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While a physician's signature on a false or misleading certification made through mistake, simple negligence, or inadvertence will not result in personal liability, the physician may unwittingly be facilitating the perpetration of fraud on Medicare by suppliers or providers.Accordingly, we urge all physicians to review and familiarize themselves with the information in this Fraud Alert.We urge physicians and their staff to report any suspicious activity in connection with the solicitation or completion of certifications to the OIG.Physicians should also be aware that they are subject to substantial criminal, civil, and administrative penalties if they sign a certification knowing that the information relating to medical necessity is false, or with reckless disregard as to the truth of the information being submitted.The OIG carries out this mission through a nationwide program of audits, inspections, and investigations.To reduce fraud and abuse in the Federal health care programs, including Medicare and Medicaid, the OIG actively investigates fraudulent schemes that obtain money from these programs and, when appropriate, issues Special Fraud Alerts that identify segments of the health care industry that are particularly vulnerable to abuse.

January 1999 The Office of Inspector General (OIG) was established at the Department of Health and Human Services by Congress in 1976 to identify and eliminate fraud, waste, and abuse in the Department's programs and to promote efficiency and economy in departmental operations.CREATE TABLE F_ACCESSION_DAILY ( doctor VARCHAR(10) NOT NULL , received_date DATETIME NOT NULL , patient_id VARCHAR(10) NOT NULL , accession_daily_key INT NOT NULL ) INSERT INTO F_ACCESSION_DAILY (doctor,received_date,patient_id,accession_daily_key) VALUES ('A','1/1/2011','ABC123','1') INSERT INTO F_ACCESSION_DAILY (doctor,received_date,patient_id,accession_daily_key) VALUES ('A','1/20/2011','AAA123','2') INSERT INTO F_ACCESSION_DAILY (doctor,received_date,patient_id,accession_daily_key) VALUES ('A','1/21/2011','AAA123','3') INSERT INTO F_ACCESSION_DAILY (doctor,received_date,patient_id,accession_daily_key) VALUES ('A','2/1/2011','ABC123','5') INSERT INTO F_ACCESSION_DAILY (doctor,received_date,patient_id,accession_daily_key) VALUES ('A','2/9/2011','BBBYYY','6') INSERT INTO F_ACCESSION_DAILY (doctor,received_date,patient_id,accession_daily_key) VALUES ('B','1/2/2011','ABC123','8') INSERT INTO F_ACCESSION_DAILY (doctor,received_date,patient_id,accession_daily_key) VALUES ('B','1/20/2011','AXA435','9') INSERT INTO F_ACCESSION_DAILY (doctor,received_date,patient_id,accession_daily_key) VALUES ('B','1/19/2011','AAA123','10') INSERT INTO F_ACCESSION_DAILY (doctor,received_date,patient_id,accession_daily_key) VALUES ('B','2/1/2011','ABC123','12') INSERT INTO F_ACCESSION_DAILY (doctor,received_date,patient_id,accession_daily_key) VALUES ('B','2/10/2011','BBBYYY','13') Note that this is on his first iteration of information, and because Zeb has already done a great job with a further answer, I'm leaving this for historical tracing reasons.Feel free to ignore this answer in favor of his, but for the iterative process, this is a good learning example.Copies of all OIG Special Fraud Alerts are available on the internet at: are issuing this Fraud Alert because physicians may not appreciate the legal and programmatic significance of certifications they make in connection with the ordering of certain items and services for their Medicare patients.While the OIG believes that the actual incidence of physicians' intentionally submitting false or misleading certifications of medical necessity for durable medical equipment or home health care is relatively infrequent, physician laxity in reviewing and completing these certifications contributes to fraudulent and abusive practices by unscrupulous suppliers and home health providers.SELECT MIN(received_date) AS First Visit , patient_id AS Patient ID INTO #Lookup Table FROM F_ACCESSION_DAILY SELECT f.doctor AS Doctor , COUNT(f.*) AS Count New Patients , MONTH(firstvisit) AS Month , YEAR(firstvisit) AS Year FROM F_ACCESSION_DAILY f INNER JOIN #Lookup Table l ON f.received_date = l.