U.S. Obtains $114 Million Judgment Against Three Individuals For

SC 2018 Physician Practices

OIG False Claims Kickbacks

Penalty

$111.1 million

Outcome

OIG enforcement action against U.S. Obtains $114 Million Judgment Against Three Individuals For for false claims, kickbacks. Penalty: $111.1 million.

Details

U.S. Obtains $114 Million Judgment Against Three Individuals For — OIG Enforcement (2018)

OIG took enforcement action against U.S. Obtains $114 Million Judgment Against Three Individuals For in SC in 2018 involving false claims, kickbacks violations in the Physician Practices sector.

Penalty: $111.1 million

Violation types: False Claims, Kickbacks
Entity type: Physician Practice
Penalty type: Settlement
Location: SC

Source: U.S. Obtains $114 Million Judgment Against Three Individuals For Paying Kickbacks for Laboratory Referrals and Causing Claims for Medically Unnecessary Tests

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.

Source: U.S. Obtains $114 Million Judgment Against Three Individuals For Paying Kickbacks for Laboratory Referrals and Causing Claims for Medically Unnecessary Tests

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