Health Care Business Owner Sentenced To Four Years In Prison,

MI 2013 Home Health / Home Care

DOJ False Claims Act Anti Kickback Excluded Individual Conspiracy

Penalty

$1 million

Outcome

Health Care Business Owner Sentenced To Four Years In Prison, Pays A Million Dollar Civil Settlement, And Agrees To 20-year Exclusion From Medicare And Medicaid In Connection With Illegal Kickback Scheme

Details

Health Care Business Owner Sentenced To Four Years In Prison, — DOJ Enforcement (2013)

Outcome: Health Care Business Owner Sentenced To Four Years In Prison, Pays A Million Dollar Civil Settlement, And Agrees To 20-year Exclusion From Medicare And Medicaid In Connection With Illegal Kickback Scheme

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation and flag billing anomalies before false claims are submitted. Crucible monitors referral patterns and financial arrangements to flag potential anti-kickback violations.

Source: DOJ Press Release — Health Care Business Owner Sentenced To Four Years In Prison, Pays A Million Dollar Civil Settlement, And Agrees To 20-year Exclusion From Medicare An

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