As the behavioral health industry garners more national attention and funding, it’s also seeing more audits and repayment requests from payers. For example, in fiscal year (FY) 2020, the space saw a “marked uptick” in False Claims Act (FCA) settlements, according to Bass, Berry & Sims’ annual Healthcare Fraud & Abuse Review, which was released […]
Category: Fraud
Two former substance use disorder (SUD) treatment professionals have pleaded guilty to participating in a multi-state kickback scheme, according to the Department of Justice (DOJ). The men — Michael Olshavsky, of Miami, and John Paul Linke, of Bristol, Tenn. — now face up to five years in prison each. Olshavsky and Linke conspired to pay […]
In what is thought to be the first case of fraudulent enrollment of individuals under the Affordable Care Act (ACA), a Southern California father and son have been fined and sentenced to federal prison for falsely signing up individuals for drug treatment at rehab centers. Jeffrey White, 63, and his son, Nicholas White, 35, had […]
Whistleblower lawsuits filed under the False Claims Act (FCA) were up last fiscal year, with the increase hitting the behavioral health industry especially hard. Those are just a couple takeaways from Bass, Berry & Sims’ recent 2020 Healthcare Fraud & Abuse Review. The law firm publishes the report annually to document health care fraud and […]
A Connecticut private behavioral health practice and its owner have agreed to pay more than $100,000 to settle state and federal fraud allegations, the U.S. Department of Justice (DOJ) announced Monday. Behavioral Management LLC of North Haven and its owner, Neil Quatrano, have entered into a civil settlement agreement following allegations that the company submitted […]
As the behavioral health industry draws more government funding, it’s also getting newfound scrutiny from state and federal regulators. Enforcement actions against behavioral providers are on the rise, especially for those organizations that participate in Medicare and Medicaid. Consequently, compliance planning is more important than ever — and so is identifying warning signs that suggest […]
The former founder and CEO of a New York-based addiction treatment facility has agreed to reimburse the state Medicaid program $3 million, according to Attorney General Letitia James. The agreement comes after Stephen Yohay admitted to taking part in a false Medicaid billing scheme, according to a press release announcing the news. The fraud occurred […]
Massachusetts Attorney General Maura Healey is suing CleanSlate Centers for allegedly defrauding the state Medicaid program out of millions of dollars. Meanwhile, the national addiction treatment center chain says the allegations are meritless. The lawsuit asserts that CleanSlate submitted millions of dollars worth of false claims for unnecessary urine drug tests to MassHealth. On top of […]
The former CEO of a Pennsylvania addiction treatment center has been sentenced to three years in federal prison for his role in a fraud scheme. Jason Gerner — who founded Yardley, Pennsylvania-based Liberation Way in 2015 after recovering from opioid addiction himself — was sentenced Monday. The punishment comes after he pleaded guilty to charges […]
Most behavioral health providers agree it’s a good thing: The federal government continues to funnel more money into behavioral health initiatives, such as fighting the opioid epidemic and funding certified community behavioral health clinics (CCBHC). But as providers find themselves with more federal dollars, they’re also more likely to face increased scrutiny over their practices, […]
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