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Behavioral healthcare company executive sentenced for healthcare fraud

 

Date: March 26, 2025

Contact: [email protected]

BOSTON — The chief executive officer of Dana Group Associates, who is also the former Chief Operating Officer of Prime Behavioral Health, was sentenced today in federal court in Boston for a scheme to defraud health care benefit programs by directing false billing for patient visits.

Miguel Saravia of Hanson, was sentenced by U.S. District Court Judge Allison D. Burroughs 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 health care 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.

United States Attorney Leah B. Foley; Thomas Demeo, Acting Special Agent in Charge of the Internal Revenue Service’s Criminal Investigation (IRS-CI) in Boston; Roberto Coviello, Special Agent in Charge of the U.S. Department of Health and Human Services, Office of Inspector General; Jodi Cohen, Special Agent in Charge of the Federal Bureau of Investigation, Boston Division; Insurance Fraud Bureau Executive Director Anthony DiPaolo made the announcement today. Assistant U.S. Attorneys Kelly B. Lawrence and Mackenzie A. Queenin of the Health Care Fraud Unit and Lindsey Ross and Steven Sharobem of the Affirmative Civil Enforcement Unit prosecuted the case.

IRS-CI is the criminal investigative arm of the IRS, responsible for conducting financial crime investigations, including tax fraud, narcotics trafficking, money-laundering, public corruption, healthcare fraud, identity theft and more. IRS-CI special agents are the only federal law enforcement agents with investigative jurisdiction over violations of the Internal Revenue Code, obtaining a 90% federal conviction rate. The agency has 20 field offices located across the U.S. and 14 attaché posts abroad.