Board Certified Ophthalmologist

NY 2018 Independent Pharmacies

DOJ False Claims Act Healthcare Fraud

Penalty

$7 million

Outcome

Board Certified Ophthalmologist Agrees to Civil Fraud Settlement in Medicare Fraud Investigation

Details

Board Certified Ophthalmologist — DOJ Enforcement (2018)

DOJ took enforcement action against Board Certified Ophthalmologist in NY in 2018 involving false claims act, healthcare fraud violations in the Independent Pharmacies sector.

Penalty: $7 million

Violation types: False Claims Act, Healthcare Fraud
Entity type: Pharmacy
Penalty type: Criminal
Location: NY

Source: DOJ Press Release — Board Certified Ophthalmologist Agrees to Civil Fraud Settlement in Medicare Fraud Investigation

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation and flag billing anomalies before false claims are submitted. Crucible's healthcare compliance layer enforces proper documentation, eligibility verification, and claims accuracy.

Source: DOJ Press Release — Board Certified Ophthalmologist Agrees to Civil Fraud Settlement in Medicare Fraud Investigation

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