Clinician Group Pays $100K to Settle False Claims Allegations

Clinician Group Pays $100K to Settle False Claims Allegations

Connecticut Behavioral Health Clinician Group Pays $100K to Settle False Claims Allegations

(STL.News) John H. Durham, United States Attorney for the District of Connecticut, today announced that NEIL QUATRANO, and his business, BEHAVIORAL MANAGEMENT, LLC, have entered into a civil settlement agreement with the federal and state governments and will pay more than $100,000 to resolve allegations that they violated the federal and state False Claims Acts.

Behavioral Management is a private behavioral health practice located in North Haven, that provided after school and school break programs for children with behavioral and mental health issues.  Behavioral Management is enrolled as both a Behavioral Health Clinician Group and a Professional Counselor Group in the Connecticut Medical Assistance Program (“CMAP”), which includes the state’s Medicaid program.  Quatrano has a bachelor’s degree in social work, but he is not a licensed behavioral health provider in Connecticut.

It is alleged that Quatrano and Behavioral Management submitted fraudulent claims to Medicaid under CPT code 90876 for participants of the after-school and school-break program.  CPT code 90876 requires “individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with patient), with psychotherapy (e.g., insight oriented, behavior modifying or supported psychotherapy); 45 minutes.” Quatrano and Behavioral Management falsely represented that a licensed provider had rendered the services when, in fact, an unlicensed individual rendered the services. 

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