Two Plead Guilty in Lucrative Kickback and Medicare Fraud Scheme
Outcome
OIG enforcement action against Two Plead Guilty in Lucrative Kickback and Medicare Fraud Scheme for kickbacks, medicare fraud. Penalty: $400,000.
Details
Two Plead Guilty in Lucrative Kickback and Medicare Fraud Scheme — OIG Enforcement (2015)
OIG took enforcement action against Two Plead Guilty in Lucrative Kickback and Medicare Fraud Scheme in TN in 2015 involving kickbacks, medicare fraud violations in the DME Suppliers sector.
Penalty: $400,000
Violation types: Kickbacks, Medicare Fraud
Entity type: Dme Supplier
Penalty type: Criminal
Location: TN
Source: Two Plead Guilty in Lucrative Kickback and 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.
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