Comprehensive Pain Management Institute and its owner, Leon Margolin, M.D., have agreed to pay the United States $650,000 to resolve False Claims Act allegations that they knowingly billed Medicare for nerve conduction studies and alcohol/substance abuse assessments and interventions (SBIRT) that were medically unnecessary or not provided as billed. Margolin is a pain management physician in Columbus, Ohio. Nerve conduction studies are used to measure how fast an electrical impulse moves through a person’s nerve. Electromyography is the study and recording of electrical activity in a person’s muscles. This testing is invasive in that it requires needle electrode insertion and adjustment at multiple sites. Performed together, the tests identify the presence and location of diseases that damage nerves and muscles. When a nerve conduction study is performed alone, the results can often be misleading, and it is considered medically unnecessary, except in limited circumstances not present here. SBIRT is an early intervention targeting those with substance abuse to provide effective strategies prior to the need for more extensive treatment. The government alleged that Margolin and his clinic billed Medicare for nerve conduction studies for patients who did not need them and without performing electromyography and for alcohol and/or substance assessments that were not necessary because the patients had no history of drug or alcohol abuse or where the services were not provided as billed.
