KOLOA, Hawaii — When an ophthalmology practice comes under investigation for fraud under the False Claims Act, ignorance is no excuse. Nor is laziness, according to a legal counselor who represents ophthalmology practices.
“Basically what the law says is, ‘You can’t submit claims to us that were fraudulent or false that you knew, or at least should have known, weren’t correct,’” Allison W. Shuren, MSN, JD, said at Hawaiian Eye 2020.
A “silly CPT error” can be costly, especially when repeated, she said. For instance, if the wrong CPT code is
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