An Orlando ophthalmologist is accused of performing unnecessary laser-eye surgeries on numerous patients and submitting $7 million in false claims to Medicare. The eye doctor was indicted on April 24, 2014, on 20 counts of Medicare fraud by a federal grand jury in Jacksonville, according to the Orlando Sentinel. If convicted, the ophthalmologist could face life in prison.
The ophthalmologist’s practices are located in Leesburg and Orlando.
Charges Against the Ophthalmologist.
According to the Orlando Sentinel, the ophthalmologist is accused of falsely diagnosing patients with macular degeneration, a progressive eye disease that can lead to blindness. He allegedly performed laser surgery needlessly and provided unnecessary follow-up care to at least 20 patients. The indictment stated the eye doctor used the laser for treatment at such a low level for the patients that the work had no impact. This scheme allegedly spanned from 2000 until 2011.
And that’s not all. The eye doctor is also accused of falsifying medical records and billing other insurance companies for similar unnecessary procedures.
Records show state health officials suspended the ophthalmologist’s access to collect from Medicare and Medicaid in 2013, after investigating three malpractice complaints against him.
Losing His Luxuries.
As part of the criminal case, federal authorities have filed paperwork to seize the eye doctor’s four homes in Orange County, his Lexus and his Porsche convertible, according to The Florida Times-Union.
To read The Florida Times-Union, click here.
The civil forfeiture of property has become a popular tool for state and federal agencies to combat alleged criminal activity. In Florida, the Florida Contraband Forfeiture Act, Sections 932.701 through 932.706, Florida Statutes permits the government to seize personal property if there is probable cause to believe that property is either an instrumentality or the proceeds of criminal activity.
To read more on how the civil forfeiture of property and money is being used, click here to read a previous blog.
Eye Doctors Seeing Red After Medicare Reimbursement Data Released.
In April 2014, the government released records of Medicare reimbursement payments made to healthcare providers. Ophthalmologists ranked fourth among the highest-grossing Medicare recipients in Florida. To read my previous blog on reasons why ophthalmologists rack up more Medicare bucks, click here.
Don’t Wait Until It’s Too Late; Consult with a Health Law Attorney Experienced in Medicare and Medicaid Issues Now.
The attorneys of The Health Law Firm represent healthcare providers in Medicare audits, ZPIC audits and RAC audits throughout Florida and across the U.S. They also represent physicians, medical groups, nursing homes, home health agencies, pharmacies, hospitals and other healthcare providers and institutions in Medicare and Medicaid investigations, audits, recovery actions and termination from the Medicare or Medicaid Program.
For more information please visit our website at http://www.TheHealthLawFirm.com or call (407) 331-6620 or (850) 439-1001.
Do you have any personal experience regarding improper billing or false diagnosing? Please leave any thoughtful comments below.
Stutzman, Rene. “Orlando Eye Doctor Accused of $7 Million in Medicare Fraud.” Orlando Sentinel. (May 6, 2014). From: http://articles.orlandosentinel.com/2014-05-06/news/os-david-ming-pon-medicare-theft-20140506_1_medicare-fraud-macular-degeneration-laser
Schoellter, Jim. “Judge in Jacksonville Orders Ophthamologist Held in $7m Fraud Case Involving Hundreds of Seniors.” The Florida Times-Union. (May 6, 2014). From: http://members.jacksonville.com/news/crime/2014-05-05/story/judge-jacksonville-orders-ophthamologist-held-7m-fraud-case-involving#ixzz30w2cFtT4
About the Author: George F. Indest III, J.D., M.P.A., LL.M., is Board Certified by The Florida Bar in Health Law. He is the President and Managing Partner of The Health Law Firm, which has a national practice. Its main office is in the Orlando, Florida, area. www.TheHealthLawFirm.com The Health Law Firm, 1101 Douglas Ave., Altamonte Springs, FL 32714, Phone: (407) 331-6620.
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