The United States Attorney’s Office for the Eastern District of Missouri announced that the United States has reached a civil settlement to resolve allegations that Dr. Nehal Modh and Modh’s company knowingly submitted false claims to Medicare and Missouri Medicaid. Dr. Modh is the president and sole owner of Progressive Pain Management in Festus, Missouri. The settlement announced today resolves allegations that Dr. Modh and PPM falsely indicated to both Medicare and Missouri Medicaid that ultrasound guidance was used on certain pain management injections, submitted false claims for payment for facet joint injections that did not meet billing substantiation requirements, and improperly coded claims for payment to receive excess reimbursement. As part of the settlement, Dr. Modh and PPM will repay the United States $1.2 million, consisting of $600,000 in restitution doubled under the False Claims Act (FCA).
