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<script> window.addEventListener('gpt-slots-ready', () => { googletag.cmd.push(function() { googletag.display('div-gpt-behavioralhealth_adunitb'); }); }); </script> </div> </div></div> <div class="grid-container"> <div class="grid-col single-content-column "> <header class="page-header archive-header"> <h1 class="page-title archive-title heading-with-border">Category: <span>Fraud</span></h1> </header> <div class="posts-feed"> <article id="post-8442" class="entry-block entry-block-with-excerpt post-8442 post type-post status-publish format-standard hentry category-compliance category-finance category-fraud category-psychiatric-care category-regulation tag-acadia-healthcare amn_content_type-news amn_word_count-350-700"> <header class="entry-header"> <div class="entry-header-content"> <div class="category-tag-holder"> <a href="https://bhbusiness.com/category/finance/" class="post-category post-category-tag"><span>Finance</span></a> </div>  <h2 class="entry-title"><a href="https://bhbusiness.com/2024/10/31/acadia-healthcare-says-public-scrutiny-leading-to-lower-volumes-weaker-financial-projections/">Acadia Healthcare Says Public Scrutiny Leading to Lower Volumes, Weaker Financial Projections</a></h2> <div class="entry-meta"> <span class="byline"> By <span class="author vcard"><a class="url fn n" href="https://bhbusiness.com/author/mgonzales/">Morgan Gonzales</a></span></span> | <span class="posted-on"><time class="entry-date published" datetime="2024-10-31T14:19:54-05:00">October 31, 2024</time><time class="updated" datetime="2024-10-31T14:21:46-05:00">October 31, 2024</time></span> </div> </div>  </header> <div class="entry-content"> <p>Bad news at Acadia Healthcare (Nasdaq: ACHC) has translated into a real financial impact. The behavioral health behemoth experienced lower patient volume growth than expected in October, which company leadership attributed to bad press in its Q3 earnings call. Acadia expects the negative impact to be temporary, according to Heather Dixon, Acadia’s chief financial officer. […]</p> </div> </article> <article id="post-8371" class="entry-block entry-block-with-excerpt post-8371 post type-post status-publish format-standard hentry category-bhb-plus category-compliance category-fraud category-medicaid category-medicare category-regulation tag-polsinelli amn_content_type-news amn_word_count-701-1200"> <header class="entry-header"> <div class="entry-header-content"> <div class="category-tag-holder"> <a href="https://bhbusiness.com/category/regulation/compliance/" class="post-category post-category-tag"><span>Compliance</span></a> </div>  <h2 class="entry-title"><a href="https://bhbusiness.com/2024/10/18/court-ruling-could-massively-curb-health-care-litigation-what-behavioral-health-operators-should-know/">Court Ruling Could Massively Curb Health Care Litigation: What Behavioral Health Operators Should Know</a></h2> <div class="entry-meta"> <span class="byline"> By <span class="author vcard"><a class="url fn n" href="https://bhbusiness.com/author/matthewblake/">Matthew Blake</a></span></span> | <span class="posted-on"><time class="entry-date published" datetime="2024-10-18T09:31:52-05:00">October 18, 2024</time><time class="updated" datetime="2024-10-18T09:31:54-05:00">October 18, 2024</time></span> </div> </div>  </header> <div class="entry-content"> <p>A Florida federal court ruling issued last month could lead to a “massive sea change” in what lawsuits can be brought against behavioral health companies. That is the interpretation of Gregory Jones, a principal at the law firm Polsinelli’s Los Angeles office, who represents health care companies, including in False Claims Act (FCA) cases. FCA […]</p> </div> </article> <article id="post-8327" class="entry-block entry-block-with-excerpt post-8327 post type-post status-publish format-standard hentry category-fraud category-medicaid category-psychiatric-care category-regulation category-residential amn_content_type-news amn_word_count-350-700"> <header class="entry-header"> <div class="entry-header-content"> <div class="category-tag-holder"> <a href="https://bhbusiness.com/category/facility-type/residential/" class="post-category