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"They performed unnecessary medical tests and billed for services they didn't actually provide in exchange for prescription medications - all of this at a time when our region is inundated in opioid deaths and addiction," he said.

"Not only did these physicians put their patients through unnecessary medical procedures so they could line their pockets with extra income, they also prescribed controlled narcotics that were not medically required," said FBI Special Agent in Charge Stephen D Anthony.

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Together, these data are consistent with prior research findings and suggest that ACASI can enhance the quality of behavioral assessment and provide an acceptable method for collecting self-reports of HIV risk behavior in longitudinal studies and clinical trials of prevention interventions.

Epidemiologic studies of human immunodeficiency virus (HIV) infection and clinical trials of HIV prevention interventions require reliable, valid, and efficient methods of assessing behaviors that may result in viral exposure.

According to the indictment, the Rakhits ordered and performed unnecessary medical tests between 20, including unnecessary nuclear stress tests, cardiac catheterizations, bone density scans, echocardiograms, EKGs, carotid artery scans, venous ultrasounds of the legs and abdominal ultrasounds.

They also recorded false symptoms in patient records to justify medically unnecessary tests on patients, including shortness of breath, palpitations, hypertension and abnormalities in breathing, according to the indictment.

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There is substantial concern that risk behaviors may be altered during these studies and, specifically, that participants in these trials may increase risky behavior based upon an assumption of efficacy (1–13).

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