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5,000 Had Unnecessary Surgery
In CA Insurance Fraud

By Catherine Elsworth
The Telegraph - UK
7-30-4
 
LOS ANGELES -- More than 5,000 people were subjected to unnecessary treatment including risky surgical procedures as part of a fraud which attempted to net almost $100 million (£56 million) from health insurance companies, Californian authorities said.
 
Three people running the Unity Outpatient Surgery Centre in Buena Park are in custody after being arrested following a two-year investigation.
 
They allegedly paid $1 million to middlemen who travelled America recruiting patients from 45 states for the procedures. They flew "patients" to the clinic and coached them on what to say before having often complex operations including colonoscopies, surgery for haemorrhoids, pain management and sweaty palms, officials claimed.
 
In return for volunteering, the patients - who all had insurance that did not require prior approval for operations - received credits towards cosmetic surgery worth between $300 and $1,000. The operations were then billed at excessive amounts to the patients' insurance companies.
 
© Copyright of Telegraph Group Limited 2004.
 
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