New Jersey Pain Management Center Pays $88K to Resolve Fraud Charges

Newark (N.J.) Pain Management & Rehabilitation Center and its owner-president, Daniel Enemuo, have agreed to pay $88,517 to resolve charges by the state that it defrauded insurers by performing and billing for chiropractic services on patients without authorization, according to a news release from New Jersey Attorney General Paula T. Dow.

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According to the state’s suit, neither the center nor Mr. Enemuo were authorized to provide chiropractic services to patients, but did so anyway from approximately July 2003-Nov. 2004. New Jersey law prohibits facilities from providing chiropractic services to patients if it is owned by unlicensed individuals.

Under terms of the settlement, both Newark Pain Management and Mr. Enemuo have admitted to causing false and misleading claims to be provided to the insurance companies by failing to disclose that Newark Pain Management was unauthorized to provide chiropractic services. They also have admitted to violating the New Jersey Insurance Fraud Prevention Act.

The defendants’ settlement includes a $75,000 civil penalty, $7,347 in reimbursement of the State’s attorneys’ fees and $6,170 in restitution to State Farm Insurance.

As part of the same lawsuit, the state previously settled with a third defendant, Delores Ensley, DC. Ms. Ensley paid a $10,000 civil penalty in 2009 and admitted that she treated patients for three months at Newark Pain Management after her chiropractic license had expired, thereby causing claims to be submitted to insurance carriers.

Read the Attorney General’s release on Newark Pain Management & Rehabilitation Center.

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