appropriate safety devices. The rehab facilitys electronic medical records system didnt allow mg (milligrams) to be entered. TermsPrivacyDisclaimerCookiesDo Not Sell My Information, Begin typing to search, use arrow keys to navigate, use enter to select, Stay up-to-date with FindLaw's newsletter for legal professionals. This case study documents the subjective and objective findings from the patient's initial physiotherapy assessment, and additional findings 6-weeks after beginning physiotherapy treatment. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply. Thus, the rationale for exempting the identity of the medical expert and deviating from the general rule of broad disclosure is wholly inapplicable. When a Lawsuit Against a Physical Therapist is Not a Medical Malpractice Case As mentioned earlier, medical malpractice rules apply when the case is based on an injury caused by a health care provider who was in the course of providing health care. I refer all of my serious injury cases in Maryland to Miller & Zois because they turn over every last stone to maximize the value of their case. See, Rivera v. City of New York, 150 Misc.2d 566, 567, 569 N.Y.S.2d 870 (Sup.Ct. . The patients family brought a suit against the admitting nurse, pharmacist, and rehab facility resident, and the case was eventually settled for more than $1 million. Copyright 2023, Thomson Reuters. This medical malpractice case study involves a physical therapy assistant and a supervising physical therapist/physical therapy business owner of a private outpatient practice. We leverage the financial strength of Berkshire Hathaway Specialty Insurance Company to offer products that are tailored to meet the unique needs of the small businesses we cover. After listening, the NP acknowledged the symptoms and told the father that it sounded like the illness was caused by a virus. Company, NAIC # 22276. This NP Refused to Settle Her Case. LIU and certain of the Partners also agreed to give kickbacks, including cash and expensive wine, to employees of Insurance Providers to enable the scheme to continue. (212) 637-2600, Human Trafficking & Child Sexual Exploitation, Department of Justice Harassment Prevention Resource, Download U.S. v. Junyi Liu indictment (21-cr-592). Call Miller & Zois today at (800) 553-8082 or get a free online case review. Stay up-to-date with how the law affects your life. It is further ordered that the cross-motion of defendant Dr. Victor Sasson is denied as moot. Coding Win: New Caregiver Education Codes Available to PTs in 2024. The arbitrator awarded me $405,000. Because plaintiff provided authorizations for the records of Dr. Brown and Dr. Kelly, their testimony will be permitted. Among other things, the applications and/or certifications represented that LIU was unemployed when, in fact, she continued to operate the Offices for all or nearly all of this period, and that LIUs Family Member was unable to work because of COVID-19 during a five-month period when the Family Member was in China. After surgery performed by Dr. Sasson to repair a torn ACL to her left knee, Censki was referred to Madison Avenue for post-surgery physical therapy. She is represented by attorney Erron H. Fisher of Fisher & Lamonica in Chicago. Large-scale insurance frauds of the type alleged here impose hidden but very real costs on the public as well as insurers. However, the recording of the call indicated that the offer was not explicitly made. Provide physical therapy staff with coaching, mentoring, and clinical and system education as needed to ensure that patient safety requirements are satisfied. My lawyer then referred me to Miller & Zois. Document your patient care assessments, observations, communications and actions in an objective, timely, accurate, complete, appropriate and legible manner. Case Description: The patient was a John Selinger (New York personal injury lawyer). In the Quality Therapy & Consultation case, the physical therapist-owner agreed to be excluded from all participation as a provider in Medicare, Medicaid and all federal healthcare programs for a period of five years. We provide medical malpractice insurance for a range of healthcare professionals, including nurses and APRNs, fitness & wellness instructors, and mental health professionals. CENSKI v. MADISON AVENUE PHYSICAL THERAPY. To learn more, call 212-736-5300 or contact the lawyers at Block OToole & Murphy online for a FREE consultation. If additional information related to the patients care emerges after becoming aware of pending legal action, discuss the need for additional documentation with your manager, the organizations risk manager and/or