SIXRSIG d/b/a Hospice of San Antonio (HSA)
Outcome
Hospice of San Antonio self-disclosed to OIG and settled for $256,138.68 for submitting claims for hospice services rendered by a person who lacked proper licensure as a registered nurse.
Details
Hospice of San Antonio (TX) — Unlicensed Registered Nurse Billing
Outcome: Self-disclosed to OIG and settled for $256,138.68 for billing Medicare for hospice services provided by an unlicensed registered nurse.
SIXRSIG, doing business as Hospice of San Antonio (HSA) in San Antonio, Texas, self-disclosed to the HHS Office of Inspector General that it had submitted claims to Medicare for hospice services actually rendered by an individual who lacked proper licensure as a registered nurse. The use of unlicensed nursing staff in billing submissions violates Medicare requirements that billed services be delivered by properly credentialed personnel.
The self-disclosure reflects a compliance program that identified the violation and voluntarily reported it to federal authorities — a mitigating factor that typically results in more favorable settlement terms. HSA agreed to pay $256,138.68 to resolve the Civil Monetary Penalties Law allegations.
The settlement was documented by OIG on December 31, 2025.
How Crucible Prevents This
Crucible's provider-credentialing enforcement hooks would catch unlicensed RN billing; a pre-submission license verification gate checking active RN licenses against state nursing board records would block claims from unlicensed individuals before they reach Medicare.
Don't let this happen to your organization. See how Crucible works.
See How Crucible Works