Dr. Kenneth Martinez and Neurology and Pain Specialty Center
Outcome
OIG enforcement action against Dr. Kenneth Martinez and Neurology and Pain Specialty Center for false claims. Penalty: $919,000.
Details
Dr. Kenneth Martinez and Neurology and Pain Specialty Center — OIG Enforcement (2022)
OIG took enforcement action against Dr. Kenneth Martinez and Neurology and Pain Specialty Center in CA in 2022 involving false claims violations in the Agricultural Operations sector.
Penalty: $919,000
Violation types: False Claims
Entity type: Healthcare Provider
Penalty type: Fine
Location: CA
Source: Dr. Kenneth Martinez and Neurology and Pain Specialty Center Agreed to Pay $919,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medically Unnecessary or Upcoded S
How Crucible Prevents This
Crucible's billing compliance controls enforce documentation-to-claims reconciliation, requiring clinical attestation before claims submission and flagging billing patterns that deviate from documented care delivery.
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