The price of pain: Questionable billing by doctors rife in Australia

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A major investigation into the chronic pain industry has uncovered how Australia's healthcare system is being left open to financial exploitation by medical practitioners.

A major investigation into the chronic pain industry has uncovered how Australia's healthcare system is being left open to financial exploitation by medical practitioners."The only relief you get is when you go to sleep," the 60-year-old says.

An analysis of Trudi's records by medical billing expert Margaret Faux found questionable billing from anaesthetists involved in her surgery. "I do not understand how it is possible to have a discussion with an unconscious patient who is in a coma."Four Corners has obtained the private health insurance billing records of more than 23,000 patients who underwent spinal surgery in Australia between November 2017 and May 2023.The de-identified data was supplied by six private health funds, representing 25 per cent of the private health fund industry.

Rachel David, CEO of Private Healthcare Australia, says if the findings were applied to the whole industry for spinal surgery, it would signal a huge draining of the health system by medical professionals.The team analysing the data ran complex algorithms to exclude the possibility of other medical explanations, but without each patients' medical records it's impossible to be conclusive.

An expert who analysed the data said it was highly unlikely even a fast surgeon would be able to complete all three in that time.

Source: News Formal (newsformal.com)

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