Carter Healthcare Affiliates and Two Senior Managers

FL 2022 Home Health / Home Care

DOJ False Claims Act Anti Kickback Healthcare Fraud Excluded Individual

Penalty

$22.9 million

Outcome

Carter Healthcare Affiliates and Two Senior Managers to Pay $7.175 Million to Resolve False Claims Act Allegations for False Florida Home Health Billings

Details

Carter Healthcare Affiliates and Two Senior Managers — DOJ Enforcement (2022)

Outcome: Carter Healthcare Affiliates and Two Senior Managers to Pay $7.175 Million to Resolve False Claims Act Allegations for False Florida Home Health Billings

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.

Source: DOJ Press Release — Carter Healthcare Affiliates and Two Senior Managers to Pay $7.175 Million to Resolve False Claims Act Allegations for False Florida Home Health Billi

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