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CT Psychologist Pays $126,760 For Medicaid Misconduct

Arlene Werner.
Arlene Werner. Photo Credit: LinkedIn

A psychologist in Connecticut has paid more than $125,000 to resolve state and federal claims that she violated the False Claims Acts by billing Medicaid for services she failed to provide.

Dr. Arlene Werner allegedly billed Medicaid for psychotherapy services that were not provided and for family psychotherapy sessions for multiple family members when she should have instead billed just one member for individual psychotherapy services.

According to John Durham, the United States Attorney for the District of Connecticut, Werner is licensed as a psychologist in the State of Connecticut and the owner of a private psychology practice in Waterford .  She is enrolled as a provider in the Connecticut Medical Assistance Program, which includes the state’s Medicaid program.

To resolve the allegations against her, Werner paid $126,760.09 to reimburse the Medicaid program, covering misconduct from January 2011 through July 18, 2016. Durham said that under the False Claims Act, the government can recover up to three times its actual damages, plus penalties of $11,181 to $22,363 for each false claim.

“It is imperative that providers accurately bill Medicaid and other insurance programs,” Durham stated. “Working with our federal and state partners, we will continue to protect the integrity of the Medicaid program to ensure its recipients receive the healthcare services they need.”

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