Mustapha Kibirige, MD, and Emelike Agomo, MD, operated the Outreach Diagnostic Clinic in Houston. A whistleblower complaint made by a former employee at the clinic alleged that between 2006 and 2012, the two physicians billed Medicare for glaucoma tests with an improper reimbursement code that resulted in higher reimbursements.
The U.S. sued the practice in 2015 in connection to the allegations.
The court found that the physicians submitted 14,450 false claims to Medicare. U.S. District Judge Lynn Hughes applied a $11,803 penalty to each false claim, resulting in the final amount the physicians must pay.
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.