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Pakistanis needn't feel too guilty for there corruption

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    Pakistanis needn't feel too guilty for there corruption

    Speaking from experience,American
    health care billings or reimbursement is a challenge for honest
    physicians ,but some have shown such creativity beating it that they can
    get paid without seeing patient or have millions of dollas of tax money
    through Medicaide,Publicaide,Medicare * medi gap sent to supurious p.o.
    box address or runway of JFK air port!!
    Doc `Sees’ 187 Patients a Day




     By all accounts, he was a hard working doctor. His patients called him
    Chris, and many said they liked his courteous service. But there were
    many other patients who just could not place him or recall his services.
    And yet they have paid him. 


    This weekend federal investigators threw the book at Dr. “Chris”
    Krishnaswami Sriram – an affluent Chicago physician,  and charged him
    not only with overbilling but also charging at least 32 patients who
    have been dead and gone for a long time.


    Sriram, 43, who specialized in home calls for the elderly, received at
    least $3.2 million in Medicare payments from the government in the past
    five years, a substantial part of it fraudulently, according to the
    court papers.  

    The arrest of Sriram, father of three and an American citizen, was
    described as “outrageous” by his attorney Terry Campbell, who said it
    was not fair to hold his client without a bail.


    Sriram, who denies any wrongdoing, has a hearing set for Monday.
    Prosecutors say granting him bail might lead him to flee to India.
    Campbell said Sriram has 400 patients under his care,  including a dozen
    who are seriously ill. In fact, when he was arrested, the doctor had a
    lab coat and stethoscope on him, Campbell added.


    Officials say occasionally Sriram billed Medicare for seeing 70 patients
    a day. For instance, on Nov. 12, 1997 he claimed to have attended to 187
    patients – all with the same problem, congestive heart failure.


    Prosecutors believe his is one of the most flagrant violations of
    medical practices in the state. The Chicago Tribune said yesterday that
    one such flagrant violation of medical billing involved Dr. Salvador
    Vivit ,who was sentenced to six years in prison last year.


    Sriram faces 10 to 15 years in prison – and then deportation to India.


    Sriram, a specialist in internal medicine and cardiology, concentrated
    on the elderly, hoping that they would not notice the discrepancy in the
    treatment and the services listed in his billing. Authorities say that
    some patients began to wonder at his overtly cheerful bedside manners
    and his suggestion they undergo a battery of tests. Some of these
    patients began calling Medicare Fraud Hotline last August, especially
    when Sriram began to show up on many days.


    Authorities called his billing “ridiculously high” and wondered how he
    could have worked 16 hours a day for most part of the year, especially
    since his work involved visiting patients whose homes were far flung. He
    was also expected to visit patients in hospitals and nursing homes, they
    pointed out.      


    But his billing records showed he worked every day of the year in 1997
    and 1998. And he missed only two days last year.


    Chicago’s icy days, blizzards, and road blockades did not deter him.
    When most of Chicago was blanketed on a day in January 1999 and the city
    was reeling under 20 inches snow, Sriram claimed to have examined 31
    patients in their homes – and at least 18 in medical facilities,
    prosecutors said on Friday.