Manhattan U.S. Attorney Announces $370 Million Civil Fraud

NY 2014 Independent Pharmacies

OIG False Claims Kickbacks

Penalty

$390 million

Outcome

OIG enforcement action against Manhattan U.S. Attorney Announces $370 Million Civil Fraud for false claims, kickbacks. Penalty: $390 million.

Details

Manhattan U.S. Attorney Announces $370 Million Civil Fraud — OIG Enforcement (2014)

OIG took enforcement action against Manhattan U.S. Attorney Announces $370 Million Civil Fraud in NY in 2014 involving false claims, kickbacks violations in the Independent Pharmacies sector.

Penalty: $390 million

Violation types: False Claims, Kickbacks
Entity type: Pharmacy
Penalty type: Settlement
Location: NY

Source: Manhattan U.S. Attorney Announces $370 Million Civil Fraud Settlement Against Novartis Pharmaceuticals For Kickback Scheme Involving High-Priced Prescription Drugs, Along With $20 Million Forfeiture O

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 referral monitoring tracks patient source patterns and flags arrangements that correlate referral volume with financial relationships, enforcing anti-kickback compliance documentation.

Source: Manhattan U.S. Attorney Announces $370 Million Civil Fraud Settlement Against Novartis Pharmaceuticals For Kickback Scheme Involving High-Priced Prescription Drugs, Along With $20 Million Forfeiture O

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