Mental Health Services Company Owner Agrees to Voluntary Exclusion
Outcome
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Details
Mental Health Services Company Owner Agrees to Voluntary 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 April 14, 2017, in connection with the resolution of her False Claims Act Liability, Teri Dimond (Dimond), Minnesota, agreed to be excluded from participation in all Federal health care programs for a period of eight years under 42 U.S.C. § 1320a-7(b)(7). OIG's investigation revealed that Dimond, through her company, caused to be presented false claims for mental health services to the Minnesota Medicaid program. OIG alleged the claims were false for one or more of the following reasons: (1) the services were provided by unlicensed practitioners without adequate clinical supervision; and (2) claims for reimbursement were submitted for the time spent maintaining patient records and/or the preparation of reports, in violation of state Medicaid regulations. 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.
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