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Missouri Psychologist and her Texas Psychology Practice Agreed to Be Excluded for 3 Years for Causing the Submission of Claims for Services She Allegedly Did Not Personally Perform

A clinical psychologist and her psychology practice agreed to be excluded from participating in Federal health care programs for a period of three years under 42 U.S.C. § 1320a-7(b)(7). OIG alleged that the psychologist and her practice submitted, or caused to be submitted, claims to Medicare and Missouri Medicaid for services billed under the psychologist's NPI number for psychotherapy services that the psychologist did not personally perform. Specifically, OIG alleged that the psychologist and her practices submitted claims for psychotherapy services rendered in residential care facilities in Missouri using medical records that falsely represented her to be the "on-site supervising psychologist" for these services. OIG alleged that the psychologist typically was not on site or even available for consultation because the psychologist was treating patients in Texas. Further, OIG alleged that the services were actually performed by unsupervised licensed clinical professional counselors.

Action Details

  • Date:July 8, 2014
  • Enforcement Types:
    • CMP and Affirmative Exclusions