South Dakota reaches settlement with Advanced EyeCare in Medicaid fraud case
"We are working to protect taxpayer dollars by ensuring that providers submit claims for goods and services that are medically necessary," Jackley said. "It is important to guard taxpayer monies by paying only legitimate claims."
Advanced EyeCare will pay $151,528.89 as part of the settlement agreement. The settlement funds will be used to reimburse federal and state shares of Medicaid expenditures, and for costs of investigation.
Jeffrey J. Browen, OD, signed the settlement agreement as president of Advanced EyeCare. Dr. Browen also agreed to participate in additional training. Dr. Browen terminated his South Dakota Medicaid provider status in October 2015.
According to the settlement agreement, South Dakota contends that Advanced EyeCare submitted at least some claims for payment for services that were not medically necessary or were improperly coded.
The settlement agreement is neither an admission of liability by Advanced EyeCare, nor a concession by South Dakota that its claims are not well founded.
Information provided by patients and other physicians assisted the government’s review of the case. ■