Psychiatrist Reaches Civil

MO 2019 Behavioral Health

OIG False Claims

Penalty

$360,000

Outcome

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Details

Psychiatrist Reaches Civil — $360,000 Settlement

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ST. LOUIS – The U.S. Attorney’s Office for the Eastern District of Missouri and a Missouri psychiatrist have reached a $360,000 civil settlement that will resolve False Claims Act (FCA) allegations, U.S. Attorney Thomas C Albus announced Monday. The settlement resolves allegations that from Jan. 1, 2019, through May 31, 2024, Dr. Shazia Malik falsely indicated to both Medicare and Missouri Medicaid that she provided face-to-face psychotherapy to patients, including by submitting false claims for payment for services when she was out of town and for services that were provided by other practitioners. Dr. Malik was employed at Behavioral Health Services LLC which was owned and operated Psych Care Consultants in St. Louis, Missouri.

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

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