Ohio Chiropractor Agrees to Voluntary Exclusion
On November 26, 2014, an Ohio chiropractor agreed to be excluded from participating in Federal health care programs for a period of ten years under 42 U.S.C. § 1320a-7(b)(7). OIG's investigation revealed that the chiropractor billed Medicare for custom orthotics and related add-on codes when he actually provided standard equipment that was: (1) not billable to Medicare; (2) billed at a higher rate of reimbursement than appropriate; (3) provided to patients who were not eligible for such equipment; and (4) not medically necessary. OIG also alleged that the chiropractor inappropriately solicited potential clients at nursing homes, ordered equipment without proper clinical evaluations, ordered orthotics for both feet without medical necessity, advised patients that there would be not cost for the equipment, and any co-payments would be waived. Senior Counsel Geeta W. Kaveti represented OIG.
- Date:November 26, 2014
- CMP and Affirmative Exclusions