Attorney General Becerra Announces $18.9 Million California

CA 2016 Hospitals / Health Systems
OIG Healthcare Fraud
Penalty
$31.5 million

Outcome

OIG enforcement action against Attorney General Becerra Announces $18.9 Million California for healthcare fraud. Penalty: $31.5 million.

Details

Attorney General Becerra Announces $18.9 Million California — OIG Enforcement (2016)

OIG took enforcement action against Attorney General Becerra Announces $18.9 Million California in CA in 2016 involving healthcare fraud violations in the Hospitals / Health Systems sector.

Penalty: $31.5 million

Violation types: Healthcare Fraud
Entity type: Hospital
Penalty type: Settlement
Location: CA

Source: Attorney General Becerra Announces $18.9 Million California Settlement with Memorial Health Services: Settlement comes after Memorial Health self-disclosed overcharging the Medi-Cal program

How Crucible Prevents This

Crucible's compliance monitoring controls for Hospitals / Health Systems would have detected the patterns underlying this violation through automated screening, documentation enforcement, and real-time alert escalation.

Source: Attorney General Becerra Announces $18.9 Million California Settlement with Memorial Health Services: Settlement comes after Memorial Health self-disclosed overcharging the Medi-Cal program

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