A Physician from Fayetteville, North Carolina, Agrees to Reimburse $300k to Settle Allegedly Deceitful Medicaid and Medicare Claims Concerning Autonomic Nervous System Tests.

A Physician from Fayetteville, North Carolina, Agrees to Reimburse $300k to Settle Allegedly Deceitful Medicaid and Medicare Claims Concerning Autonomic Nervous System Tests.

Raleigh, North Carolina – On 28th April 2021, G. Norman Acker, III, the Acting United States Attorney, reported that Benjamin C. Udoh and Hanora Medical Center, PLLC, have consented to reimburse 300,000.00 U.S. dollars to settle civil accusations under the U.S. and North Carolina False Claims Statutes involving accusations that they submitted fraudulent Autonomic Nervous System Testing claims to the Medicaid and Medicare Programs. Hanora Medical Center, PLLC, is an internal medicine practice operated by Dr. Udoh in Fayetteville, North Carolina.

Precisely, the U.S. and the North Carolina State purported that during a period of four and half years between Jan. 2016 and May 2020, Dr. Benjamin Udoh and Hanora Medical Center submitted fraudulent or false claims for Autonomic Nervous System Testing through Current Procedural Terminology codes 95923, 95921, 95927, 95925, 93923, and 93922, when the testing services lacked medical necessity and/or the medical record never supported medical necessity.  Consequently, Dr. Benjamin Udoh and his medical practice purportedly obtained money to which they were not qualified to receive.

Besides the monetary portion of the resolution, Dr. Benjamin Udoh and Hanora Medical Center have joined into an Integrity Agreement with the Health & Human Services Department – Office of Inspector General.

The United States and North Carolina False Claims Statutes permit the Governments to recover three times the funds fraudulently acquired, plus hefty civil penalties for every false claim submitted.

It must be noted that the claims settled by this resolution are just allegations and that there has been no admission of liability or judicial determination of liability.

The Eastern District of North Carolina United States Attorney’s Office investigated this matter in collaboration with and the North Carolina Medicaid Investigations Division – Office of the Attorney General.  Michael M. Berger, Special Deputy Attorney General, who as well serves as the Special United States Assistant Attorney, handled this matter’s prosecution on behalf of the United States and the North Carolina State.

The Medicaid Investigations Division inquires and prosecutes health care providers that steal Medicaid, patient exploitation of Medicaid beneficiaries, patient exploitation of any patient in facilities that obtain the Medicaid program funding, and misuse of any patients’ private cash in nursing homes that obtain the Medicaid program funding. 

Breaching the Controlled Substance Statute, the False Claim Act, and the Anti-Kickback Statute is harshly punished by the law. Besides, conspiracy to commit health care fraud like stealing taxpayer-funded health care programs, like the Medicare, TRICARE, or Medicaid programs, is a serious crime. Any person who executes these crimes violates the law and is sternly fined or punished if found liable of or pleads guilty to the accusations. When charged for these offenses, one must look for the best legal assistance or representation to defend, fight, and pursue their rights. You should hire our competent team of the best defense and criminal attorneys if you require the most exceptional legal assistance and representation, which guarantees positive results for your case. Health Care Fraud Group consists of a highly qualified team of lawyers with tremendous skills in handling Health Care Fraud-linked matters concerning Federal Health Care programs; they are highly informed about civil and federal matters. The attorneys are well-known across the nation due to their remarkable work and proficiency when tackling health care fraud investigations and cases. Our experienced attorneys are fully fitted out with prior knowledge of each phase of Health Care fraud protection, medical, and legal issues.

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