Monthly Archives: September 2012

OIG Reports on Questionable Billing for Mental Health Services

Posted by Salvatore G. Rotella Jr. on September 10, 2012
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As its title makes clear, the August 2012 report “Questionable Billing by Community Mental Health Centers” (the Report) by the U.S. Department of Health and Human Services Office of Inspector General (OIG) demonstrates its significant concern with fraud, waste, and abuse in Medicare payments for mental health services.  The OIG’s key findings include that in 2010, about 50% of community mental health centers (CMHCs) exhibited unusually high billing for at least one of nine so-called “questionable billing characteristics” in seeking reimbursement for partial hospitalization program (PHP) services; about 33% exhibited at least two of these characteristics.  Continue reading…

Salvatore G. Rotella Jr.

Salvatore G. Rotella Jr.

Sal Rotella is a member of the firm and practices in the Health Law Group. Sal handles a variety of health law litigation, regulatory, and compliance matters, and has extensive experience representing behavioral health care providers. He also advises clients on privacy law requirements.

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