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.
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