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New York eye doctor arrested for $8M+ in alleged Medicare fraud — 5 insights

Ameet Goyal, MD, was arrested Nov. 22, for his alleged role in defrauding the federal government of more than $8 million by falsely billing for procedures he never performed, according to the Department of Justice.

What you should know:

1. The government arrested Dr. Goyal and filed a civil suit against Dr. Goyal and his practice, Rye, N.Y.-based Eye Associates Group.

2. Dr. Goyal and his practice allegedly billed the federal government for procedures he never performed between 2010 and 2017. Dr. Goyal also falsified medical records, pressured other employees at the practice to defraud the government, and used a collection's agency to hound patients who did not pay the full amounts of the fraudulent charges, according to the Justice Department.

3. Dr. Goyal allegedly frequently upcoded procedures to increase reimbursement rates and threatened to fire employees who didn't comply with his scheme.

4. The United States Attorney for the Southern District of New York oversaw the operation and recommended one count each of healthcare fraud, wire fraud and making false statements relating to healthcare matters against Dr. Goyal. If convicted, he faces up to 35 years in prison, a fine or both.

5. Dr. Goyal maintains his innocence and intends to plead not guilty, his lawyer said to the Rockland/Westchester Journal News.

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