An Indian-origin physician and her medical observe group pays USD 1.85 million to resolve allegations that she and her medical observe group billed the federal government for cataract surgical procedures and diagnostic exams that weren’t medically vital and for workplace visits that didn’t present the extent of service claimed.
New York,UPDATED: Jan 12, 2023 11:04 IST
An Indian-origin physician pays USD 1.85 million to resolve allegations for billing the federal government for medically pointless cataract surgical procedures and diagnostic exams. (Representative picture)
By Press Trust of India: An Indian-origin physician and her medical observe group pays USD 1.85 million to resolve allegations that they billed the federal government for medically pointless cataract surgical procedures and diagnostic exams that in some instances even brought about harm to her sufferers.
Aarti Pandya and Aarti D. Pandya, MD PC have agreed to pay roughly USD 1,850,000 to resolve allegations that they violated the False Claims Act.
Federal prosecutors allege that Pandya and her medical observe billed the federal government for cataract surgical procedures and diagnostic exams that weren’t medically vital, have been incomplete or of nugatory worth, and for workplace visits that didn’t present the extent of service claimed.
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“Physicians who perform procedures and tests without a legitimate medical need place profits ahead of patients and subject those patients to unnecessary risk,” US Attorney Ryan Buchanan stated in an announcement Monday.
Authorities stated the settlement resolves allegations that from January 1, 2011, to December 31, 2016, Pandya knowingly submitted false claims to federal healthcare programmes for medically pointless cataract extraction surgical procedures and different procedures.
The authorities alleges that Pandya carried out these procedures on sufferers who didn’t qualify for them underneath accepted requirements of medical observe and, in some instances, brought about harm to her sufferers.
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Additionally, the federal government alleged that Pandya falsely recognized sufferers with glaucoma to justify pointless diagnostic testing and remedy that was billed to the federal government medical insurance programme Medicare.
Many of the diagnostic exams that Pandya ordered weren’t correctly carried out, have been carried out on a damaged machine or weren’t interpreted within the medical report, as required by Medicare.
The USD 1.85 million settlement resolves allegations in a lawsuit filed within the Northern District of Georgia by Laura Dildine, a former Pandya Practice Group worker, underneath the whistleblower provisions of the False Claims Act (FCA).
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The FCA authorises personal events to sue for false claims on behalf of the United States and share within the restoration.
Special Agent in Charge of FBI Atlanta Keri Farley stated the settlement ought to function a reminder that authorities won’t tolerate healthcare suppliers who have interaction in schemes that defraud the business and put harmless sufferers in danger.
“We must assure patients and taxpayers that healthcare is dictated by clinical needs, not fiscal greed,” Farley stated.
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Published On:
Jan 12, 2023