tci Part B Insider - 2012 Issue 38

Physician Note: Missing Documentation Leads to $7 Million Fraud Settlement

Plus: OIG exclusion list is no joke.A New York-based mental health center is at the center of a government case due to allegations that the center billed Medicaid for services that it did not have the documentation to support. The facility consequently settled with the Department of Justice and will pay $7 million in civil damages under the False Claims Act, an Oct. 24 news release revealed.Under Medicaid guidelines, practitioners must "maintain certain documents, including progress notes and treatment plans, to ensure that billed services are actually provided, and that the providers are in compliance with the...

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