Business Owner Who Orchestrated $13 Million Fraud Upon North Carolina Medicaid Program from Las Vegas
Outcome
OIG enforcement action against Business Owner Who Orchestrated $13 Million Fraud Upon North Carolina Medicaid Program from Las Vegas for identity theft. Penalty: $13.4 million.
Details
Business Owner Who Orchestrated $13 Million Fraud Upon North Carolina Medicaid Program from Las Vegas — OIG Enforcement (2016)
OIG took enforcement action against Business Owner Who Orchestrated $13 Million Fraud Upon North Carolina Medicaid Program from Las Vegas in MD in 2016 involving identity theft violations in the Ambulance / Medical Transport sector.
Penalty: $13.4 million
Violation types: Identity Theft
Entity type: Ambulance Service
Penalty type: Criminal
Location: MD
Source: Business Owner Who Orchestrated $13 Million Fraud Upon North Carolina Medicaid Program from Las Vegas Pleads Guilty, Forfeits Private Jet
How Crucible Prevents This
Crucible's compliance monitoring controls for Ambulance / Medical Transport would have detected the patterns underlying this violation through automated screening, documentation enforcement, and real-time alert escalation.
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