tci Medicare Compliance & Reimbursement - 2004 Issue 20

Mental Health: 'Incident To' Won't Fly Without Supervision

Though psychologist Dr. Richard Cook said he had no intention of defrauding the government, his alleged lack of oversight landed him smack in the middle of a false claims suit. U.S. Attorney John Suthers announced April 21 that the Englewood, CO doctor agreed to settle allegations that he submitted fraudulent bills to Medicare and Medicaid by repaying $250,000 to the state and the federal government.Charges revolved around claims for psychotherapy sessions Cook claimed he performed between 1998 and 2000, which were allegedly conducted by unlicensed employees not under his immediate supervision. Prosecutors say that Cook...

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