Psychiatrist Reaches Civil

MO 2019 Behavioral Health

OIG False Claims

Penalty

$360,000

Outcome

OIG enforcement action against Psychiatrist Reaches Civil for false claims. Penalty: $360,000.

Details

Psychiatrist Reaches Civil — OIG Enforcement (2019)

OIG took enforcement action against Psychiatrist Reaches Civil in MO in 2019 involving false claims violations in the Behavioral Health sector.

Penalty: $360,000

Violation types: False Claims
Entity type: Behavioral Health Facility
Penalty type: Settlement
Location: MO

Source: Psychiatrist Reaches Civil Settlement of $360,000 to Resolve Allegations of False Claims to Federal Health Care Programs

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: Psychiatrist Reaches Civil Settlement of $360,000 to Resolve Allegations of False Claims to Federal Health Care Programs

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