N.J. health clinic, officials reach settlement on fraud lawsuit

Published: 2010-08-29 18:32:31
Author: Keith L. Martin | IFA Web News | May 24, 2010

The owner of an Essex County pain management center will pay more than $88,000 in penalties and restitution through a deal with New Jersey officials to settle allegations including fraudulently billing insurance companies.

New Jersey Attorney General Paula T. Dow announced the settlement with the Newark Pain Management & Rehabilitation Center and its owner-president, Daniel Enemuo, of Lake Hopatcong, N.J.

A lawsuit filed in April 2009 on behalf of the New Jersey Office of the Insurance Fraud Prosecutor alleged the defendants performed chiropractic services on patients without authorization and then billed insurers for those services.

Acting Insurance Fraud Prosecutor Riza Dagli said neither Newark Pain Management nor Enemuo were authorized to provide chiropractic services to patients, but did so from July 2003 through November 2004. State law prohibits corporations from providing such services to patients if the corporation is owned by unlicensed individuals, according to officials.

Under the terms of the settlement, both the pain management clinic and Enemuo admitted to causing false and/or misleading claims to be provided to insurers by failing to disclose that Newark Pain Management was unauthorized to provide chiropractic services. The defendants also admitted to violating the New Jersey Insurance Fraud Prevention Act.

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