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Previous Volume 336:1317-1320 May 1, 1997 Number 18 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Medicine has always embraced the concept of public accountability but until now has not had to face its reality. Those of us fortunate enough to have lived through the past three or four decades — medicine's halcyon era — recall with longing the public's implicit trust in a profession that was acknowledged, with few exceptions, to use the public's largess responsibly without much oversight. Standards of conduct were assumed to be high, professional mechanisms for addressing wrongdoing were assumed to be robust, and institutional accounting procedures were assumed to be sufficient to prevent the misuse of public funds. On the . . . [Full Text of this Article]

Medicare Billing by Teaching Physicians

The Audit Program and Billing Standards

Flaws in the Implementation of the Path Program

Standard for Determining Whether the Teaching Physician Provided the Services Billed

Countersignature as Documentation That the Teaching Physician Provided the Services Billed

Credit for Underbilling

Assessment of Penalties

Correcting the Flaws in the Path Program

Conclusions

Address reprint requests to Dr. Cohen at the Association of American Medical Colleges, 2450 N St., NW, Washington, DC 20037.

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