Posted: September 1st, 2022
Scenarios of the office of Inspector General
Human Resources Management (HRM)
Topic:
Scenarios of the office of Inspector General
Instructions
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This is the scenario “New York Physician and Practice Settle Case Involving False Claims”
This is the date :
On December 11, 2019, Enrico Fazzini, D.O. and Enrico Fazzini, D.O., Ph.D., P.C. (collectively, “Dr. Fazzini”), with multiple locations in New York, entered into a $191,209.96 settlement agreement with OIG. The settlement agreement resolves allegations that Dr. Fazzini submitted claims: (1) using CPT code 95937 (neuromuscular junction (NMJ) testing) when he did not perform NMJ testing; and (2) for CPT code 95913 (for thirteen or more nerve conduction studies (NCS)) when he only performed twelve or fewer NCS. Senior Counsels Srishti Sheffner and Geoffrey Hymans represented OIG with the assistance of Program Analyst Mariel Filtz.
Action Details
Date:December 11, 2019
Enforcement Types: CMP and Affirmative Exclusions
Select one scenario from 2019. Comment on how the provider could have handled your selected scenario to prevent such an action. Your comments should be in the form of a one-page paper citing your references and using Help write my thesis – APA format. Use as many sources as you need.
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Scenarios of the office of Inspector General
