An ophthalmologist was charged with fraudulently billing patients, Medicare, and private insurance programs millions of dollars for complex eye surgeries that he had not performed. A civil complaint further alleges that he and his practice engaged in widespread health care fraud by consistently upcoding these and other surgical procedures, examinations, and tests in fraudulent billings submitted to Medicare and Medicaid. He is alleged to have also falsified patient medical records, pressured other employees in his practice to engage in the scheme, and initiated debt collection proceedings against patients who did not pay the full amounts of his fraudulently billed charges. Read a story from Lohud and a Department of Justice press release.
SMP Resource Center products often contain links to copyrighted material. The SMP Resource Center is providing these links as a convenience and for informational purposes in our efforts to report and educate on Medicare fraud; they do not constitute a guarantee, endorsement, or approval by SMP of any of the information available on the external site. SMP bears no responsibility for the accuracy, legality, or content of the external site or for that of subsequent links. If you have any questions or concerns about the links provided, please contact the SMP Center at nliebau@smpresource.org.