San Francisco and Los Banos Doctor Sentenced To Two Years in Prison in $3.2M Medicare Fraud Scheme
Outcome
OIG enforcement action against San Francisco and Los Banos Doctor Sentenced To Two Years in Prison in $3.2M Medicare Fraud Scheme for kickbacks, medicare fraud. Penalty: $3.2 million.
Details
San Francisco and Los Banos Doctor Sentenced To Two Years in Prison in $3.2M Medicare Fraud Scheme — OIG Enforcement (2006)
OIG took enforcement action against San Francisco and Los Banos Doctor Sentenced To Two Years in Prison in $3.2M Medicare Fraud Scheme in 2006 involving kickbacks, medicare fraud violations in the Physician Practices sector.
Penalty: $3.2 million
Violation types: Kickbacks, Medicare Fraud
Entity type: Physician Practice
Penalty type: Criminal
Source: San Francisco and Los Banos Doctor Sentenced To Two Years in Prison in $3.2M Medicare Fraud Scheme
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. Crucible's referral monitoring tracks patient source patterns and flags arrangements that correlate referral volume with financial relationships, enforcing anti-kickback compliance documentation.
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