Philadelphia Mental Health Clinic and Its Psychiatrist Owner
Outcome
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Details
Philadelphia Mental Health Clinic and Its Psychiatrist Owner — $900,000 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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United States Attorney Jacqueline C. Romero announced that Dr. Ghodrat Pirooz Sholevar and his company, Nueva Vida Multicultural/Multilingual Behavioral Health, Inc., have agreed to pay $900,000 to resolve allegations in the United States’ Amended Complaint that they fraudulently billed Medicaid for medication management appointments for children and other patients that were too short pursuant to applicable regulations. The government alleges that the visits violated rules promulgated by Community Behavioral Health, the local Medicaid program administrator, and the False Claims Act.
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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