Alberta physician convicted of billing fraud sanctioned by doctors’ regulatory college
An Edmonton family physician convicted of submitting hundreds of thousands of dollars in false billings has been sanctioned by the College of Physicians and Surgeons of Alberta.
Family physician Dr. Yifei Shi was sanctioned by a CPSA hearing tribunal after admitting to unprofessional conduct, the CPSA said in a news release Thursday.
Shi will receive a reprimand and when she returns to practising, she will have conditions placed on her permit requiring that she practise in a multi-physician office for at least a year and submit to random audits of her billing for five years.
Shi must pay a fine of $10,000 along with 100 per cent of the costs of the investigation and hearing.
If she doesn’t comply, she will be required to serve a suspension of two months, the CPSA news release said.
In 2016, Shi billed Alberta Health for a total of $1,388,862 and according to an agreed statement of facts presented at sentencing, $827,077 of that amount was fraudulent. At sentencing, the judge accepted a submission from the Crown that Shi’s crime is the largest billing fraud by a doctor in Alberta history.
Shi claimed false billings that year for non-existent psychiatric counselling and treatment for hundreds of patients.
She was arrested in 2021 and was allowed to continue practising medicine, but all the money claimed through billings was held in escrow, amounting to $582,000 in compensation to the provincial government.
In 2022, she pleaded guilty and was criminally convicted of one count of defrauding the government of a value exceeding $5,000.
The CPSA said Shi completed a practice visit with the college’s individual practice review program in 2021, which found no concerns with her clinical practice. She underwent an independent assessment last year, which concluded she was safe to practice, with certain conditions.
Shi acknowledged that her actions constituted unprofessional conduct and the tribunal accepted a joint submission on sanctions.
The CPSA said Shi served a 10-month prison term and is currently on parole until November 2026. She is not practising currently and her practice permit is inactive.
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