Mental health centers pay for improper billing
Compliance Monitor, July 19, 2003
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Several Pennsylvania behavioral health centers will pay the government a combined $1.29 million for improperly billing mental health services. Regional Development Behavioral Health Centers, Inc. (RDBHC) operated community mental health centers, including Shenandoah Behavioral Health Center, Schuylkill Haven Behavioral Health Center, Pocono Behavioral Health Center, and Turning Point Behavioral Health Center.
The government says the defendants improperly billed for mental health services from 1995 to 1999 by falsely certifying that Shenandoah, Schuylkill, Pocono, and Turning Point met the requirements for a Medicare community mental health center. The defendants also billed for medically unnecessary services and unallowable services.
The defendants will also enter into a corporate integrity agreement with the Office of Inspector General. (The U.S. Attorney for the Eastern District of Pennsylvania named the three RDBHC owners and executives in the settlement.) Click here to read their CIA.
Want to receive articles like this one in your inbox? Subscribe to Compliance Monitor!
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Compliance Monitor
This HTML e-mail newsletter delivers news on Medicare and Medicaid fraud and abuse, as well as recent documents and targets...
-
Medicare Weekly Update
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Medicare Update for Physician Services
Medicare Update for Physician Services is a free, monthly e-zine that delivers news and information to help physician...
Most Popular
- Articles
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- Catch up on what's new with injections and infusions
- Identify potential Medicaid RAC target areas
- Topic: CMS, OESS post new security compliance review information, checklist
- Capturing all necessary codes for IUD insertion and removal can be challenging
- What does case-mix index mean to you?
- OB services: Coding inside and outside of the package
- QA:Coding multiple initial infusions
- E-mailed
-
- Q/A: Volume requirement for reporting hydration services
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: Level of encryption needed for email
- CMS has reformulated payments for some bilateral procedures
- Q&A: Follow CMS' coding guidelines when using modifier -25
- Understand the spine to code back procedures correctly
- What does case-mix index mean to you?
- Catch up on what's new with injections and infusions
- New conflicts of interest create new challenges
- Q/A. One injection code or two?
- Searched