Personal Care
Outcome
OIG enforcement action against Personal Care for healthcare fraud. Penalty: $255,000.
Details
Personal Care — OIG Enforcement (2023)
OIG took enforcement action against Personal Care in SC in 2023 involving healthcare fraud violations in the Assisted Living / Long-Term Care sector.
Penalty: $255,000
Violation types: Healthcare Fraud
Entity type: Skilled Nursing Facility
Penalty type: Fine
Location: SC
Source: Personal Care Agreed to Pay $255,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment
How Crucible Prevents This
Crucible's compliance monitoring controls for Assisted Living / Skilled Nursing would have detected the patterns underlying this violation through automated screening, documentation enforcement, and real-time alert escalation.
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