Owner and Chief Executive Officer of Telemedicine Company
Outcome
OIG enforcement action against Owner and Chief Executive Officer of Telemedicine Company for kickbacks, medicare fraud. Penalty: $424 million.
Details
Owner and Chief Executive Officer of Telemedicine Company — OIG Enforcement (2019)
OIG took enforcement action against Owner and Chief Executive Officer of Telemedicine Company in 2019 involving kickbacks, medicare fraud violations in the DME Suppliers sector.
Penalty: $424 million
Violation types: Kickbacks, Medicare Fraud
Entity type: Dme Supplier
Penalty type: Criminal
Source: Owner and Chief Executive Officer of Telemedicine Company Pleads Guilty to $424 Million Conspiracy to Defraud Medicare and Receive Illegal Kickbacks in Exchange for Orders of Durable Medical Equipment
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.
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