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chemotherapy. These drugs enabled patients to receive
chemotherapy treatments on an outpatient basis. When Medicare
decided not to pay for inpatient chemotherapy under most
circumstances, that decision effectively forced chemotherapy out
of hospitals and into outpatient clinics.
During the period in issue, PC employed a staff of employees
consisting of nurses, nursing assistants, laboratory technicians,
physician assistants, administrative clerks, pharmacists,
pharmacy technicians, and office maintenance workers. Mid-Del
had no employees, but instead used contract nursing services
leased through the Cancer Care Network and paid a common
paymaster for doctors’ services and other labor costs. PC
provided administrative services, including bookkeeping and
billing, for both clinics. Mid-Del paid PC an annual fee for
these administrative services.
Treatment of Patients
Many local doctors referred patients to the clinics for
treatment of cancer, lupus, AIDS, and some types of arthritis.
Dr. Ishmael scheduled 2 days a week to see patients at each of
the clinics. As a general rule, he saw patients at the PC clinic
on Mondays and Wednesdays and at the Mid-Del clinic on Tuesdays
and Thursdays. The clinics' hours were Monday through Friday,
from 8 a.m. to 5 or 6 p.m. Chemotherapy treatments were
administered at both clinics 5 days a week.
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Last modified: May 25, 2011