Miami Patient Recruiter

FL 2014 Behavioral Health
OIG Kickbacks Medicare Fraud
Penalty
$190 million

Outcome

OIG enforcement action against Miami Patient Recruiter for kickbacks, medicare fraud. Penalty: $190 million.

Details

Miami Patient Recruiter — OIG Enforcement (2014)

OIG took enforcement action against Miami Patient Recruiter in FL in 2014 involving kickbacks, medicare fraud violations in the Behavioral Health sector.

Penalty: $190 million

Violation types: Kickbacks, Medicare Fraud
Entity type: Behavioral Health Facility
Penalty type: Criminal
Location: FL

Source: Miami Patient Recruiter Pleads Guilty for Role in $190 Million 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 referral monitoring tracks patient source patterns and flags arrangements that correlate referral volume with financial relationships, enforcing anti-kickback compliance documentation.

Source: Miami Patient Recruiter Pleads Guilty for Role in $190 Million Medicare Fraud Scheme

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See How Crucible Works