Missouri Health Care IT and Pharmacy Benefits Manager
Outcome
OIG enforcement action against Missouri Health Care IT and Pharmacy Benefits Manager for healthcare fraud. Penalty: $2 million.
Details
Missouri Health Care IT and Pharmacy Benefits Manager — OIG Enforcement (2006)
OIG took enforcement action against Missouri Health Care IT and Pharmacy Benefits Manager in KS in 2006 involving healthcare fraud violations in the Hospitals / Health Systems sector.
Penalty: $2 million
Violation types: Healthcare Fraud
Entity type: Hospital
Penalty type: Settlement
Location: KS
Source: Missouri Health Care IT and Pharmacy Benefits Manager Settles Case Involving Allegations of Fraudulent Medicare Part D Claims
How Crucible Prevents This
Crucible's compliance monitoring controls for Hospitals / Health Systems would have detected the patterns underlying this violation through automated screening, documentation enforcement, and real-time alert escalation.
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