legal counsel. As in all other types of actions, the proponent of a summary judgment motion in a medical malpractice case has the burden of making a prima facie showing of entitlement to judgment as a matter of law. The suit says the defendants were negligent in failing to appreciate the complications posed by osteopenia in physical therapy, proceeding with a course of treatment involving spinal compression when it was unsafe to do so, applying physical pressure to Walker's spine, when it was likely to cause injury, and other negligent acts or omissions. She told him to come into the office to be seen at 8 a.m. the next morning and to call back if any new developments happened overnight. In the affidavit, the expert states that based upon review of Censki's medical records and other documents exchanged during discovery, Barak deviated from good and acceptable physical therapy practice by setting the weight bearing resistence of the leg press at close to 50% of her body weight the first time he directed her to use the leg press. The patient was later diagnosed with reflex sympathetic dystrophy (RSD), which is a condition involving severe, chronic pain. Walker seeks a judgment of more than $50,000, plus court costs. Want Berxi articles delivered straight to your inbox? 3 2 At trial, Joyce offered testimony from Dr. Irving R. Ratner, a Board Certified orthopedic surgeon, that the . Case description: The patients were 18-, 20-, and 34-year-old women treated in a hospital inpatient rehabilitation setting. Ideally, you should be able to find a piece that meets your criteria and use it as a template to develop your own Case Study. (Madison Avenue) moves to dismiss the action as against it, on the grounds that, as a matter of law, plaintiff Karen Censki (Censki) can not establish that Madison Avenue departed from good and acceptable physical therapy procedure. Click here for information on the investigation into the Mount Vernon Police Department. My primary role is a physical therapy clinical reviewer. We thought that was not fair so Miller & Zois took my case to arbitration. CRNA Sued After Patient Falls and Dies Post-Surgery Accordingly, it is ordered that defendant Madison Avenue's motion for summary judgment is denied. 1991) (exception was addressed to perceived problem of exertion of pressure by some physicians to discourage colleagues from giving expert testimony against them); McGoldrick v. Young, 135 Misc.2d 200, 201, 514 N.Y.S.2d 872 (Sup.Ct. The autopsy determined the child died of diabetic ketoacidosis. BACKGROUND This report presents the case of a 58-year-old man with right hemiplegia who improved his gait and lower limb motor function following virtual reality (VR)-based physical therapy. During the course of his physical therapy session, the physical therapist instructed our client to ride a stationary bike for ten minutes and then to dismount the bike and proceed to the next exercise. Our customers are at the heart of everything we do. Plaintiff did not make any claim for past or future lost earnings. Physical Therapy | Oxford Academic Latest Issue Volume 103 Issue 2 February 2023 Impact Factor 3.679 5 year Impact Factor 4.618 Rehabilitation 15 out of 68 Editor-in-Chief Alan M. Jette, PT, PhD New from PTJ The journal is pleased to announce: PTJ's Impact Factor has increased to 3.679 (Clarivate, 2022). Once the movant has made this showing, the burden shifts to the opponent of summary judgment to show, by competent evidence, that there is a material issue of fact as to whether the physician was negligent. This chapter will review the case of a 40-year-old female who presented to a physical therapy clinic with complaints of pain, stiffness and difficulty washing her hair and dressing. Download a Certificate of Insurance (COI) to provide to your employer. Albany Co.1987) (the Legislature was cognizant of the fact that there had been efforts by some physicians to directly or indirectly discourage their fellow practitioners from giving expert testimony); Siegel, Practice Commentaries, McKinney's Book 7B, CPLR 3101:29A, at 48. Protected by Google ReCAPTCHA. For example, the PT leaves items like weights and mats on the floor and a patient trips and falls.. Explore a library of articles filterable by topic. As a result of the July 11, 2005 accident at Jacobi Medical Center, Plaintiff suffered a fracture/dislocation of the prior C4-C5 fusion. He is taking ginger ale.. Her oxygen levels were low, despite the non-rebreather mask, and her heart rate was 145 beats per minute. Want Berxi articles delivered straight to your inbox? Assistant U.S. Attorney Timothy V. Capozzi is in charge of the prosecution. The