Arizona Physicians and Practice Settle False and Fraudulent Claims Case
On February 13, 2018, Modocurogyn, PLLC d/b/a AZ Urogynecology and Pelvic Health Center, a urogynecology practice with locations in Mesa, Scottsdale, and Glendale, Arizona, and its physician partners Dr. Mohamed Akl and Dr. Ahmed Akl (collectively, "AZ Urogynecology"), entered into an $877,474 settlement agreement with OIG. The settlement agreement resolves allegations that AZ Urogynecology submitted claims to Medicare for items or services that it knew or should have known were not provided as claimed or were false or fraudulent. Specifically, OIG contended that AZ Urogynecology submitted claims for: (1) diagnostic electromyography (EMG) services using CPT Code 51784 and diagnostic anorectal manometry (ARM) services using CPT Code 91122 when therapeutic services, not diagnostic services, had been provided; (2) evaluation and management (E&M) services billed in conjunction with pelvic floor therapy procedures when no separate and identifiable E&M services were provided; (3) unbundled biofeedback procedures; and (4) EMG- and ARM-aided biofeedback therapy that was not preceded by a four-week course of failed pelvic muscle exercise training. OIG's Consolidated Data Analysis Center and Office of Counsel to the Inspector General, represented by Senior Counsel Michael Torrisi and Associate Counsel Srishti Sheffner with the assistance of Paralegal Specialist Mariel Filtz, collaborated to achieve this settlement.
- Date:February 13, 2018
- CMP and Affirmative Exclusions