Tuesday, February 24, 2015

Mental Mistake

Mental Mistake « Watchdog.org:
"Medicare pays for designated costs related to both inpatient and outpatient mental health services. (This is pretty important to beneficiaries who have a mental health condition that needs to be treated.) An article posted on Local10.com tells how the Chief Operating Officer (COO) of a Florida psychiatric hospital made a crucial mental mistake by overseeing the submission of $67 million in fraudulent claims to Medicare.
The story states that the scam occurred over a nine-year period of time during which the COO was supervising employees in the company’s inpatient and outpatient facilities.
He admitted to being aware that his employees were submitting the bogus claims for treatments that were neither medically necessary nor provided.
Many of the patients, who were found by paying bribes and kickbacks to patient brokers, were often admitted for mental health treatment before they saw a doctor and regardless of whether they qualified for treatment. (Medicare paid $40 million of the $67 million in claims submitted.)..."

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