Title slide for a presentation titled ‘The Boundary of Criminality in Medical Care’ discussing systemic risks of prosecuting clinical billing disputes, specifically referencing the case United States v. Ron K. Elfenbein.
FREDDY WILLIAMS, MD, DEID IN BUGHNER, FED PRISON 2006, SENTENCE 40 YEARS “DRUG DEALER IN WHITE!!!
Venn diagram illustrating the Amici Landscape, featuring three main sections: Medical Authority, The Unified Stance, and Legal & Policy Watchdogs. Medical Authority includes the American Medical Association and Maryland State Medical Society, focusing on physician autonomy and the integrity of the CPT system. The Unified Stance summarizes the Elfenbein prosecution as a civil billing dispute. Legal & Policy Watchdogs include the Eagle Forum Education & Legal Defense Fund and the Association of American Physicians and Surgeons, emphasizing concerns over federalization of state criminal law.
Infographic titled ‘When Ambiguity Meets the Law’ summarizes two legal cases, Ruan v. United States and Wooden v. United States, highlighting issues of regulatory language and the Rule of Lenity, with an application to the case of Dr. Elfenbein.
Infographic explaining how subjective clinical judgment affects Evaluation and Management (E/M) coding levels, detailing variables such as time spent, complexity of decision making, and uniqueness of service.