Fraud worries insurance companies but should concern physicians too, industry says.
The amount of insurance fraud is increasing in Canada. This should worry physicians, because all personal-injury claims must be substantiated by a medical certificate. The vast majority of physicians are honest and ethical, fraud investigators say, but some are being duped as patients scheme to cheat the insurance industry. In one sensational auto-insurance-fraud case, some Ontario physicians are being investigated about possible involvement in a self-referral scheme. Nicole Baer looks at insurance fraud and the challenges it poses for doctors.
Baer
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D001334:Automobile Driving; D002170:Canada; D008192:Deception; D003937:Diagnosis, Differential; D004992:Ethics, Medical; D005607:Fraud; D006801:Humans; D007344:Insurance Claim Reporting / Q000331:legislation & jurisprudence; D007346:Insurance, Accident / Q000331:legislation & jurisprudence; D007348:Insurance, Health / Q000331:legislation & jurisprudence*; D009864:Ontario; D018584:Physician Self-Referral / Q000331:legislation & jurisprudence; D010820:Physicians / Q000331:legislation & jurisprudence; D014911:Whiplash Injuries / Q000175:diagnosis; D014947:Wounds and Injuries / Q000175:diagnosis