Ohio-Based Managed Care Plan Contractor CareSource & Entities

IN 2011 Construction Contractors

DOJ False Claims Act Healthcare Fraud

Penalty

$6.8 billion

Outcome

Ohio-Based Managed Care Plan Contractor CareSource & Entities to Pay $26 Million to Resolve False Claims Allegations

Details

Ohio-Based Managed Care Plan Contractor CareSource & Entities — DOJ Enforcement (2011)

Outcome: Ohio-Based Managed Care Plan Contractor CareSource & Entities to Pay $26 Million to Resolve False Claims Allegations

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation and flag billing anomalies before false claims are submitted. Crucible's healthcare compliance layer enforces proper documentation, eligibility verification, and claims accuracy.

Source: DOJ Press Release — Ohio-Based Managed Care Plan Contractor CareSource & Entities to Pay $26 Million to Resolve False Claims Allegations

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