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Client Alerts

Aug 7, 2026

Massachusetts Ophthalmology Practice Agrees to Pay $3.9 Million to Resolve False Claims Act Matter Involving Modifier 25 Billing

The U.S. Attorney’s Office for the District of Massachusetts recently announced that Ophthalmic Consultants of Boston, Inc. (OCB) agreed to pay $3,902,588.28 to resolve federal and state False Claims Act (FCA) claims involving office-visit billing on the same day as intravitreal injections. OCB is a multispecialty ophthalmology practice with locations throughout Massachusetts. The matter arose […]

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Aug 4, 2026

Two New York Ophthalmology Practices Agree to Pay $2.3 Million to Resolve False Claims Act Allegations Involving Cranial Ultrasounds and Kickbacks

The Department of Justice (DOJ) has announced that two Florida-based ophthalmology practices—Fromer Eye Centers and Floral Park Ophthalmology P.C.—agreed to pay a total of $2.3 million to resolve allegations that they violated the False Claims Act (FCA) by billing Medicare and Medicaid for medically unnecessary trans-cranial doppler ultrasounds (TCDs) through an arrangement with a third-party […]

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Aug 4, 2026

Medicare Advantage Provider Agrees to Pay $14.1 Million to Resolve False Claims Act Allegations Involving Unsupported Diagnosis Codes

The Department of Justice (DOJ) has announced that Florida-based management services organization Complete Health Partners Holdings agreed to pay $14.1 million to resolve allegations that it violated the False Claims Act (FCA) by causing false diagnosis codes to be submitted to the Medicare Advantage program.  According to the government, Complete Health’s contracts with Medicare Advantage […]

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Jul 30, 2026

Texas Laboratory, Former CEO, and Florida Businessman Agree to Pay $36.4 Million to Resolve False Claims Act Allegations Involving Kickbacks and Unnecessary Genetic Testing

The Department of Justice (DOJ) has announced that Access DX Laboratory, its former CEO Michael Stewart, and Florida businessman Harold Shatz entered into civil settlements totaling $36.4 million to resolve allegations that they violated the False Claims Act (FCA) by paying kickbacks and caused Medicare and Medicaid to pay for medically unnecessary genetic testing. According […]

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