Settlement

RI 2018 Behavioral Health

DOJ False Claims Act Healthcare Fraud

Penalty

$300,000

Outcome

Settlement Agreement Announced in Medicare and Medicaid Investigation

Details

Settlement — DOJ Enforcement (2018)

DOJ took enforcement action against Settlement in RI in 2018 involving false claims act, healthcare fraud violations in the Behavioral Health sector.

Penalty: $300,000

Violation types: False Claims Act, Healthcare Fraud
Entity type: Behavioral Health Facility
Penalty type: Settlement
Location: RI

Source: DOJ Press Release — Settlement Agreement Announced in Medicare and Medicaid 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 — Settlement Agreement Announced in Medicare and Medicaid Investigation

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