ProHEALTH Care Associates, ProHEALTH Care Medical Management, and Dr. Rina Caprarella
Outcome
OIG enforcement action against ProHEALTH Care Associates, ProHEALTH Care Medical Management, and Dr. Rina Caprarella for false claims. Penalty: $229,000.
Details
ProHEALTH Care Associates, ProHEALTH Care Medical Management, and Dr. Rina Caprarella — OIG Enforcement (2023)
OIG took enforcement action against ProHEALTH Care Associates, ProHEALTH Care Medical Management, and Dr. Rina Caprarella in NY in 2023 involving false claims violations in the Healthcare General sector.
Penalty: $229,000
Violation types: False Claims
Entity type: Healthcare Provider
Penalty type: Fine
Location: NY
Source: ProHEALTH Care Associates, ProHEALTH Care Medical Management, and Dr. Rina Caprarella Agreed to Pay $229,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medically
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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