Centers for Medicare & Medicaid Services (CMS) reminds the Medicare community of the Jimmo Settlement Agreement (January 2013), which clarified that the Medicare program covers skilled nursing care and skilled therapy services under Medicare's skilled nursing facility, home health, and outpatient therapy benefits when a beneficiary needs . The purpose of this case report is to describe the barriers that influence the physical therapy management for an individual following a coronary artery bypass graft and atrial valve replacement. Sign up for our monthly newsletter below! Despite winning the case, claims such as these incur significant defense costs to investigate and prepare for trial. The cashiers included CHEN, who on numerous occasions distributed tens of thousands of dollars in cash kickbacks to the Paid Patients. The medical team eventually stabilized her, and her oxygenation improved, but the event resulted in permanent brain damage. (except holidays), 855.453.9675 ext. In opposition to the summary judgment motion, Censki submits the affidavit of an unidentified expert. In the first enforcement action, physical therapist Hatem Behiry was found guilty of participating in a $30 million scheme to defraud Medicare and the New York State Medicaid Program. The whole conversation was recorded. An 86-year-old with a history of heart issues was treated at an emergency room for congestive heart failure. The patient's family brought a suit against the admitting nurse, pharmacist, and rehab facility resident, and the case was eventually settled for more than $1 million. Physical Therapy Scholarly Projects Department of Physical Therapy 2016 Developmental Dysplasia of the Hip: A Case Study Joseph D. Taylor University of North Dakota Follow this and additional works at:https://commons.und.edu/pt-grad Part of thePhysical Therapy Commons Each guide is broken up into sub-sections for you to tackle on your own time. Encourage compliance with relevant legal, ethical and professional standards for clinical practice. Barak concludes that, because Censki cannot show that he departed from the Beth Israel protocol, he can not be held liable for physical therapy malpractice as a matter of law. Finally, CPLR 3101(d)(1) is not applicable to disclosure with respect to treating physicians. Never alter a record for any reason or add anything to a healthcare record after the fact unless it is necessary for the patients care. See, Levin Aff., Ex. See, Dellert v. Kramer, 280 A.D.2d 438, 721 N.Y.S.2d 342 (1st Dep't 2001); Morrison v. Altman, 278 A.D.2d 135, 718 N.Y.S.2d 319 (1st Dep't 2000); Avacato v. Mount Sinai Medical Center, 277 A.D.2d 32, 715 N.Y.S.2d 146 (1st Dep't 2000). Submitting a contact form, sending a text message, making a phone call, or leaving a voicemail does not create an attorney-client relationship. 3 Submit a notice of an incident or claim in just minutes. This case study comes from a May 28, 2010 filing in the Court of Appeals of Indiana. 2016-2023 Boucher v. Williams, 173 Misc.2d 265, 267, 660 N.Y.S.2d 817 (Sup.Ct. The childs father called the pediatricians office at 8 p.m. on a Saturday, and an on-call nurse practitioner called him back. See, Barak Aff., 10. The amount paid in malpractice lawsuits against physical therapists covered by the HPSO Program throughout the five-year study period is $46 million. What to Know. In some instances, these Paid Patients visited the Offices, signed in, and received unnecessary physical therapy and acupuncture services. Click here to read our full disclaimer. The patient was seen by a resident who wanted to present the case to their senior faculty mentors. My case settled for $1.31 million. Lead defendants are practice's co-founders, Aaron . Protect the expertise you provide with professional liability coverage. She is an actively licensed attorney and registered nurse with a masters degree in Human Development, Organization & Management. 10 Electrical Stimulation: Control of Swelling. Anne Arundel County including Glen Burnie; Baltimore County including Cockeysville, Glyndon, Hunt Valley, Jacksonville, Lutherville-Timonium, Owings Mills, Parkville, Reisterstown, and Towson; Carroll County including Westminster; Frederick County including Frederick; Harford County including Abingdon, Bel Air, Belcamp, and Forest Hill; Montgomery County including Germantown and Rockville; Howard County including Ellicott City and Columbia, Washington, D.C. and Washington County including Hagerstown. This case study was published on June 17, 2011 by CRICO. (except holidays), 855.453.9675 ext. She no longer recognized loved ones and was unable to perform routine daily