Cardiologist

NY 2003 Physician Practices

OIG False Claims Identity Theft Medicaid Fraud

Penalty

$50 million

Outcome

OIG enforcement action against Cardiologist for false claims, identity theft, medicaid fraud. Penalty: $50 million.

Details

Cardiologist — OIG Enforcement (2003)

OIG took enforcement action against Cardiologist in NY in 2003 involving false claims, identity theft, medicaid fraud violations in the Physician Practices sector.

Penalty: $50 million

Violation types: False Claims, Identity Theft, Medicaid Fraud
Entity type: Physician Practice
Penalty type: Criminal
Location: NY

Source: Cardiologist, Neurologist, And Others Charged In $50 Million Health Care Fraud Scheme, And Civil Suit Filed Against Clinic And Participants In The Fraud

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.

Source: Cardiologist, Neurologist, And Others Charged In $50 Million Health Care Fraud Scheme, And Civil Suit Filed Against Clinic And Participants In The Fraud

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