AG Healey's Medicaid Fraud Division Recovers More Than $45 Million for MassHealth in Fiscal Year 2020
Outcome
OIG enforcement action against AG Healey's Medicaid Fraud Division Recovers More Than $45 Million for MassHealth in Fiscal Year 2020 for medicaid fraud. Penalty: $45 million.
Details
AG Healey's Medicaid Fraud Division Recovers More Than $45 Million for MassHealth in Fiscal Year 2020 — OIG Enforcement (2019)
OIG took enforcement action against AG Healey's Medicaid Fraud Division Recovers More Than $45 Million for MassHealth in Fiscal Year 2020 in 2019 involving medicaid fraud violations in the Healthcare General sector.
Penalty: $45 million
Violation types: Medicaid Fraud
Entity type: Healthcare Provider
Penalty type: Settlement
Source: AG Healey's Medicaid Fraud Division Recovers More Than $45 Million for MassHealth in Fiscal Year 2020
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.
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