Medicare Advantage Provider and Physician
DOJ
False Claims Act
Penalty
$5 million
Outcome
Medicare Advantage Provider and Physician to Pay $5 Million to Settle False Claims Act Allegations
Details
Medicare Advantage Provider and Physician — DOJ Enforcement (2019)
DOJ took enforcement action against Medicare Advantage Provider and Physician in CA in 2019 involving false claims act violations in the Physician Practices sector.
Penalty: $5 million
Violation types: False Claims Act
Entity type: Physician Practice
Penalty type: Settlement
Location: CA
Source: DOJ Press Release — Medicare Advantage Provider and Physician to Pay $5 Million to Settle False Claims Act Allegations
How Crucible Prevents This
Crucible's billing compliance controls enforce documentation-to-claims reconciliation and flag billing anomalies before false claims are submitted.
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