Behavioral Healthcare Company Executive Sentenced for Healthcare Fraud

The Chief Executive Officer of Dana Group Associates, who is also the former Chief Operating Officer of Prime Behavioral Health, was sentenced in federal court in Boston for a scheme to defraud healthcare benefit programs by directing false billing for patient visits. Miguel Saravia, 42, of Hanson, was sentenced to three and a half months in prison, to be followed by one year of supervised release. Saravia was also ordered to pay $561,141.89 in restitution. In September 2024, Saravia pleaded guilty to six counts of healthcare fraud. From approximately 2017 to 2022, 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. 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.

You May Also Like