Two Individuals
Outcome
OIG enforcement action against Two Individuals for kickbacks, medicaid fraud. Penalty: $1 million.
Details
Two Individuals — OIG Enforcement (2017)
OIG took enforcement action against Two Individuals in 2017 involving kickbacks, medicaid fraud violations in the Assisted Living / Long-Term Care sector.
Penalty: $1 million
Violation types: Kickbacks, Medicaid Fraud
Entity type: Skilled Nursing Facility
Penalty type: Criminal
Source: Two Individuals Plead Guilty to $68 Million Adult Day Care Fraud Scheme
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 referral monitoring tracks patient source patterns and flags arrangements that correlate referral volume with financial relationships, enforcing anti-kickback compliance documentation.
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