The province’s 12 top-billing doctors — who received payments of between $2 million and $7 million in one year — are overcharging the Ontario Health Insurance Plan, documents obtained by the Star suggest.
A Health Ministry audit into their billing practices uncovered significant “concerns” about their claims to the taxpayer-funded plan.
According to the documents, six allegedly charged for “services not rendered,” five “upcoded” or billed OHIP using fee codes for more expensive procedures, and three charged for “medically unnecessary” services, which the plan is not designed to fund, the probe found.
Source: Ontario’s top-billing doctors overcharged OHIP, Health Ministry audit suggests | Toronto Star
[…] We found that the word “fraud” has been wiped from our healthcare vernacular. Instead, euphemisms are used like “over-billing” and “over-utilization” to draw attention away from potential criminal activity. Just look at a recent story we excerpted for our website from the Toronto Star on doctor billings in Ontario. […]