Indian-American doc pays $1,850,000 for performing unnecessary tests, surgeries
Darpan News Desk IANS, 11 Jan, 2023 01:38 PM
New York, Jan 11 (IANS) An Indian-American doctor has agreed to pay approximately $1,850,000 for allegedly billing the government for cataract surgeries and diagnostic tests that were not medically required.
Aarti D. Pandya and her Pandya Practice Group violated the False Claims Act by also performing and billing for tests that were incomplete or of worthless value, and office visits that did not provide the level of service claimed.
"Physicians who perform procedures and tests without a legitimate medical need place profits ahead of patients and subject those patients to unnecessary risk," said US Attorney Ryan K Buchanan in a statement released on Monday.
"This settlement represents our office's commitment to ensuring accountability for physicians who subject patients to unwarranted medical care and waste taxpayer funds," Buchanan said.
From January 1, 2011 to December 31, 2016, Pandya knowingly submitted false claims to federal healthcare programmes for medically unnecessary cataract extraction surgeries and YAG laser capsulotomies, according to a Justice Department release.
The prosecution alleged that Pandya performed these procedures on patients that did not qualify for the procedure under accepted standards of medical practice and, in some cases, caused injury to her patients.
Additionally, it accused Pandya of falsely diagnosing patients with glaucoma to justify unnecessary diagnostic testing and treatment that was billed to Medicare.
The prosecution also said that many of the diagnostic tests that Pandya ordered were not properly performed, were performed on a broken machine, or were not interpreted in the medical record, as required by Medicare.
The Department of Health and Human Services (HHS) imposed in 2019 a payment suspension on the Pandya Practice Group that precluded it from receiving any reimbursement from Medicare for Part B claims.
As part of the settlement of the government's claims in this case, the Pandya Practice Group agreed to forfeit the suspension amount to the government.
The payment suspension will also be lifted as part of the settlement.
To protect federal healthcare programmes and beneficiaries going forward, Pandya and the Pandya Practice Group have entered into a detailed, multi-year Integrity Agreement and Conditional Exclusion Release (IA) with the Office of Inspector General.
"We must assure patients and taxpayers that healthcare is dictated by clinical needs, not fiscal greed," said Keri Farley, Special Agent in Charge of FBI Atlanta. "This settlement should serve as a reminder that the FBI will not tolerate healthcare providers who engage in schemes that defraud the industry and put innocent patients at risk."
Thousands of mourners lining the streets of London stood by in respectful silence as a procession made up of military members and Queen Elizabeth's family carried her coffin past city landmarks at the end of her official state funeral.
Dr. Fahad Razak, who headed up the recently disbanded group of scientists advising Ontario's government on COVID-19, says coronavirus variants have traditionally cropped up during the fall and winter, leading to a surge in cases and deaths. He says it stands to reason that could happen again this year.
Prime Minister Justin Trudeau lands later today as part of a Canadian delegation that includes Gov. Gen. Mary Simon and four former prime ministers. Hundreds of thousands of members of the public are expected to travel to London for the funeral, as well as dozens of other world leaders including U.S. President Joe Biden.
A stuffed Paddington Bear was also among the tokens that were piling up at the base of trees that line the road to the palace, where thousands of people had gathered to pay their respects as of Friday afternoon. Canadian Peter Crooks, who was in London on vacation with his family, was among the visitors at the scene. He said he was honoured to pay his respects despite the sad occasion.
Since Pakistan government has sent out a global appeal to the international community for extended and immediate relief aid supplies to handle the widespread damages, flood rescue and relief activities, several countries have been extending monetary and relief aids with planes carrying flood relief supplies to coordinate with the government to manage the massive humanitarian crisis.
The Prime Minister has made it clear with officials that the unbuttoned collars and laid-back atmosphere in Downing Street both left with Boris Johnson, Daily Mail reported. During Johnson's time at No 10, he was often viewed as a scruffy dresser and his controversial chief of staff Dominic Cummings was notorious for wearing shabby outfits.
