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Ophthalmology Practice — $55,000

An ophthalmologist and his company agreed to pay $55,000 to the United States to resolve allegations that they submitted false claims to Medicare for medically unnecessary services. This included allegations of falsely billing Medicare for ophthalmic diagnostic imaging when there was no underlying diagnosis to justify the imaging and falsely billing Medicare for office visits where a prior claim for the same visit had been denied and the new claim was not supported by the doctor’s documentation.

Our client filed a False Claims Act complaint that led to the government investigation and settlement. 

United States et al. ex rel. Relator v. Ophthalmologist, and Ophthalmology Practice, Civil Action No. 14-CV-11879-IT (D. Mass.).