A federal court has ruled that a Connecticut psychiatrist and her practice must pay over $400,000 to settle false claims and improper billing, officials said.
Pain Management, LLC and its owner, Halina Snowball have entered into a civil settlement agreement with the federal government and have paid $427,129.11 to resolve allegations that they submitted false claims to, and received overpayments from, the Connecticut Medicare program, according to the U.S. Attorney’s Office for the District of Connecticut.
Snowball is a psychiatrist licensed to practice medicine and sole owner of her pain management practice, Pain Management, LLC in Stamford. The allegations against Snowball and Pain Management arise out of improper billing for office visits, also known as evaluation and management services.
The government alleges that between April 2017 and November 2019, Snowball and Pain Management, LLC submitted improper claims to Medicare for evaluation and management services by adding Modifier 25 to evaluation and management claims when providing pain injections when no significant, separately identifiable evaluation and management services were provided.
Modifier 25 is a code modifier indicating a significant, separately identifiable evaluation and management service was performed by the same physician on the same day as another procedure or service, according to officials. It’s used to ensure payment for the evaluation and management service is separate from another other service,...
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