Physician Charged for Alleged Role in an Over $120 Million Health Care Fraud and Money Laundering Conspiracy Involving S
Outcome
OIG enforcement action against Physician Charged for Alleged Role in an Over $120 Million Health Care Fraud and Money Laundering Conspiracy Involving S for false claims, controlled substance, substandard care. Penalty: $120 million.
Details
Physician Charged for Alleged Role in an Over $120 Million Health Care Fraud and Money Laundering Conspiracy Involving S — OIG Enforcement (2016)
OIG took enforcement action against Physician Charged for Alleged Role in an Over $120 Million Health Care Fraud and Money Laundering Conspiracy Involving S in MI in 2016 involving false claims, controlled substance, substandard care violations in the Physician Practices sector.
Penalty: $120 million
Violation types: False Claims, Controlled Substance, Substandard Care
Entity type: Physician Practice
Penalty type: Settlement
Location: MI
Source: Physician Charged for Alleged Role in an Over $120 Million Health Care Fraud and Money Laundering Conspiracy Involving Sponsorship of Ultimate Fighting Championship Hall of Famers
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 care quality monitoring tracks incident reports, staffing ratios, and clinical outcome metrics, escalating patterns of harm before they accumulate into systemic failures. 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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