June 24, 2024

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Surgical procedure Centers and Health care Offices in New Jersey Settle Allegations of Federal Health Care Fraud | USAO-EDNY

Breon Peace, United States Attorney for the Eastern District of New York, Scott J. Lampert, Specific Agent-in-Demand, U.S. Division of Health and fitness and Human Products and services, Office environment of the Inspector Standard, New York Area (HHS-OIG), and Norbert E. Vint, Deputy Inspector General, Office environment of Staff Management (OPM), announced currently that six operation centers and clinical workplaces affiliated with Interventional Discomfort Management Centre P.C. (“IPMC”), a firm owned by Dr. Amit Poonia, have agreed to pay out $7,447,340.75 to resolve liability below the Bogus Statements Act for statements submitted to federal well being care courses for acupuncture therapy. 

“This settlement holds the defendants accountable for mischaracterizing acupuncture as a surgical technique in order to dishonestly acquire tens of millions of dollars from Medicare and the Federal Employees Health Profit Method,” explained United States Legal professional Peace.  “Working with our associates at the Department of Wellness and Human Expert services Office environment of the Inspector Typical and the Office environment of Staff Management, we determined the phony claims that enabled our Place of work to negotiate resolutions that resulted in a significant recovery of taxpayer dollars.”

“Medical professionals are anticipated to monthly bill taxpayer funded wellness treatment courses the right way to guarantee that they continue being solvent and accessible to individuals that have to have their expert services,” stated HHS-OIG Distinctive Agent-in-Cost Lampert.  “Along with our legislation enforcement companions, this settlement affirms our determination to guaranteeing that persons and entities that monthly bill federal health and fitness treatment courses do so in an straightforward manner.”

“Today’s settlement reminds all suppliers that if they submit fake promises, they will be held accountable,” stated OPM Deputy Inspector Standard Vint.         

The defendants dealt with people with electro-acupuncture devices named P-Stim and NeuroStim/NSS (“NSS”).  P-Stim and NSS processes transmit electrical pulses by needles put just underneath the skin on a patient’s ear.  Both of those solutions are deemed acupuncture under Medicare and Federal Staff Overall health Benefit Program (“FEHBP”) rules and are thus ineligible for reimbursement by the federal government.  From January 2012 via April 2017, the IPMC surgical treatment facilities and medical places of work submitted claims to Medicare and FEHBP for P-Stim and NSS remedy and involved administration of anesthesia.  In submitting the promises, the defendants made use of a billing code that mischaracterized the acupuncture treatment as a surgical implantation of a neurostimulator.

In addition to having to pay the civil settlement, Dr. Poonia, New Jersey Interventional Suffering Management Center, Computer Advanced Interventional Ache Administration Middle, LLC Global Anesthesia Group, LLC Springfield Operation Centre, LLC Park Avenue Operation Centre, LLC and Endo Surgi Heart of Old Bridge, LLC, have agreed to enter into an Integrity Arrangement with the HHS-OIG.  The Integrity Arrangement requires that these entities and their entrepreneurs put into action specific actions meant to reduce long term health care fraud and tackle evolving compliance risks.  These actions involve teaching for employees on applicable wellness treatment fraud legislation and submitting to a statements critique executed by an Unbiased Evaluate Business to be certain compliance with Medicare billing requirements. 

The allegations were being brought to the government’s awareness by means of the submitting of a complaint captioned United States ex rel. Anu Doddapaneni and Christian Reyes v. Amit Poonia, MD., New Jersey Interventional Ache Management Middle, P.C. et al., 18-CV-5214 pursuant to the qui tam provisions of the False Promises Act.  Under the Act, personal citizens can carry match on behalf of the United States and share in any recovery.  The promises fixed by the settlement are allegations only there has been no dedication of legal responsibility, nor a concession by the United States that its promises are not properly established.

The government’s situation was dealt with by Assistant U.S. Legal professional Jolie Apicella of the Office’s Civil Division with support from Civil Investigator Joseph Giambalvo.

The Defendants:

Dr. Amit Poonia, M.D.

New Jersey Interventional Agony Management Middle P.C.

Advanced Interventional Ache Management Middle LLC

Global Anesthesia Group LLC

Park Avenue Surgical procedure Heart LLC

Springfield Surgery Middle LLC

Endo Surgi Center of Aged Bridge LLC

E.D.N.Y. Docket No. 18-CV-5214 (ENV)