Unnamed optometric physician (Tennessee)

Unknown 2026 Healthcare
DOJ Health Care Fraud False Medicare Billing For Wound Care Products
Penalty
$6.9 million

Outcome

The defendant pleaded guilty to health care fraud. Restitution and sentencing details were part of the Fraud Division's broader enforcement announcement representing nearly $1 billion in fraud across multiple cases nationwide.

Details

An optometric physician in Tennessee pleaded guilty to defrauding Medicare out of $6.9 million by submitting false claims for wound care products she had not actually purchased or used. The scheme ran over three-and-a-half years.

The physician used her practice to submit false claims seeking reimbursement from Medicare for new wound care products. She had neither purchased nor used these products. The scheme involved systematically billing Medicare for services and supplies that were never provided.

Source: Press release

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