Oklahoma Prosthetics Suppliers Settles Case Involving False Claims
On March 18, 2015, La Fuente Ocular Prosthetics, LLC (La Fuente), an Oklahoma City, Oklahoma, prosthetics supplier, entered into a $90,000 settlement agreement with OIG. The settlement agreement resolves allegations that La Fuente submitted false or fraudulent claims to Medicare and created false records material to a false claim. OIG contends that La Fuente submitted claims for services (1) where the treating physician had not provided La Fuente with an order or other required documentation prior to billing the Medicare program and (2) provided patients with prosthetics that were higher functional level products than necessary. OIG's Office of Audit Services, Office of Investigations and Office of Counsel to the Inspector General, represented by Associate Counsel Paul Westfall and Senior Counsel Geoffrey Hymans, collaborated to achieve this settlement.
- Date:March 18, 2015
- CMP and Affirmative Exclusions