United Memorial Medical Center Agreed to Be Excluded for 10 Years for Allegedly Submitting False Claims for Inpatient Cost Outlier
Outcome
OIG enforcement action against United Memorial Medical Center Agreed to Be Excluded for 10 Years for Allegedly Submitting False Claims for Inpatient Cost Outlier for false claims.
Details
United Memorial Medical Center Agreed to Be Excluded for 10 Years for Allegedly Submitting False Claims for Inpatient Cost Outlier — OIG Enforcement (1997)
OIG took enforcement action against United Memorial Medical Center Agreed to Be Excluded for 10 Years for Allegedly Submitting False Claims for Inpatient Cost Outlier in TX in 1997 involving false claims violations in the Hospitals / Health Systems sector.
Violation types: False Claims
Entity type: Hospital
Penalty type: Settlement
Location: TX
Source: United Memorial Medical Center Agreed to Be Excluded for 10 Years for Allegedly Submitting False Claims for Inpatient Cost Outlier Payments and Duplicate Claims for COVID-19 Tests
How Crucible Prevents This
Crucible's billing compliance controls enforce documentation-to-claims reconciliation, requiring clinical attestation before claims submission and flagging billing patterns that deviate from documented care delivery.
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