tasks. Physical Therapy Lawsuit Unfortunately, there are many persons who do not know what the statue of limitations in a lawsuit is for. An authorized treating doctor must order the physical therapy. A key component of most personal injury claims is the injured person's "medical special damages," which just means the amount the claimant spent on medical bills while having their injuries diagnosed and treated. This case study was published in the Aug. 19, 2003 edition of the Annals of Internal Medicine. Her home medication list stated 0.0625 but didnt list the unit of measurement. As a result, the lawsuit states, the plaintiff suffered a compression fracture or a preexisting asymptomatic fracture became symptomatic, requiring surgery and future medical expenses. Despite this, the condition of the woman's right ankle further deteriorates, and she has a permanent disability. The Newsletter Bringing the Legal System to Light. If information must be added to the record, accurately label the late entry. Here, the Court finds that Censki's expert's affidavit is sufficient to raise a material issue of fact as to whether Barak deviated from good and acceptable physical therapy practice by setting the leg press at close to 50% of Censki's body weight the first time that she used the leg press, and by failing to personally supervise her use of the leg press at her visits to Madison Avenue. Malpractice Case Involving a Physical Therapist This case study comes from a May 28, 2010 filing in the Court of Appeals of Indiana. Motion nos. Want to see more profession-specific articles? This article (subject to change without notice) is for informational purposes only, and does not constitute professional advice. It is commonly misunderstood that someone must wait a certain period of time before attending physiotherapy, however, keep in mind that physiotherapists can assess injuries right from the moment of impact; just like when an athlete becomes injured. On July 11, 2005, our client, now 54 years old, presented to Jacobi Medical Centers outpatient physical therapy department, for outpatient physical therapy as a result of a recent right ankle fracture. Notice: JavaScript is required for this content..nf-form-content .nf-field-element .ninja-forms-field:not(select){background-color:#f9f9f9;color:#f9f9f9}.nf-form-content .nf-field-container.button-container .nf-field-element .ninja-forms-field{background-color:#f9f9f9;color:#f9f9f9}#nf-form-2-cont .nf-form-title h3{color:#666;font-size:16pt}#nf-form-2-cont .nf-row{font-size:16pt}#nf-form-2-cont .nf-row:nth-child(odd){font-size:16pt}#nf-form-2-cont .nf-response-msg{font-size:16pt}.nf-form-content .nf-field-container #nf-field-28-wrap .nf-field-element .ninja-forms-field{height:140px}.nf-form-content .nf-field-container #nf-field-30-wrap .nf-field-label label{color:#fff;font-size:16px}.nf-form-content .nf-field-container #nf-field-30-wrap .nf-field-element .ninja-forms-field{color:#fff;font-size:16px}.nf-form-content .nf-field-container #nf-field-31-wrap{text-align:right}.nf-form-content .nf-field-container #nf-field-31-wrap .nf-field-element .ninja-forms-field{background-color:#f49104;border-width:1px;border-style:solid;border-color:#fff;color:#fff;font-size:20px;margin:0 auto;font-weight:700;cursor:pointer;height:54px;box-shadow:0 3px 3px 0 rgba(0,0,0,.3);border-radius:25px;max-width:350px}.nf-form-content .nf-field-container #nf-field-31-wrap .nf-field-element .ninja-forms-field:hover{background-color:#34ccfd;color:#fff}, Read Trial By Jury Latest Issue: #6 Previous Issues: #1 |#2 |#3|#4|#5. 7031 Koll Center Pkwy, Pleasanton, CA 94566. This is untrue. Staying current with the latest industry trends can be tricky. I really don't have a lot of experience with awake intubation, and I knew that a pulmonologist was already involved in the case, so it was a really easy decision from my standpoint to get the patient transferred to the ICU for intubation.. Censki testified at her deposition that, while she was doing weight bearing exercises on a leg press, she heard her knee pop and it began to hurt. The defendants argued that our client failed to follow the specific instructions given by the physical therapist and, as a result, he was solely responsible for the happening of the accident. Youve got questions, and weve got answers. 