Sunwest Behavioral Health Associates
Outcome
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Details
Sunwest Behavioral Health Associates — $17,000 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, Sunwest Behavioral Health Associates, P.A. (Sunwest), Texas, agreed to pay $17,255.25 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that Sunwest employed a case manager who submitted claims to Texas Medicaid for services they had not provided such as case management, skills training, and medication therapy.
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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