Suburban Crossroads Counseling
Outcome
Official websites use .gov A .gov website belongs to an official government organization in the United States.
Details
Suburban Crossroads Counseling — $65,000 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, Suburban Pastoral Counseling Clinic, Inc. d/b/a Suburban Crossroads Counseling (SPCC), Maryland, agreed to pay $65,000 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that SPCC submitted improper claims using SPCC’s National Provider Identifier number for mental health counseling services provided to Medicare beneficiaries by SPCC’s licensed clinical professional counselors (LCPCs) incident to SPCC’s licensed clinical social worker (LCSW), and to Maryland Medicaid recipients by SPCC’s licensed graduate professional counselors incident to SPCC’s LCPCs when such services were not covered by Medicare or Maryland Medicaid.
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.
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