Medicare Advantage Provider

CA 2018 Physician Practices

DOJ False Claims Act

Penalty

$270 million

Outcome

Medicare Advantage Provider to Pay $270 Million to Settle False Claims Act Liabilities

Details

Medicare Advantage Provider — DOJ Enforcement (2018)

DOJ took enforcement action against Medicare Advantage Provider in CA in 2018 involving false claims act violations in the Physician Practices sector.

Penalty: $270 million

Violation types: False Claims Act
Entity type: Physician Practice
Penalty type: Settlement
Location: CA

Source: DOJ Press Release — Medicare Advantage Provider to Pay $270 Million to Settle False Claims Act Liabilities

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation and flag billing anomalies before false claims are submitted.

Source: DOJ Press Release — Medicare Advantage Provider to Pay $270 Million to Settle False Claims Act Liabilities

Don't let this happen to your organization. See how Crucible works.

See How Crucible Works