Behavioral Healthcare Company Executive Charged with Healthcare Fraud

The Chief Executive Officer of Dana Group Associates, who is also the former Chief Operating Officer of Prime Behavioral Health, was charged in connection with a scheme to defraud healthcare benefit programs by directing false billing for patient visits. Miguel Saravia, 42, was charged and has agreed to plead guilty to six counts of healthcare fraud. A plea hearing date has not been set. According to the charging documents, from approximately 2017 to 2023, Saravia directed a group of individuals with no billing or medical training to enter Current Procedural Terminology codes (CPT) for therapy services that were not provided and to upcode CPT codes used for psychotherapy visits. It is further alleged that Saravia submitted, or directed the submission of, false claims for treatment that was not provided or for more complex and expensive treatment than was provided.

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