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Table 3 Response to unnecessary procedures: whistleblowers, investigation, fraud charges, consequences

From: Exploring unnecessary invasive procedures in the United States: a retrospective mixed-methods analysis of cases from 2008-2016

Whistleblowers

Specific Fraud Charges

Missed opportunity to blow whistle

35.4%

False claims

34.2%

Whistleblower ignored

25.3%

Anti-Kickback

13.9%

Whistleblower type

 

Stark law

2.5%

Patient

16.5%

Exclusion statute

5.1%

Peer/Physician colleague

19.0%

Civil monetary penalties law

12.7%

Nurse or other staff

10.1%

Other federal fraud or abuse law

15.2%

Other

36.7%

Title 18 federal/criminal charges

35.4%

None/Unknown

17.7%

State criminal charges

15.2%

Investigation

Consequencesa

Board investigation

72.2%

Loss of licensure

55.7%

Criminal investigation

64.6%

Financial penalties

70.9%

Civil proceedings

57.0%

Prison/Probation or service

31.6%

Others were found guilty

34.2%

Mandated treatment or education

20.3%

  

Discontinued practicing medicine

58.2%

  

Loss of job/professional options

73.4%

  

Increased oversight/monitoring

30.4%

  1. aIn 2 cases the physician died prior to sentencing