United Medical Response and Derrick Isham Agreed to Be Excluded for 5 Years for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing
Outcome
OIG enforcement action against United Medical Response and Derrick Isham Agreed to Be Excluded for 5 Years for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing for healthcare fraud.
Details
United Medical Response and Derrick Isham Agreed to Be Excluded for 5 Years for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing — OIG Enforcement (2023)
OIG took enforcement action against United Medical Response and Derrick Isham Agreed to Be Excluded for 5 Years for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing in GA in 2023 involving healthcare fraud violations in the Assisted Living / Long-Term Care sector.
Violation types: Healthcare Fraud
Entity type: Skilled Nursing Facility
Penalty type: Fine
Location: GA
Source: United Medical Response and Derrick Isham Agreed to Be Excluded for 5 Years for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated B
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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