• Mental Health Ranks High On Fraud Scale

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    Kusserow’s Corner: Mental Health Ranks High on Fraud Scale

    September 23, 2014 by Richard Kusserow
    Occasionally, I take time to bring attention to enforcement actions in various health care sectors. Some recent actions drew my attention back to a special enforcement problem that stretches back decades to my days as Inspector General—mental health.
    Billions of dollars are spent to address the ever-increasing demand to treat mental stress and illness. The primary purpose of mental health treatment must be the therapeutic care and treatment of individuals who are suffering emotional disturbance.
    Proper treatment therefore demands the highest level of trustworthiness and integrity in the practitioner, who treats some of the most vulnerable patients. Two sources of funding are Medicaid and state general fund dollars, which on average fund 90
    percent of the system. However, about 10 percent is funded by Medicare, federal mental health services block grant funds, and county or municipal funds. As with other areas of health care, a significant portion of these funds are diverted to fraud within
    the mental health industry. Many health care fraud investigators believe mental health caregivers, such as psychiatrists and psychologists, have the worst fraud record of all medical disciplines. Much of that is attributable to prescriptions for narcotic
    drugs and taking advantage of some of the vulnerable individuals who suffer from mental illness or Alzheimer’s disease.
    Last year the HHS Office of Inspector General (OIG) issued a report focusing on one aspect of the problem: detecting and deferring mental health fraud in community mental health centers (CMHCs). CMHCs provide partial hospitalization program services to
    approximately 25,000 Medicare beneficiaries. The OIG report cited numerous arrests by Medicare Fraud Strike Forces evidencing significant levels of CMHC fraud. The OIG review found that one of nine MACs reviewed performed activities to detect and deter
    CMHC fraud, and most of these were part of a CMS-led special project. Activities to detect and deter CMHC fraud varied substantially among ZPICs with many performing minimal activities to detect and deter fraudulent CMHC billing. The report provided a
    number of recommendations to increase control and enforcement in this arena. However, this is only one area of Medicare that addresses mental health. Other areas are equally prone to fraud and abuse.
    The latest in the Medicare enforcement arena comes from Louisiana where the owner of three mental health centers was sentenced to pay $43.5 million in restitution and serve 8-and-one-half years in federal prison for a Medicare fraud scheme. A
    psychiatrist, who served as medical director and co-owner, was sentenced to 86 months in prison for his role in admitting mentally ill patients to the facilities, some of whom were inappropriate for partial hospitalization, and then re-certifying the
    patients’ appropriateness for the program in an effort to continue to bill Medicare for services. These were among 17 people who worked at the three facilities in a variety of roles who also been charged in the fraudulent operation that stretched seven
    years and involved over a quarter-billion dollars in Medicare fraud. They included therapists, marketers, administrators, owners, and the medical director. The companies billed Medicare for unnecessary or never provided partial hospitalization program
    services for the mentally ill. The companies, collectively, submitted more than one-quarter-billion dollars in claims to Medicare during this period. The scheme also involved falsifying records indicating patients had treatment they never received and
    paying recruiters to, in turn, pay patients to attend hospitalization programs at the facility in order to make Medicare claims.
    The fraud problem is actually larger and more pervasive in the Medicaid program, which provides significantly more funding to this area. For example, last year New Mexico was in the midst of a sweeping criminal investigation into 15 of its largest mental
    health providers, suspected of defrauding Medicaid of $36 million over three years.

    Examples of Fraud in the Mental Health Sector
    Altering and/or falsifying records to match services billed
    Billing for services not actually performed
    Errors and falsification of patient charts
    Fabricating patient files
    Paying kickbacks paid to recruiters to find beneficiaries
    Lack of a referral form from an approved provider source
    Lack of documentation for service provided
    Service notes lack specific treatment goal
    Billing for service not covered by Medicaid as a covered service
    Billing for a more expensive service than was actually rendered
    Prescribing category narcotic drugs to addicts or for selling on the street Changing the billed date of service to match client dates of eligibility Deliberately applying for duplicate reimbursement in order to get paid twice Inappropriate billing that results in a loss to the Medicaid program
    Providing services which are not necessary
    Billing for services performed by unqualified persons

    Richard P. Kusserow served as DHHS Inspector General for 11 years. He currently is CEO of Strategic Management Services, LLC (SM), a firm that has assisted more than 3,000 organizations and entities with compliance related matters. The SM sister company,
    CRC, provides a wide range of compliance tools including sanction-screening.

    http://health.wolterskluwerlb.com/2014/09/kusserows-corner-mental-health-ranks-high-on-fraud-scale/

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