SAN ANTONIO - U.S. Attorney Jaime Esparza for the Western District of Texas announced Wednesday, separate civil settlements totaling $513,168.10 to resolve allegations that two area medical practices violated the False Claims Act (“FCA”) by improperly billing Medicare for P-Stim devices. The U.S. Attorney’s Office for the Western District of Texas has now obtained more than $2 million related to improperly billed P-Stim devices since June 2021.
P-Stim is an electro-acupuncture device that is affixed behind a patient’s ear using an adhesive. Needles are inserted into the patient’s ear and affixed using another adhesive. Once activated, the device provides intermittent stimulation by electrical pulses. It is a single-use, battery-powered device designed to be worn for approximately four days until its battery runs out, at which time the device is thrown away. Medicare does not reimburse for P-Stim devices.
Alamo City Pain Consultants LLC, d/b/a The Institute for Functional Health, a San Antonio medical practice, billed Medicare for P-Stim devices between May 2018 and January 2020. Ronald Moore, DNP, Theresa Lambert, DNP, through their Austin area business entities Psych Dimensions Inc., and Lambert & Moore Enterprises Inc., billed Medicare for P-Stim devices to beneficiaries between December 2018 and March 2019. The United States alleged that the medical practices fraudulently obtained payment from Medicare by falsely claiming they had implanted neuro-stimulators, a...
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