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Acadia to pay $17 million in OTP lab Medicaid billing fraud
Author(s) -
Knopf Alison
Publication year - 2019
Publication title -
alcoholism and drug abuse weekly
Language(s) - English
Resource type - Journals
eISSN - 1556-7591
pISSN - 1042-1394
DOI - 10.1002/adaw.32361
Subject(s) - medicaid , settlement (finance) , certification , state (computer science) , west virginia , health care , business , law , political science , finance , archaeology , history , computer science , payment , algorithm
In the largest health care fraud settlement in West Virginia history, Acadia Healthcare Company will pay $17 million to the state to resolve charges that it defrauded Medicaid of $8.5 million in billing for urine and blood tests it wasn't certified to perform and did not, in fact, perform. Not only did Acadia order the tests unnecessarily, but it padded the billing for them. This occurred going back to 2012. The settlement, announced May 6 by United States Attorney Mike Stuart and others, will result in almost $2.2 million going directly to West Virginia. “$8.5 million in Medicaid fraud means $8.5 million in fraud to the taxpayers,” said Stuart in announcing the agreement, which refers to Acadia's seven CRC Health opioid treatment programs (OTPs) in the state.