Primary Care Physicians

PA 2023 Physician Practices

DOJ False Claims Act Obstruction

Penalty

$1.5 million

Outcome

Primary Care Physicians to Pay $1.5 Million to Resolve False Claims Act Liability for Submitting Unsupported Diagnoses to the Medicare Advantage Program

Details

Primary Care Physicians — DOJ Enforcement (2023)

Outcome: Primary Care Physicians to Pay $1.5 Million to Resolve False Claims Act Liability for Submitting Unsupported Diagnoses to the Medicare Advantage Program

How Crucible Prevents This

Crucible's billing compliance controls enforce documentation-to-claims reconciliation and flag billing anomalies before false claims are submitted.

Source: DOJ Press Release — Primary Care Physicians to Pay $1.5 Million to Resolve False Claims Act Liability for Submitting Unsupported Diagnoses to the Medicare Advantage Progr

Don't let this happen to your organization. See how Crucible works.

See How Crucible Works