post-category-tag"><span>Residential</span></a> </div>  <h2 class="entry-title"><a href="https://bhbusiness.com/2024/10/10/senate-finance-chair-demands-doj-investigation-of-youth-treatment-centers/">Senate Finance Chair Demands DOJ Investigation of Youth Treatment Centers</a></h2> <div class="entry-meta"> <span class="byline"> By <span class="author vcard"><a class="url fn n" href="https://bhbusiness.com/author/mgonzales/">Morgan Gonzales</a></span></span> | <span class="posted-on"><time class="entry-date published" datetime="2024-10-10T14:32:11-05:00">October 10, 2024</time><time class="updated" datetime="2024-10-10T14:32:14-05:00">October 10, 2024</time></span> </div> </div>  </header> <div class="entry-content"> <p>Youth behavioral health residential treatment facilities could face more scrutiny following additional public pressure by a powerful federal lawmaker. On Wednesday, Senate Finance Committee Chair Ron Wyden (D-Oregon) publicly called on the U.S. Department of Justice (DOJ) to investigate four major behavioral health providers to determine if their youth residential treatment programs committed Medicaid fraud. […]</p> </div> </article> <article id="post-8272" class="entry-block entry-block-with-excerpt post-8272 post type-post status-publish format-standard hentry category-compliance category-fraud category-hospitals-and-health-systems category-medicaid category-medicare category-regulation tag-acadia-healthcare amn_content_type-news amn_word_count-350-700"> <header class="entry-header"> <div class="entry-header-content"> <div class="category-tag-holder"> <a href="https://bhbusiness.com/category/regulation/" class="post-category post-category-tag"><span>Regulation</span></a> </div>  <h2 class="entry-title"><a href="https://bhbusiness.com/2024/09/26/acadia-to-pay-19-85m-to-settle-whistleblower-allegations-relating-to-medically-unnecessary-inpatient-behavioral-health-services/">Acadia to Pay $19.85M to Settle Whistleblower Allegations Relating to Medically Unnecessary Inpatient Behavioral Health Services</a></h2> <div class="entry-meta"> <span class="byline"> By <span class="author vcard"><a class="url fn n" href="https://bhbusiness.com/author/mgonzales/">Morgan Gonzales</a></span></span> | <span class="posted-on"><time class="entry-date published" datetime="2024-09-26T22:36:43-05:00">September 26, 2024</time><time class="updated" datetime="2024-09-27T08:43:45-05:00">September 27, 2024</time></span> </div> </div>  </header> <div class="entry-content"> <p>Behavioral health care giant Acadia Healthcare (Nasdaq: ACHC) will pay $19.85 million to the U.S. and several states’ governments to resolve allegations that it knowingly billed for medically unnecessary behavioral health services and endangered patients. The U.S. Department of Justice (DOJ) alleged that Acadia falsely billed Medicare, Medicaid and TRICARE for inpatient behavioral health services […]</p> </div> </article> <article id="post-8161" class="entry-block entry-block-with-excerpt post-8161 post type-post status-publish format-standard has-post-thumbnail hentry category-autism-business-news category-autism-idd category-fraud amn_content_type-news amn_word_count-350-700"> <header class="entry-header"> <div class="entry-header-content"> <div class="category-tag-holder"> <a href="https://bhbusiness.com/category/autism-business-news/" class="post-category post-category-tag"><span>Autism Business News</span></a> </div>  <h2 class="entry-title"><a href="https://bhbusiness.com/2024/09/09/autism-clinics-linked-to-massive-child-nutrition-program-fraud-in-minnesota/">Autism Clinics Linked to Massive Child Nutrition Program Fraud in Minnesota</a></h2> <div class="entry-meta"> <span class="byline"> By <span class="author vcard"><a class="url fn n" href="https://bhbusiness.com/author/mgonzales/">Morgan Gonzales</a></span></span> | <span class="posted-on"><time class="entry-date published" datetime="2024-09-09T12:50:43-05:00">September 9, 2024</time><time class="updated" datetime="2024-09-09T12:50:45-05:00">September 9, 2024</time></span> </div> </div>  <div class="thumbnail-holder"> <a href="https://bhbusiness.com/2024/09/09/autism-clinics-linked-to-massive-child-nutrition-program-fraud-in-minnesota/"> <img