33 Billing Issues OIG Advisory Opinion 12-6 See text of opinion in handouts
34 False Claims Act Encourages whistleblowers to report fraud UCI situationAnesthesia records signed before the casesImproper supervision ratios of residents and CRNAsSettlement for $1.200,000Whistleblower received $120,000
35 Sutter Health Anesthesia Fraud Double billing by hospital for anesthesia servicesAnesthesia fees posted on websiteCivil suit filed by Rockville Recovery AssociatesAnesthesia billing audit firmSettled for $46,000,000California Department of Insurance
36 Sutter Health Anesthesia Fraud Hospital anesthesia charges$1610 for first half hour$ for each subsequent 15 minutesNot the professional fee
37 Vanderbilt University Surgery schedules showed surgeons were booking simultaneous cases in different parts of the hospitalAnesthesia billing issues with supervisionRecent openings at Vanderbilt
38 Future Concerns Corporate practice of anesthesia More fraud investigationsData driven practiceMiddle management more controlMore businesses making money off of anesthesia servicesMore levels between the anesthesia professional and the patient
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