Two Defendants
Outcome
OIG enforcement action against Two Defendants for kickbacks, medicare fraud. Penalty: $109 million.
Details
Two Defendants — OIG Enforcement (2020)
OIG took enforcement action against Two Defendants in CO in 2020 involving kickbacks, medicare fraud violations in the DME Suppliers sector.
Penalty: $109 million
Violation types: Kickbacks, Medicare Fraud
Entity type: Dme Supplier
Penalty type: Criminal
Location: CO
Source: Two Defendants Plead Guilty to Multi-Million Dollar Medicare Fraud Scheme
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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