width="150" height="115" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20150%20115'%3E%3C/svg%3E" class="attachment-agingmedia-thumb-medium size-agingmedia-thumb-medium wp-post-image" alt="Autism Business News logo for story about Axis Therapy Centers" decoding="async" data-lazy-src="https://bhbusiness.com/wp-content/uploads/sites/7/2024/02/2023-ABN-WP-header-featured-img-alt-img_featuredImg-posts-150x115.png" /><noscript><img width="150" height="115" src="https://bhbusiness.com/wp-content/uploads/sites/7/2024/02/2023-ABN-WP-header-featured-img-alt-img_featuredImg-posts-150x115.png" class="attachment-agingmedia-thumb-medium size-agingmedia-thumb-medium wp-post-image" alt="Autism Business News logo for story about Axis Therapy Centers" decoding="async" /></noscript> </a> </div>  </header> <div class="entry-content"> <p>Multiple autism therapy centers have been connected to a $250 million federal fraud case. A federal child nutrition program enacted by the state of Minnesota was found to have been abused in 2022, with more than $240 million in federal child nutrition program funds being stolen for personal gain. New reporting by the Minnesota Reformer […]</p> </div> </article> <article id="post-7883" class="entry-block entry-block-with-excerpt post-7883 post type-post status-publish format-standard has-post-thumbnail hentry category-addiction-treatment-business category-fraud category-substance-abuse tag-crossroads-treatment-centers tag-recovery-connections-centers-of-america amn_content_type-news amn_word_count-350-700"> <header class="entry-header"> <div class="entry-header-content"> <div class="category-tag-holder"> <a href="https://bhbusiness.com/category/addiction-treatment-business/" class="post-category post-category-tag"><span>Addiction Treatment Business</span></a> </div>  <h2 class="entry-title"><a href="https://bhbusiness.com/2024/07/26/crossroads-treatment-centers-fined-864k-for-medicaid-fraud/">Crossroads Treatment Centers Fined $864K for Medicaid Fraud </a></h2> <div class="entry-meta"> <span class="byline"> By <span class="author vcard"><a class="url fn n" href="https://bhbusiness.com/author/mgonzales/">Morgan Gonzales</a></span></span> | <span class="posted-on"><time class="entry-date published" datetime="2024-07-26T12:57:01-05:00">July 26, 2024</time><time class="updated" datetime="2024-07-26T12:57:03-05:00">July 26, 2024</time></span> </div> </div>  <div class="thumbnail-holder"> <a href="https://bhbusiness.com/2024/07/26/crossroads-treatment-centers-fined-864k-for-medicaid-fraud/"> <img width="150" height="115" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20150%20115'%3E%3C/svg%3E" class="attachment-agingmedia-thumb-medium size-agingmedia-thumb-medium wp-post-image" alt="Addiction Treatment Business logo illustrates Bradford Health Services M&A" decoding="async" data-lazy-src="https://bhbusiness.com/wp-content/uploads/sites/7/2023/10/2023-Addiction-WP-assets_featuredImg-posts-150x115.png" /><noscript><img width="150" height="115" src="https://bhbusiness.com/wp-content/uploads/sites/7/2023/10/2023-Addiction-WP-assets_featuredImg-posts-150x115.png" class="attachment-agingmedia-thumb-medium size-agingmedia-thumb-medium wp-post-image" alt="Addiction Treatment Business logo illustrates Bradford Health Services M&A" decoding="async" /></noscript> </a> </div>  </header> <div class="entry-content"> <p>Four substance use disorder (SUD) treatment facilities owned by Crossroads Treatment Centers have allegedly knowingly submitted false and fraudulent claims to Medicaid from 2016 to mid-2023. The company is now set to pay $863,934 in a civil settlement with the U.S. and the Commonwealth of Virginia. “Submitting false claims to Medicaid undermines the integrity of […]</p> </div> </article> <article id="post-7764" class="entry-block entry-block-with-excerpt post-7764 post type-post status-publish format-standard has-post-thumbnail hentry category-bhb-plus category-fraud tag-done-global tag-drug-enforcement-administration amn_content_type-news amn_word_count-over-1200"> <header class="entry-header"> <div class="entry-header-content"> <div class="category-tag-holder"> <a href="https://bhbusiness.com/category/regulation/fraud/" class="post-category post-category-tag"><span>Fraud</span></a> </div>  <h2 class="entry-title"><a href="https://bhbusiness.com/2024/06/27/done-global-arrests-will-cast-a-long-shadow-on-behavioral-health/">Done Global Arrests Will Cast A Long Shadow on Behavioral Health</a></h2> <div class="entry-meta"> <span class="byline"> By <span class="author vcard"><a class="url fn n" href="https://bhbusiness.com/author/clarson/">Chris Larson</a></span></span> | <span class="posted-on"><time class="entry-date published" datetime="2024-06-27T11:12:02-05:00">June 27, 2024</time><time class="updated" datetime="2024-06-27T11:31:59-05:00">June 27, 2024</time></span> </div> </div>  <div class="thumbnail-holder"> <a href="https://bhbusiness.com/2024/06/27/done-global-arrests-will-cast-a-long-shadow-on-behavioral-health/"> <img width="150" height="115" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20150%20115'%3E%3C/svg%3E" class="attachment-agingmedia-thumb-medium size-agingmedia-thumb-medium wp-post-image" alt="Acadia Healthcare recent earnings article illustrated by businessman using tablet with chart" decoding="async" data-lazy-src="https://bhbusiness.com/wp-content/uploads/sites/7/2023/02/financials-graphs-earnings-business-tablet-150x115.jpg" /><noscript><img width="150" height="115" src="https://bhbusiness.com/wp-content/uploads/sites/7/2023/02/financials-graphs-earnings-business-tablet-150x115.jpg" class="attachment-agingmedia-thumb-medium size-agingmedia-thumb-medium wp-post-image" alt="Acadia Healthcare recent earnings article illustrated by businessman using tablet with chart" decoding="async" /></noscript> </a> </div>  </header> <div class="entry-content"> <p>The arrests of Done Global executives could not have come at a worse time for the industry. Granted, there is never a good time for such an event. It just so happens that, right now, the arrests of executives of the heavily scrutinized digital ADHD treatment provider could play heavily in how several unresolved industry […]</p> </div> </article> <article id="post-3255" class="entry-block entry-block-with-excerpt post-3255 post type-post status-publish format-standard has-post-thumbnail hentry category-fraud category-medicaid tag-office-of-inspector-general amn_content_type-news amn_word_count-350-700"> <header class="entry-header"> <div class="entry-header-content"> <div class="category-tag-holder"> <a href="https://bhbusiness.com/category/regulation/fraud/" class="post-category post-category-tag"><span>Fraud</span></a> </div>  <h2 class="entry-title"><a href="https://bhbusiness.com/2022/03/24/medicaid-investigators-recovered-98m-through-fraud-and-abuse-cases-from-behavioral-health-providers/">Medicaid Investigators Recovered $98M Through Fraud and Abuse Cases from Behavioral Health Providers</a></h2> <div class="entry-meta"> <span class="byline"> By <span class="author vcard"><a class="url fn n" href="https://bhbusiness.com/author/clarson/">Chris Larson</a></span></span> | <span class="posted-on"><time class="entry-date published" datetime="2022-03-24T11:34:09-05:00">March 24, 2022</time><time class="updated" datetime="2022-03-24T11:34:12-05:00">March 24, 2022</time></span> </div> </div>  <div class="thumbnail-holder"> <a href="https://bhbusiness.com/2022/03/24/medicaid-investigators-recovered-98m-through-fraud-and-abuse-cases-from-behavioral-health-providers/"> <img width="150" height="115" src="data:image/svg+xml,%3Csvg%20xmlns='http://www.w3.org/2000/svg'%20viewBox='0%200%20150%20115'%3E%3C/svg%3E" class="attachment-agingmedia-thumb-medium size-agingmedia-thumb-medium wp-post-image" alt="picture of gavel to illustrate Field Trip reorganization effort" decoding="async" data-lazy-src="https://bhbusiness.com/wp-content/uploads/sites/7/2021/03/gavel-2492011_1920-1-150x115.jpg" /><noscript><img width="150" height="115" src="https://bhbusiness.com/wp-content/uploads/sites/7/2021/03/gavel-2492011_1920-1-150x115.jpg" class="attachment-agingmedia-thumb-medium size-agingmedia-thumb-medium wp-post-image" alt="picture of gavel to illustrate Field Trip reorganization effort" decoding="async" /></noscript> </a> </div>  </header> <div class="entry-content"> <p>The behavioral health industry saw $98.4 million in Medicaid funding clawed back through civil and criminal actions in federal