Chattanooga Times Free Press

Feds: Pain clinic CEO plotted to forge patient’s signature

- BY BRETT KELMAN USA TODAY NETWORK-TENNESSEE

The former CEO of one of the largest pain clinic companies in Tennessee is accused of plotting to forge the signature of a dead patient so Medicaid could be billed in her name, according to newly released federal court documents.

John Davis, who at the time was the head of Comprehens­ive Pain Specialist­s, allegedly emailed about the forgery plan with Brenda Montgomery, a businesswo­man prosecutor­s said he was in cahoots with as part of an illegal kickback scheme.

Both Davis and Montgomery have been indicted for the scheme and pleaded not guilty in federal court. Federal prosecutor­s revealed the forgery allegation for the first time this week, saying in court records they plan to introduce the email as evidence in Davis’ upcoming trial.

Comprehens­ive Pain Specialist­s, or CPS, was a Brentwood-based pain clinic company that rapidly collapsed this summer, giving little warning to patients or employees. It once was one of the largest pain clinic companies in the Southeast, treating more than 40,000 patients a month across dozens of clinics in eight states, including one in Chattanoog­a.

In the wake of the closures, many patients were left with a dwindling supply of medication and no access to their medical records, which made it nearly impossible to get a new prescripti­on from a new doctor. Some pain management experts have worried that the troublesom­e closure will cause desperate patients to resort to heroin, which is a similar drug to opioid painkiller­s but far more addicting and dangerous.

Davis, who was the CEO of CPS from 2011 to 2017, was indicted in April, three months before the company was shuttered in July. Prosecutor­s have said in court documents that his prosecutio­n has little to do with the direct operations of CPS, and instead relate to a “side agreement” he had worked out with Montgomery, who was the head of a medical device company named CCC Medical Inc.

According to federal court documents, prosecutor­s allege that Montgomery would pay kickbacks to Davis so he would refer CPS patients who needed medical devices to CCC Medical. Montgomery allegedly used the referred patients to bill Medicare for at least $4.6 million, for which she received about $2.6 million in reimbursem­ents. Montgomery allegedly paid Davis at least $770,000 in bribes and disguised some of the payments through the purchase of a sham company.

In addition to Davis’ criminal prosecutio­n, the U.S. Attorney’s Office also is conducting a civil investigat­ion of the interworki­ngs of CPS.

LEGAL FIGHT OVER CPS EMAIL SERVER

Davis’ prosecutio­n has now come to focus on a legal fight over the CPS email server, which prosecutor­s say contains millions of documents. That server appears to be where authoritie­s first discovered the email about forging the signature of the dead patient.

In court motions, Davis’ attorneys have requested law enforcemen­t turn over a copy of the entire server, which they argue will provide context to the email exchanges between Davis and Montgomery. Prosecutor­s have argued against the request, saying they have already turned over more than 100,000 documents, and it is unclear how any additional emails could put the forgery plot in “appropriat­e context.”

“[Davis] is saying he is making his request in good faith, and is not engaging in a fishing expedition,” federal prosecutor­s wrote in court records. “However, (he) appears to be standing on the pier with tackle ready.”

Davis’ attorney, Kimberly Hodde, did not respond to a request for comment.

Contact Brett Kelman at 615-259-8287 or at brett. kelman@tennessean.com. Follow him on Twitter at @brettkelma­n.

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