Long Island Health Care Provider Sentenced to 12 Years in Prison for $10 Million Medicare Fraud and HIPAA Identity Theft

NY 2012 Physician Practices

OIG Identity Theft Medicare Fraud

Penalty

$1.3 million

Outcome

OIG enforcement action against Long Island Health Care Provider Sentenced to 12 Years in Prison for $10 Million Medicare Fraud and HIPAA Identity Theft for identity theft, medicare fraud. Penalty: $1.3 million.

Details

Long Island Health Care Provider Sentenced to 12 Years in Prison for $10 Million Medicare Fraud and HIPAA Identity Theft — OIG Enforcement (2012)

OIG took enforcement action against Long Island Health Care Provider Sentenced to 12 Years in Prison for $10 Million Medicare Fraud and HIPAA Identity Theft in NY in 2012 involving identity theft, medicare fraud violations in the Physician Practices sector.

Penalty: $1.3 million

Violation types: Identity Theft, Medicare Fraud
Entity type: Physician Practice
Penalty type: Criminal
Location: NY

Source: Long Island Health Care Provider Sentenced to 12 Years in Prison for $10 Million Medicare Fraud and HIPAA Identity Theft

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.

Source: Long Island Health Care Provider Sentenced to 12 Years in Prison for $10 Million Medicare Fraud and HIPAA Identity Theft

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