California County Organized Health System and Three Health Care Providers
Outcome
OIG enforcement action against California County Organized Health System and Three Health Care Providers for false claims. Penalty: $70.7 million.
Details
California County Organized Health System and Three Health Care Providers — OIG Enforcement (2022)
OIG took enforcement action against California County Organized Health System and Three Health Care Providers in CA in 2022 involving false claims violations in the Hospitals / Health Systems sector.
Penalty: $70.7 million
Violation types: False Claims
Entity type: Hospital
Penalty type: Settlement
Location: CA
Source: California County Organized Health System and Three Health Care Providers Agree to Pay $70.7 Million for Alleged False Claims to California’s Medicaid Program
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.
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