Unnamed Mental Health Provider (Brockton, MA)

Brockton, MA 2018--2022 Behavioral Health

MA-AG OIG False Claims Medicaid Fraud

Penalty

$700,000

Outcome

Brockton mental health provider settled for $700,000 with Massachusetts AG for submitting false claims to MassHealth.

Details

Brockton Mental Health Provider (MA) — $700K MassHealth Fraud Settlement

Outcome: Settled for $700,000 to resolve MassHealth false claims allegations brought by Massachusetts Attorney General Andrea Joy Campbell.

A mental health provider based in Brockton, Massachusetts, submitted false claims to MassHealth (Massachusetts Medicaid) and settled the resulting enforcement action for $700,000. The Massachusetts Attorney General's Office announced the settlement on October 5, 2023.

Primary Source: Brockton-Based Mental Health Provider Agrees To $700,000 Settlement To Resolve MassHealth Fraud Allegations

How Crucible Prevents This

Crucible's MassHealth billing integrity controls would flag patterns of false claims in mental health billing; a pre-submission documentation audit gate checking clinical records against billed service codes would prevent false claims from reaching the payer.

Source: Brockton-Based Mental Health Provider Agrees To $700,000 Settlement To Resolve MassHealth Fraud Allegations

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