Physician Owners of Mental Health Clinic Sentenced for $97 Million Medicare Fraud Scheme
Outcome
Official websites use .gov A .gov website belongs to an official government organization in the United States.
Details
Physician Owners of Mental Health Clinic Sentenced for $97 Million Medicare Fraud Scheme — $97,000,000 Criminal
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.
The two physician owners of a Houston-area mental health clinic were sentenced today to 148 months and 120 months respectively for their roles in a $97 million Medicare fraud scheme. A group home owner who sent residents to the clinic in exchange for kickbacks was also sentenced to 54 months in prison for her role.
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. Crucible's referral monitoring tracks patient source patterns and flags arrangements that correlate referral volume with financial relationships, enforcing anti-kickback compliance documentation.
Don't let this happen to your organization. See how Crucible works.
See How Crucible Works