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Partial Hospitalization Program (PHP) Fraud

Partial hospitalization is defined as a time-limited, ambulatory, active treatment program that offers therapeutically intensive, coordinated, and structured clinical services within a stable therapeutic milieu. Partial hospitalization programs serve patients who exhibit psychiatric symptoms, disturbances of conduct, and decompensating conditions affecting mental health. Fraud includes admission of patients who do not meet criteria, falsification of services rendered, and lack of providing group services yet billing for them.

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