Mental Health Services Company Agrees to Permanent Exclusion

MN 2017 Behavioral Health
OIG False Claims
Penalty
$0

Outcome

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Details

Mental Health Services Company Agrees to Permanent Exclusion — 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 May 30, 2017, in connection with the resolution of False Claims Act liability, Complementary Support Services, CCS South, LLC, CCS Central, LLC, CCS North, LLC, CCS Metro, LLC, and Clinical Support Services, LLC (collectively, "CSS"), Minnesota, agreed to be permanently excluded from participation in all Federal health care programs under 42 U.S.C. § 1320a-7(b)(7). OIG's investigation revealed that CSS submitted false claims for mental health services to the Minnesota Medicaid program. OIG alleged that CSS billed for documentation time despite a state statute and regulations permitting reimbursement only for face-to-face services. Senior Counsel Geeta Taylor and Associate Counsel David Fuchs 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: Mental Health Services Company Agrees to Permanent Exclusion

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