U.S. Attorney’s Office Seeks Potential Victims in Case Against St. Louis Doctor and Staff
Outcome
OIG enforcement action against U.S. Attorney’s Office Seeks Potential Victims in Case Against St. Louis Doctor and Staff for controlled substance, medicare fraud.
Details
U.S. Attorney’s Office Seeks Potential Victims in Case Against St. Louis Doctor and Staff — OIG Enforcement (2016)
OIG took enforcement action against U.S. Attorney’s Office Seeks Potential Victims in Case Against St. Louis Doctor and Staff in MO in 2016 involving controlled substance, medicare fraud violations in the Physician Practices sector.
Violation types: Controlled Substance, Medicare Fraud
Entity type: Physician Practice
Penalty type: Settlement
Location: MO
Source: U.S. Attorney’s Office Seeks Potential Victims in Case Against St. Louis Doctor and Staff
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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