Eye Surgeon Admits to $3.6M in Health Insurance Fraud

An ophthalmologist in Rye, NY, has pleaded guilty in connection with a seven-year healthcare fraud scheme.

Dr. Ameet Goyal falsely billed for millions of dollars of procedures he did not perform, according to a press release from the U.S. Attorney’s Office for the Southern District of New York. He also fraudulently obtained two government-guaranteed loans intended to help small businesses during the COVID-19 pandemic while facing charges on pretrial release for the healthcare fraud scheme, according to the release.

Goyal pleaded guilty before U.S. District Judge Cathy Seibel to all charges in a six-count superseding indictment.

“Dr. Ameet Goyal was an experienced eye doctor who became blinded by greed and routinely defrauded patients who trusted him to heal their eyes,” said U.S. Attorney Audrey Strauss. “He grossly overbilled minor ophthalmological procedures, billed for tests and procedures that were never performed, falsified medical records, attempted to corrupt others in his practice to abet the scheme, and sent patients who refused to pay his fraudulent charges to collections.

“Already facing charges for defrauding patients and insurers of millions of dollars, Goyal committed a new fraud in applying for Paycheck Protection Program loans on behalf of two separate businesses and lying on the applications. Goyal looted over $630,000 in federal funds earmarked for legitimate small businesses affected by the COVID-19 pandemic. Goyal has now admitted to both fraudulent schemes, agreed to forfeit $3.6 million, and faces the possibility of a significant term of incarceration.”

Source: Eye Surgeon Admits to $3.6M in Health Insurance Fraud / Invision Magazine

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