Florida Mental Health Counselor

FL 2015 Behavioral Health
OIG False Claims
Penalty
$120,000

Outcome

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Details

Florida Mental Health Counselor — $120,000 Settlement

Outcome: Official websites use .gov A .gov website belongs to an official government organization in the United States.

Official websites use .gov A .gov website belongs to an official government organization in the United States.

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On April 10, 2015, Timothy Fennell, a Florida licensed mental health counselor, entered into a settlement agreement with OIG under which Fennell would pay $120,000 and be excluded for twelve years. The settlement agreement with OIG resolves allegations that Fennell submitted false claims to Medicare for psychotherapy and other services allegedly rendered at Fennell's former company, Lakemont Clinic. Fennell used the provider information of an Orlando-area physician to submit claims for services that were not rendered or supervised by a physician. Senior Counsels Lauren Marziani and Katherine Matos represented OIG.

HHS Office of Inspector General

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.

Source: Florida Mental Health Counselor Settles Case Involving False Claims

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