AG Nessel Reaches $19.85 Million Multistate Medicaid Fraud
Outcome
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AG Nessel Reaches $19.85 Million Multistate Medicaid Fraud — $19,850,000 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.
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LANSING – Michigan Attorney General Dana Nessel announced today that the State of Michigan, alongside other states and the federal government, has entered into a settlement agreement with Acadia Healthcare Company (Acadia) concerning allegations that their inpatient behavioral health facilities submitted false claims to government healthcare programs, primarily Medicare and Medicaid. Under the civil settlement agreement, Acadia, a Delaware corporation headquartered in Franklin, Tennessee, will pay $19.85 million, plus interest, to the states of Florida, Georgia, Michigan, and Nevada, and the federal government, more than $6 million of which will go to Medicaid programs. Michigan will receive $412,504.84 in Medicaid restitution and other recoveries.
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.
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