This just boggles the mind:
an elaborate insurance scheme in which thousands of patients from 40 states had been transported to California to undergo unnecessary surgical and diagnostic procedures for which doctors filed more than $1 billion of fraudulent insurance claimsApparently, patients were paid $200-2000 each and got a series of procedures, typically colonoscopy, upper GI endoscopy and some sort of procedure to treat sweaty palms, perhaps ligating a nerve?
First of all, who would undergo all this stuff for that kind of money and what made the doctors think they would get awasy with this? I mean they had to figure eventually they'd get caught.
It was just 21 doctors according to the article, meaning they'd have to generate charges of almost $50 million/doctor, which seems high. Maybe by spreading it out among patients from different states they figured no individual insurer would catch on how high their volume was. Of course, I would think an insurer in, say Texas, would find it odd to be paying out a ton of money to doctors in California.