This time, Mr. Panos is accused of posing as another orthopedic surgeon to review medical and workers’ compensation claims for several insurance companies, a scheme he began while awaiting sentencing in his original fraud case.
More than 2,500 individuals have been notified that Mr. Panos fraudulently reviewed their medical information, however Bloomberg notes the “full reach” of the fraud allegations isn’t yet public information. The volume of claims Mr. Panos reviewed that were denied has not been revealed. However, his indictment shows that of the 200 Connecticut-based claims he reviewed, he recommended denial in most.
Since 2013, he collected $876,000 by reviewing medical and workers’ compensation claims. Anthem, Health Care Services and The Hartford are examining the cases that Mr. Panos may have influenced during review. Other insurance companies have notified members their privacy was violated, but did not detail how.
More articles on orthopedic surgeons:
Dr. Ashley Nord joins Essentia Health clinic
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Outpatient knee arthroscopy rates falling in Florida, study finds
