United States Reaches $501,556 Civil

MO 2019 Behavioral Health
OIG False Claims
Penalty
$501,556

Outcome

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Details

United States Reaches $501,556 Civil — $501,556 Settlement

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Official websites use .gov A .gov website belongs to an official government organization in the United States.

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ST. LOUIS – Acting U.S. Attorney Matthew T. Drake on Tuesday announced that the U.S. Attorney’s Office for the Eastern District of Missouri and a Missouri psychiatrist have reached a $501,556 civil settlement that will resolve False Claims Act (FCA) allegations. The settlement resolves allegations that from Jan. 1, 2019, through May 31, 2024, Dr. Mohd Azfar Malik falsely indicated to both Medicare and Missouri Medicaid that he provided face-to-face psychotherapy to patients, including by submitting false claims for payment when he was out of town and for services that were provided by other practitioners. Dr. Malik was part-owner of Behavioral Health Services, LLC which 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: United States Reaches $501,556 Civil Settlement Resolving Allegations of False Claims to Federal Health Care Programs

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