PRESTONSBURG, Ky. — A third high-ranking employee has filed suit against Mountain Comprehensive Care Center, claiming she was fired for not following orders to submit false billing codes.

Kristy Stiltner, of Van Lear, filed her complaint May 1. In it, she says she was a 22-year employee of the organization who most recently served as Mental Health Director.

Stiltner makes claims that she was told to engage in improper billing practices in order to generate more revenue for the company. Her claims are nearly identical to allegations made by former Chief Financial Officer Rebeckah Hall and former Regional Billing Coordinator Rachel Williams.

Allegations made by all three women include:

• Billing for services provided at a federally-qualified health center to increase revenue, when services were provided at a different location
• Refraining from engaging with Medicaid and Medicare for inquiries or clarification of charges identified by the CEO as billable
• Billing for services under the credentials of a licensed provider when they were not rendered by a licensed provider, in order to obtain a higher reimbursement rate

In addition to those claims, Stiltner says she was also directed to “bill a certain amount of service per client, regardless if the services were necessary or warranted.”

Hall and Williams made two other claims not made by Stiltner. They include:

• Not correcting billing codes after the Covid pandemic to reflect that services were provided as “audio only”
• Changing...

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