United States Attorney David Metcalf announced the filing of a complaint under the False Claims Act in the Eastern District of Pennsylvania. This is the latest action in the national investigation into the scheme of improper billing using the RST-Sanexas neoGEN-series electric stimulation device. Federal healthcare programs do not reimburse for electrical nerve stimulation treatments furnished in outpatient clinics to treat pain, nor do they cover vitamin injections used in conjunction with such treatments. The complaint is against Drs. Michael Glickert and Joseph Novof of St. Louis, Missouri, as well as their integrated chiropractic clinic, The Vanguard Clinic LLC, and Sanexas device distributorship, Fleur de Lis, LLC, alleging violations of the False Claims Act.
As alleged in the complaint, Glickert is a chiropractor who helped develop the scheme for billing Sanexas treatment and vitamin injections to insurance and promoted that scheme nationwide. Novof is an emergency room physician who served as Medical Director for Vanguard, as well as two other Sanexas clinics, and distributed Sanexas devices nationwide. Beginning in late 2018, Glickert promoted Sanexas treatment and vitamin injections as reimbursable by Medicare and provided coding instructions. But the United States alleges that Glickert knew that billing Medicare could be considered fraudulent. And despite later admitting in a federal complaint that their billing of Sanexas treatment and vitamin injections was not covered by Medicare, Glickert continued to bill Medicare. Meanwhile, Novof falsely certified that vitamin injections were medically necessary, despite not even knowing the ingredients in those injections.