Questionable evidence and argumentation regarding alleged misuse of Medicare

Author:

Looi Jeffrey C. L.ORCID,Allison StephenORCID,Bastiampillai TarunORCID,Maguire Paul A.ORCID,Robson Stephen J.ORCID

Abstract

What is known about this topic? We discuss a recently published paper that alleges clinicians are causal agents of non-compliant billing of Medicare. What does this paper add? The paper’s arguments are partially supported by unreferenced assertions, potential logical fallacies, inaccurate reporting of referenced material and unsubstantiated rhetoric. What are the implications for practitioners? Due to the lack of substantive evidence, it cannot be concluded that clinicians are the causal agents of non-compliant billing of Medicare.

Publisher

CSIRO Publishing

Reference4 articles.

1. Lessons from the ‘legitimate’ misuse of Medicare Benefits Schedule Item 45503.;Aust Health Rev,2024

2. Cliff E, Berquist T. Medicare rorts? We read Dr Faux’s thesis so you don’t have to. 2022. Available at [accessed 12 June 2024].

3. Looi JCL, Allison S, Maguire PA, Medicare fraud claims unsubstantiated. 2022. Available at [accessed 12 June 2024].

4. Philip P. Independent Review of Medicare Integrity and Compliance. 2023. Available at [accessed 12 June 2024].

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