Physician and Office Manager

KY 2024 Hospitals / Health Systems
DOJ False Claims Act Anti Kickback
Penalty
$9 million

Outcome

Physician and Office Manager Pay $450,000 to Resolve Alleged Violations of the Controlled Substance Act and the False Claims Act

Details

Physician and Office Manager — DOJ Enforcement (2024)

DOJ took enforcement action against Physician and Office Manager in KY in 2024 involving false claims act, anti kickback violations in the Hospitals / Health Systems sector.

Penalty: $9 million

Violation types: False Claims Act, Anti Kickback
Entity type: Hospital
Penalty type: Settlement
Location: KY

Source: DOJ Press Release — Physician and Office Manager Pay $450,000 to Resolve Alleged Violations of the Controlled Substance Act and the False Claims Act

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.

Source: DOJ Press Release — Physician and Office Manager Pay $450,000 to Resolve Alleged Violations of the Controlled Substance Act and the False Claims Act

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