Centra Health Inc. and Blue Ridge Ear, Nose, Throat, and Plastic Surgery, Inc.
DOJ
False Claims Act
Anti Kickback
Healthcare Fraud
Penalty
$9.3 million
Outcome
Centra Health Inc. and Blue Ridge Ear, Nose, Throat, and Plastic Surgery, Inc. Agree to Pay Nearly $10 Million to Settle False Claims Act Allegations
Details
Centra Health Inc. and Blue Ridge Ear, Nose, Throat, and Plastic Surgery, Inc. — DOJ Enforcement (2020)
Outcome: Centra Health Inc. and Blue Ridge Ear, Nose, Throat, and Plastic Surgery, Inc. Agree to Pay Nearly $10 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. Crucible monitors referral patterns and financial arrangements to flag potential anti-kickback violations. Crucible's healthcare compliance layer enforces proper documentation, eligibility verification, and claims accuracy.
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See How Crucible Works