Addiction Treatment Center Supervisor Admits to Participating in a Scheme to Defraud Federal

MA 2026 Behavioral Health

OIG Healthcare Fraud

Penalty

$3.5 million

Outcome

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Details

Addiction Treatment Center Supervisor Admits to Participating in a Scheme to Defraud Federal — $3,500,000 Settlement

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

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

Secure .gov websites use HTTPS A lock ( Lock A locked padlock ) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

PROVIDENCE, RI – A clinical social worker today admitted to a federal judge that she helped devise and execute a scheme that shortchanged Rhode Island and Massachusetts substance abuse disorder patients out of counseling and treatment services while, at the same time, defrauding Medicare, Medicaid, and other health insurers out of more than $3.5 million dollars, announced United States Attorney Zachary A. Cunha.

HHS Office of Inspector General

How Crucible Prevents This

Crucible's compliance monitoring controls for Behavioral Health / SUD Treatment would have detected the patterns underlying this violation through automated screening, documentation enforcement, and real-time alert escalation.

Source: Addiction Treatment Center Supervisor Admits to Participating in a Scheme to Defraud Federal, State, and Private Health Care Insurers

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