tci Medicare Compliance & Reimbursement - 2022 Issue Q1

Fraud & Abuse: Feds Focus on Physicians in March Enforcement

Warning: Several settlements include million-dollar fines — and prison time. If you thought the feds were going to give physicians a break as worries about the pandemic wane, you’d be sorely mistaken. As enforcement activity ramps up, the following cases highlight the feds’ heightened scrutiny of Medicare fraud committed by physicians — and their willingness to bring significant penalties. Take a look at these high-profile March 2022 charges and settlements aimed at physicians. In New York: If you think upcoding is no big deal, think again. On March 3, Rye, New York-based ophthalmologist Ameet Goyal must “pay...

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