From January 2019 to March 2020, bariatric and general surgeon Maneesh Ailawadi, MD, allegedly caused the submission of false claims by billing EGD procedures using a CPT code without the necessary reduced service modifier, according to an Oct. 10 news release from the Justice Department.
According to the release, these EGD procedures were only partially completed to save time, but Dr. Ailawadi billed the federal healthcare programs as if they had been fully completed.
The settlement also resolves a whistleblower lawsuit filed by a former Steward Easton Hospital employee.
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.
