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."
But the public liking for him was dented when this year he introduced taxes to reduce the government's heavy borrowings. This was followed by controversy over his wife avoiding paying taxes in Britain and instead doing so at a lower rate in India from her dividends from shares in Infosys, the Bangalore-based software giant founded by her father N.R. Narayana Murthy.
Addressing the media outside 10, Downing Street, the 58-year-old embattled British leader, who has faced controversies galore in his 1,079 days in power, said: "It is clearly now the will of the parliamentary Conservative Party that there should be a new leader of the party and therefore a new Prime Minister."
According to state broadcaster NHK, the incident took place at around 11. 30 a.m. (local time) near the Yamatosaidaiji Station in Nara city while the 67-year-old former leader was making a speech for a Liberal Democratic Party candidate's election campaign.
Six people were killed and more than two dozen injured when shots rang out in the middle of a Fourth of July parade in Highland Park, Ill. Video clips posted to social media showed the festivities collapsing into panic as revellers realized they were under fire and scrambled for cover.
Five people have been shot dead, as per city officials, in the parade in Highland Park, north of Chicago, which was suddenly halted about 10 minutes after it began as gunshots were heard.
At 5.48 p.m., a 22-year-old Danish man in possession of a rifle and ammunition was arrested outside the shopping mall. The motive for the shooting remains unknown and the suspect will face questioning by a judge on Monday. On Sunday night, Prime Minister Mette Frederiksen said Denmark had suffered a cruel attack.
