Two New York ophthalmology practices, Mark D. Fromer, P.C. (Fromer Eye Centers) and Floral Park Ophthalmology P.C., have agreed to pay $2.3 million to resolve allegations of violating the False Claims Act by billing Medicare and Medicaid for unnecessary cranial ultrasounds. The practices allegedly engaged in a kickback scheme with a third-party testing company, fabricating diagnoses to justify costly tests. The Estate of Mark Fromer also settled with the U.S. government. Fromer Eye Centers and the Estate will pay $1.8 million, while Floral Park Ophthalmology will pay $500,000. New York State will receive $384,000 for its Medicaid share. The settlements resolve claims that the practices submitted false claims for medically unnecessary tests based on fabricated diagnoses. A whistleblower will receive approximately $132,000 from the Fromer Eye Centers settlement. The Justice Department, HHS-OIG, and FBI collaborated on the investigation.
Source: U.S. Department of Justice (DOJ).
Materials reproduced from https://www.justice.gov/.
No endorsement by the DOJ is implied.
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