Georgia Mental Health Provider and Owner Agree to Voluntary Exclusion

GA 2018 Behavioral Health
OIG False Claims
Penalty
$0

Outcome

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Details

Georgia Mental Health Provider and Owner Agree 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.

Secure .gov websites use HTTPS A lock ( Lock A locked padlock ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

On December 1, 2018, in connection with the resolution of their False Claims Act liability, Families United Services, Inc. (FUS), and Pamela McKenzie, Georgia, each agreed to be excluded from participation in all Federal health care programs for periods of five years under 42 U.S.C. § 1320a-7(b)(7). OIG alleged that FUS and Pamela McKenzie submitted claims to Georgia Medicaid for behavioral health services that were not provided. Senior Counsel Katie Fink 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: Georgia Mental Health Provider and Owner Agree to Voluntary Exclusion

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