fiscal 2021, according to a new report released by the Office of Inspector General (OIG) of the Health and Human Services Department. In total, Medicaid Fraud Control Units (MFCUs) recovered about $1.7 billion — $856.6 million […]</p> </div> </article> <article id="post-3070" class="entry-block entry-block-with-excerpt post-3070 post type-post status-publish format-standard hentry category-fraud category-substance-abuse tag-good-decisions-sober-living amn_content_type-news amn_word_count-350-700"> <header class="entry-header"> <div class="entry-header-content"> <div class="category-tag-holder"> <a href="https://bhbusiness.com/category/regulation/fraud/" class="post-category post-category-tag"><span>Fraud</span></a> </div>  <h2 class="entry-title"><a href="https://bhbusiness.com/2022/02/21/florida-medical-doctor-convicted-on-110m-addiction-treatment-fraud-billing-scheme/">Florida Medical Doctor Convicted on $110M Addiction Treatment Fraud Billing Scheme</a></h2> <div class="entry-meta"> <span class="byline"> By <span class="author vcard"><a class="url fn n" href="https://bhbusiness.com/author/kcoward/">Kyle Coward</a></span></span> | <span class="posted-on"><time class="entry-date published" datetime="2022-02-21T11:47:36-06:00">February 21, 2022</time><time class="updated" datetime="2022-02-21T11:47:39-06:00">February 21, 2022</time></span> </div> </div>  </header> <div class="entry-content"> <p>A South Florida doctor has been convicted by a federal jury for fraudulent billing of approximately $110 million for addiction treatment services. Mark Agresti of Palm Beach was convicted of one count of conspiracy to commit health care fraud and wire fraud related to the billing, as well as 11 counts of health care fraud […]</p> </div> </article> <article id="post-2807" class="entry-block entry-block-with-excerpt post-2807 post type-post status-publish format-standard hentry category-fraud category-substance-abuse tag-cleanslate-centers tag-total-wellness-centers amn_content_type-news amn_word_count-701-1200"> <header class="entry-header"> <div class="entry-header-content"> <div class="category-tag-holder"> <a href="https://bhbusiness.com/category/regulation/fraud/" class="post-category post-category-tag"><span>Fraud</span></a> </div>  <h2 class="entry-title"><a href="https://bhbusiness.com/2022/01/23/cleanslate-centers-to-pay-4-5-million-to-settle-billing-fraud-allegations/">CleanSlate Centers to Pay $4.5 Million to Settle Billing Fraud Allegations</a></h2> <div class="entry-meta"> <span class="byline"> By <span class="author vcard"><a class="url fn n" href="https://bhbusiness.com/author/kcoward/">Kyle Coward</a></span></span> | <span class="posted-on"><time class="entry-date published" datetime="2022-01-23T08:11:06-06:00">January 23, 2022</time><time class="updated" datetime="2022-01-23T08:11:09-06:00">January 23, 2022</time></span> </div> </div>  </header> <div class="entry-content"> <p>CleanSlate Centers, which operates addiction treatment clinics across a number of states, has agreed to pay $4.5 million to Massachusetts’ Medicaid and Medicare programs over allegations it submitted fraudulent claims and performed unnecessary patient services beginning in the early 2010s. The Massachusetts’ Attorney General’s (AG) Office and the U.S. Attorney’s Office (USAO) negotiated the settlement […]</p> </div> </article> <div class="pagination"> <span aria-current="page" class="page-numbers current">1</span> <a class="page-numbers" href="https://bhbusiness.com/category/regulation/fraud/page/2/">2</a> <a class="page-numbers" href="https://bhbusiness.com/category/regulation/fraud/page/3/">3</a> <a class="next page-numbers" href="https://bhbusiness.com/category/regulation/fraud/page/2/"><span>Next</span></a> </div>  </div>  </div>  <div class="grid-col grid-col-1-of-3"> <div class="primary-sidebar-holder widget-area desktop-only" role="complementary"> <section id="custom_html-2" class="widget_text widget widget_custom_html"><div class="textwidget custom-html-widget"><div style="width:300px;height:600px;">  <div id='div-gpt-behavioralhealth_adunitc'> <script> window.addEventListener('gpt-slots-ready', () => { googletag.cmd.push(function() { 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