Nevada Medical Biller Agrees to 25 Year Exclusion
On October 11, 2018, Tymekka Greenough (Greenough), the in-house medical biller for First Initiative, LLC (First Initiative), a Nevada behavioral health services provider, agreed to be excluded for a period of 25 years under 42 U.S.C. § 1320a-7(b)(7). OIG's investigation revealed that Greenough knowingly submitted or caused to be submitted claims to the Nevada Medicaid Program on behalf of First Initiative that were false or fraudulent or were not provided as claimed, including: (1) individual psychotherapy services using CPT Codes 90832, 90834, and 90837; (2) individual psychotherapy services utilizing biofeedback training using CPT Code 90876; (3) case management services using CPT Code T1016; and (4) skills training and development services using CPT Code H2014. Senior Counsels Srishti Sheffner and Michael Torrisi represented OIG.
- Date:October 11, 2018
- CMP and Affirmative Exclusions