Humana

KY 2006 Independent Pharmacies

OIG Healthcare Fraud

Penalty

$1.8 million

Outcome

OIG enforcement action against Humana for healthcare fraud. Penalty: $1.8 million.

Details

Humana — OIG Enforcement (2006)

OIG took enforcement action against Humana in KY in 2006 involving healthcare fraud violations in the Independent Pharmacies sector.

Penalty: $1.8 million

Violation types: Healthcare Fraud
Entity type: Healthcare Provider
Penalty type: Fine
Location: KY

Source: Humana Agreed to Pay $1.8 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Prescription Drug Event Claims that Improperly Claimed Sales Tax

How Crucible Prevents This

Crucible's compliance monitoring controls for Healthcare / General would have detected the patterns underlying this violation through automated screening, documentation enforcement, and real-time alert escalation.

Source: Humana Agreed to Pay $1.8 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Prescription Drug Event Claims that Improperly Claimed Sales Tax

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