INCIDENTS OF NON-COMPLIANCE

Billing

Billing Related Issues are among the most serious Compliance Issues

Examples include:

  • A provider asking a parent to sign blank or inaccurate session notes
  • Suspicious signatures on session notes
  • Parent reports that provider has been absent, yet submitted session notes do not indicate attendance issues
  • Submission of notes that detail events that never happened
  • Submission of “False Claims”

A False Claim is a claim that a provider knows is unwarranted, submitted with reckless disregard for accuracy & submitted with deliberate ignorance of public guidelines.

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