DOJ Settles False Claims Act Allegations With Seattle Physician
Outcome
OIG enforcement action against DOJ Settles False Claims Act Allegations With Seattle Physician for false claims, controlled substance. Penalty: $2.9 million.
Details
DOJ Settles False Claims Act Allegations With Seattle Physician — OIG Enforcement (2016)
OIG took enforcement action against DOJ Settles False Claims Act Allegations With Seattle Physician in WA in 2016 involving false claims, controlled substance violations in the Physician Practices sector.
Penalty: $2.9 million
Violation types: False Claims, Controlled Substance
Entity type: Physician Practice
Penalty type: Criminal
Location: WA
Source: DOJ Settles False Claims Act Allegations With Seattle Physician, His Pain Clinics, and His Drug-testing Lab; Agrees To Pay $2.85 Million To Settle Allegations His Clinics Ordered Medically Unnecessary
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 controlled substance tracking enforces DEA-compliant inventory reconciliation, flags prescribing pattern anomalies, and requires segregation of duties for dispensing and record-keeping.
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