Eye Consultants of Pennsylvania, PC will pay to resolve allegations of civil liability for submitting claims that violate Medicare rules and regulations.
PENNSYLVANIA, USA — An eye care practice in Pennsylvania has agreed to pay $790,000 to settle False Claims Act Allegations.
According to the United States Attorney's Office for the Middle District of Pennsylvania, Eye Consultants of Pennsylvania, PC (ECOP) will be making the payment to resolve allegations of civil liability for submitting claims to Medicare for Evaluation and Management services that violate Medicare rules and regulations.
Acting United States Attorney John C. Gurganus said that between Sept. 1, 2018 and April 7, 2025, ECOP submitted claims to Medicare Part B for Evaluation and Management services on the same date as service for beneficiaries receiving bilateral eye injections in violation of applicable Medicare rules and regulations.
“The United States Attorney’s Office in the Middle District of Pennsylvania is dedicated to working with its law enforcement partners to zealously investigate allegations of the submission of unsupported claims to federal healthcare programs,” said Gurganus. “Improperly billing federal healthcare programs increases the costs of these taxpayer-funded programs. Settlements like this one are an important part of the fight against fraud, waste and abuse.”
“Providers who participate in the Medicare program must abide by the program’s rules when submitting claims,” said Maureen...
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