Missouri Attorney General Obtains $500,000

MO 2021 Behavioral Health

OIG Medicaid Fraud

Penalty

$500,000

Outcome

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Details

Missouri Attorney General Obtains $500,000 — $500,000 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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JEFFERSON CITY, Mo. – Missouri Attorney General Eric Schmitt announced today that on December 21, 2021, Piney Ridge Center, a residential treatment facility for children suffering from sexual behavior disorders and mental health illnesses, entered into a civil settlement agreement with his office for billing MO HealthNet, the Missouri Medicaid program, for therapy services that it did not provide to children and adolescents.

HHS Office of Inspector General

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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: Missouri Attorney General Obtains $500,000 Settlement in Medicaid Fraud Case

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