Published 8 Apr 2024
Adele Ferguson and Chris Gillett, ABC Investigations
Four Corners has obtained the private health insurance billing records in a major investigation into the chronic pain industry.
The patient records were analysed to Dr Faux and a team at Synapse, as well as a team at Kirontech, a UK-based health fraud investigation company.
Analysis found that:
- 77 per cent of patients were billed for more complex services than provided
- 10 per cent of patients were billed for longer services than provided; and
- 7 per cent of patients were billed for spinal fusions for chronic lower back pain without a diagnosis, in breach of a Medicare rule