ROANOKE, Virginia – Virginia, which does business in Roanoke as a Roanoke Comprehensive Treatment Center (RCTC), has agreed to pay $ 348,934 to settle allegations of violations of the False Claims Act that did not provide billing services to Medicaid. required authorized persons.
RCTC Acadia is a health subsidiary that offers outpatient treatment, including treatment accompanied by medications for adults with opioid dependence.
“At a time when addiction disorder is on the rise in many Virginia communities, we need to be vigilant about those who try to defraud Medicaid through billing schemes like this,” U.S. Attorney Christopher R. Kavanaugh said today. “I am grateful for the teamwork of my Office, the Virginia Medicaid Fraud Control Unit and our other federal, state and local partners on this important issue.”
“I am pleased that my office, in coordination with our partners in the Western District Attorney’s Office and the Department of Health and Human Services, has secured a reasonable settlement with the Roanok Comprehensive Treatment Center for allegedly billing Medicaid for addiction treatment services. it’s another example of excellence, and we constantly appreciate their help, ”Attorney General Miyares said.
“Both insurers and patients can be misled when health care organizations bill services as if they were made by people with certain credentials, but actually provided by less qualified staff,” said Maureen R. Dixon, head of the firm. Office of the Inspector General of the Department of Health and Human Services (HHS-OIG). “To protect the integrity of federal health funds, HHS-OIG and our law enforcement partners charge providers for programs like Medicaid accurately and transparently.”
The allegations involved allege that the RCTC billed Virginia Medicaid from January 1, 2018 to December 31, 2020, for counseling provided by addiction treatment professionals. The RCTC had to conduct counseling sessions for its patients. During that time, the RCTC billed Medicaid for counseling services for people who did not have a certificate, as if the counseling had been provided by duly accredited addiction professionals.
The rulings reached on this issue were the result of a coordinated effort between the U.S. West Virginia District Attorney’s Office, the U.S. Department of Health and Human Services and the Virginia Attorney General’s Medicaid Fraud Control Unit.
U.S. Assistant Prosecutor Justin Lugar investigated the matter.
Claims resolved through liquidation are only allegations and no liability has been determined.
