IRS has actual numbers turned in by your payers.
Government has no data to check Medicare claims.
It is basically an honor system by medical professionals.
Bonanza for dishonorable medical professionals.
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I have a niece that is a physician assistant. She worked at a hospital and said that over 70% of the residents went to med school outside the USA.
So many that come here from outside the USA come here to loot the system.
Amazing how few of checks we have on these people.
You are correct. USA needs to build more medical schools and subsidize medical students. That is why we have so many foreign born doctors. Don’t blame them from taking advantage. Blame our own stupid system. We spend 1000 times more on food stamps than helping American students become doctors.