Highland Rivers Health
Outcome
Official websites use .gov A .gov website belongs to an official government organization in the United States.
Details
Highland Rivers Health — $133,000 Fine
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.
After it self-disclosed conduct to OIG, Highland Rivers Community Service Board, d/b/a Highland Rivers Health (Highland Rivers), Georgia, agreed to pay $133,067.26 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Highland Rivers submitted or caused the submission of claims for psychiatric telehealth services provided to Medicare beneficiaries at certain Highland Rivers locations when the locations were not eligible for Medicare telehealth reimbursement because they were not "originating sites".
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.
Don't let this happen to your organization. See how Crucible works.
See How Crucible Works