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How Regence BlueCross BlueShield helped take down an eye clinic for fraudulent billing

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About six years ago, a Regence BlueCross BlueShield Medicare Advantage member flagged a Gresham ophthalmologist for medical services that seemed unnecessary. Regence's External Audit and Investigations department got right on it. To make a long story short, the former practice manager for 20/20 Eye Care last year admitted to his role in defrauding Medicare and other public and private health plans. Anthony Curtis Neal pleaded guilty to health care fraud and conspiracy to defraud the IRS. Earlier…

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