27 Burn Injury to Dorsal Hand-Adult Case. We recommend, Overview of the Medical Malpractice Statute of Limitations. Submit a notice of an incident or claim in just minutes. JUNYI LIU, 67, of Great Neck, New York, GLEEN ANCIRO, 50, of Floral Park, New York, NOEMI ALGODON, 49, of Mineola, New York, MOHAMED ELMANDOUH, 48, of Staten Island, New York, GERARD ESTRELLA, 39, of West Hempstead, New York, RAMON GARCIA III, 39, of Merrick, New York, HENLER DATU TAHIL, 38, of East Meadow, New York, HONGXING WANG, 61, of Brooklyn, and ZIHAO CHEN, 20, of Queens, are each charged with: (1) conspiring to commit health care fraud, which carries a maximum sentence of 20 years in prison; (2) conspiring to violate the Anti-Kickback Statute, which has a maximum penalty of five years in prison; and (3) conspiring to commit money laundering, which carries a maximum sentence of 20 years in prison. All policies are underwritten by Berkshire Hathaway Specialty Insurance Wondering what PTs get sued for most? Berxi offers simpler, better insurance options that protect you from the unique risks of your profession. Ideally, these case studies will help give you a better understanding of what medical malpractice is, how it can happen, and what the potential consequences can be. Physical therapy Medicare fraud is when a provider fraudulently bills Medicare for physical therapy services. Monday to Friday: 8AM-8PM EST In this case, the patient was not wearing a gait belt, and so utilizing such a safety device may have mitigated some of the injuries here. Case reports have educational value in their descriptions of practice that clinicians can immediately relate to and apply. Was it an acute injury or something the doctor figured out? This article (subject to change without notice) is for informational purposes only, and does not constitute professional advice. BOSTON, MA / ACCESSWIRE / October 8, 2021 / The Thornton Law Firm alerts investors that a class action lawsuit has been filed on behalf of investors of ATI Physical Therapy, Inc. A 9-year-old boy came down with flu-like symptoms, including nausea, weakness, and lethargy. Did the orthopedic doctor specifically say not to use a balance board? Block OToole & Murphy has been featured on the cable television program Insider Exclusive. Physical therapy and car accident settlements tend to go hand in hand. My primary day-to-day work is reviewing these requests. 9 Electrical Stimulating: Analgesia. 26 Burn Injury-Pediatric Case. Berxi no longer supports Internet Explorer. Guide to Physical Therapy After Arthroscopic Rotator Cuff Repair [Evidence Based 2023] Part 2 - FPF Show Episode 69; Guide to Physical Therapy After Arthroscopic Rotator Cuff Repair [Evidence Based 2023] Part 3 - FPF Show Episode 70: Guide to Physical Therapy After Arthroscopic Rotator Cuff Repair [Evidence Based 2023] Part 4 - FPF Show Episode 71: Plaintiff becomes a patient at defendant Sports Pro Physical Therapy in Prince George's County due to injuries she sustained in a car accident to her right foot/ankle and her lower back. We serve the following localities: Baltimore; Prince George's County including Bowie, Laurel, Landover, Hyattsville; I understand that submitting this form does not create an attorney-client relationship. , is a contributing writer for Berxi. The Complaint quotes the doctor as treating the victim with a "multiaxial balance board against medical advice. When the pharmacist later reviewed the patients orders, a warning popped up that the amount of digoxin was more than the maximum daily dose. We recommend. Ensure that clinical practices comply with standards endorsed by physical therapy professional associations, state practice acts and facility protocols. You may be entitled to compensation and justice for the harm you have endured. Censki did not return to Madison Avenue after the March 24, 1999 visit. 4Department of Physical Therapy, School of Health Sciences, University of the Pacific, Stockton, California ABSTRACT Background: This case study demon-strates how motivational interviewing (MI) may be used in the physical therapy management of a patient with persistent neck pain. The good news is, relative to other malpractice lawsuits, there's not currently a high volume of lawsuits against PTs in the U.S. Of course, you must follow some basic rules to get that treatment covered. LIU was additionally charged with unlawfully enriching herself and a family member through a COVID-19 unemployment benefit scheme. This fictional case study involves a 24-year-old male diagnosed with early-stage juvenile ALS 6 months prior. 833.24.BERXI (833.242.3794) If you need physical therapy because of a workers compensation injury, the basic idea is that workers compensation covers that medical treatment. Health care providers participating in the Medicare program are trusted to furnish medically necessary services and to make beneficiaries collaborators in their care, not conspirators in fraud.
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