Doctor and Nurse Practitioner

MO 2019 Physician Practices

DOJ False Claims Act Healthcare Fraud

Penalty

$250,000

Outcome

Doctor and Nurse Practitioner Plead Guilty to Making False Claims to Medicare and Medicaid

Details

Doctor and Nurse Practitioner — DOJ Enforcement (2019)

DOJ took enforcement action against Doctor and Nurse Practitioner in MO in 2019 involving false claims act, healthcare fraud violations in the Physician Practices sector.

Penalty: $250,000

Violation types: False Claims Act, Healthcare Fraud
Entity type: Physician Practice
Penalty type: Criminal
Location: MO

Source: DOJ Press Release — Doctor and Nurse Practitioner Plead Guilty to Making False Claims to Medicare and Medicaid

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 — Doctor and Nurse Practitioner Plead Guilty to Making False Claims to Medicare and Medicaid

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