Pennsylvania Physician Agrees to Voluntary Exclusion

PA 2019 Physician Practices

OIG False Claims Controlled Substance

Penalty

Outcome

OIG enforcement action against Pennsylvania Physician Agrees to Voluntary Exclusion for false claims, controlled substance.

Details

Pennsylvania Physician Agrees to Voluntary Exclusion — OIG Enforcement (2019)

OIG took enforcement action against Pennsylvania Physician Agrees to Voluntary Exclusion in PA in 2019 involving false claims, controlled substance violations in the Physician Practices sector.

Violation types: False Claims, Controlled Substance
Entity type: Physician Practice
Penalty type: Settlement
Location: PA

Source: Pennsylvania Physician Agrees to Voluntary Exclusion

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 controlled substance tracking enforces DEA-compliant inventory reconciliation, flags prescribing pattern anomalies, and requires segregation of duties for dispensing and record-keeping.

Source: Pennsylvania Physician Agrees to Voluntary Exclusion

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