Provider of Home Health Care Services

VA 2013 Home Health / Home Care
OIG Medicaid Fraud
Penalty
$294,000

Outcome

OIG enforcement action against Provider of Home Health Care Services for medicaid fraud. Penalty: $294,000.

Details

Provider of Home Health Care Services — OIG Enforcement (2013)

OIG took enforcement action against Provider of Home Health Care Services in VA in 2013 involving medicaid fraud violations in the Home Health / Home Care sector.

Penalty: $294,000

Violation types: Medicaid Fraud
Entity type: Home Health Agency
Penalty type: Criminal
Location: VA

Source: Provider of Home Health Care Services Pleads Guilty to $294,000 Medicaid Fraud

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: Provider of Home Health Care Services Pleads Guilty to $294,000 Medicaid Fraud

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