Miami-Based Physician
Outcome
OIG enforcement action against Miami-Based Physician for controlled substance, medicare fraud. Penalty: $4.8 million.
Details
Miami-Based Physician — OIG Enforcement (2011)
OIG took enforcement action against Miami-Based Physician in 2011 involving controlled substance, medicare fraud violations in the Physician Practices sector.
Penalty: $4.8 million
Violation types: Controlled Substance, Medicare Fraud
Entity type: Physician Practice
Penalty type: Criminal
Source: Miami-Based Physician Pleads Guilty for Role in Pain Pill Diversion and 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 controlled substance tracking enforces DEA-compliant inventory reconciliation, flags prescribing pattern anomalies, and requires segregation of duties for dispensing and record-keeping.
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