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Milwaukee Pain Doctor and Medical Practice Settles False and Fraudulent Medicare Claims Case

On August 14, 2015, David Irving Stein, MD (Stein), and Milwaukee Pain Treatment Services (MPTS), a Wisconsin based pain management specialist and his practice, entered into a $374,864.78 settlement agreement with OIG. The settlement agreement resolves allegations that MPTS, through Stein, submitted false or fraudulent claims for payment for multiple units of HCPCS codes G0431 and G0434 when only a single unit may be billed per patient encounter by inappropriately using modifiers 91 and QW. OIG's Office of Audit Services and Office of Counsel to the Inspector General, represented by Senior Counsels Andrea Treese Berlin and Geoffrey Hymans represented OIG.

Action Details

  • Date:August 14, 2015
  • Enforcement Types:
    • CMP and Affirmative Exclusions