Medicare Advantage Provider
DOJ
False Claims Act
Penalty
$6.4 million
Outcome
Medicare Advantage Provider To Pay $6.3 Million To Settle False Claims Act Allegations
Details
Medicare Advantage Provider — DOJ Enforcement (2020)
DOJ took enforcement action against Medicare Advantage Provider in CA in 2020 involving false claims act violations in the Municipal Government sector.
Penalty: $6.4 million
Violation types: False Claims Act
Entity type: Municipality
Penalty type: Settlement
Location: CA
Source: DOJ Press Release — Medicare Advantage Provider To Pay $6.3 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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