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Defending Waste, Fraud, and Abuse

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  1. Chan PS, Patel MR, Klein LW, Krone RJ, Dehmer GJ, Kennedy K, Nallamothu BK, Weaver WD, Masoudi FA, Rumsfeld JS, Brindis RG, Spertus JA. Appropriateness of percutaneous coronary intervention. JAMA. 2011;306:53–61.

    CAS  PubMed  Google Scholar 

  2. Cobos R, Latorre A, Aizpuru F, Guenaga JI, Sarasqueta C, Escobar A, García L, Herrera-Espiñeira C. Variability of indication criteria in knee and hip replacement: an observational study. BMC Musculoskelet Disord. 2010;11:249.

    Article  PubMed Central  PubMed  Google Scholar 

  3. Cram P, House JA, Messenger JC, Piana RN, Horwitz PA, Spertus JA. Indications for percutaneous coronary interventions performed in US hospitals: a report from the NCDR((R)). Am Heart J. 2012;163:214–221 e1.

    Google Scholar 

  4. Cutler DM, Ghosh K. The potential for cost savings through bundled episode payments. N Engl J Med. 2012;366:1075–1077.

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  5. Department of Health and Human Services Office of the Inspector General. CMS and its contractors have adopted few program integrity practices to address vulnerabilities in EHRs. Available at: Accessed March 25, 2014.

  6. Dieppe P. Lim K, Lohmander S. Who should have knee joint replacement surgery for osteoarthritis? Int J Rheum Dis. 2011;14:175–180.

    Article  PubMed  Google Scholar 

  7. Go AS, Mozaffarian D, Roger VL, Benjamin EJ, Berry JD, Blaha MJ, Dai S, Ford ES, Fox CS, Franco S, Fullerton HJ, Gillespie C, Hailpern SM, Heit JA, Howard VJ, Huffman MD, Judd SE, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Mackey RH, Magid DJ, Marcus GM, Marelli A, Matchar DB, McGuire DK, Mohler ER 3rd, Moy CS, Mussolino ME, Neumar RW, Nichol G, Pandey DK, Paynter NP, Reeves MJ, Sorlie PD, Stein J, Towfighi A, Turan TN, Virani SS,Wong ND, Woo D, Turner MB; American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Heart disease and stroke statistics–2014 update: a report from the American Heart Association. Circulation. 2014;129:e28–e292.

    Article  PubMed  Google Scholar 

  8. Kaiser Health News. Health law changes rules for docs with in-house imaging machines. Available at: Accessed February 28, 2014.

  9. Morden NE, Colla CH, Sequist TD, Rosenthal MB. Choosing wisely–the politics and economics of labeling low-value services. N Engl J Med. 2014;370:589–592.

    Article  CAS  PubMed  Google Scholar 

  10. Moses H 3rd, Matheson DH, Dorsey ER, George BP, Sadoff D, Yoshimura S. The anatomy of health care in the United States. JAMA. 2013;310:1947–1963.

    Article  CAS  PubMed  Google Scholar 

  11. Patel MR, Dehmer GJ, Hirshfeld JW, Smith PK, Spertus JA. ACCF/SCAI/STS/AATS/AHA/ASNC 2009 Appropriateness Criteria for Coronary Revascularization: A Report of the American College of Cardiology Foundation Appropriateness Criteria Task Force, Society for Cardiovascular Angiography and Interventions, Society of Thoracic Surgeons, American Association for Thoracic Surgery, American Heart Association, and the American Society of Nuclear Cardiology: Endorsed by the American Society of Echocardiography, the Heart Failure Society of America, and the Society of Cardiovascular Computed Tomography. Circulation. 2009;119:1330–1352.

  12. Pellegrini LC, Rodriguez-Monguio R, Qian J. The US healthcare workforce and the labor market effect on healthcare spending and health outcomes [published online ahead of print March 21, 2014]. Int J Health Care Finance Econ. DOI: 10.1007/s10754-014-9142-0.

  13. Prioritized list of health services. Available at: Accessed December 9, 2013.

  14. Stabile M, Thomson S, Allin S, Boyle S, Busse R, Chevreul K, Marchildon G, Mossialos E. Health care cost containment strategies used in four other high-income countries hold lessons for the United States. Health Aff (Millwood). 2013;32:643–652.

    Article  PubMed  Google Scholar 

  15. The Federal Bureau of Investigation. Salisbury cardiologist convicted of implanting unnecessary cardiac stents. Available at: Accessed February 17, 2014.

  16. United States Department of Justice. Doctor and two consultants found guilty in Manhattan federal court in LIRR disability fraud scheme. Available at: Accessed March 3, 2014.

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Correspondence to Joseph Bernstein MD.

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The author certifies that he, or any member of his immediate family, has no funding or commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article.

All ICMJE Conflict of Interest Forms for authors and Clinical Orthopaedics and Related Research ® editors and board members are on file with the publication and can be viewed on request.

The opinions expressed are those of the writers, and do not reflect the opinion or policy of Clinical Orthopaedics and Related Research ® or the Association of Bone and Joint Surgeons®.

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Bernstein, J. Defending Waste, Fraud, and Abuse. Clin Orthop Relat Res 472, 2329–2333 (2014).

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