Shasta View Care Center
Outcome
Shasta View Care Center in Red Bluff, California paid $41,342 after self-disclosing that it submitted fraudulent claims for nursing services to federal healthcare programs.
Details
Shasta View Care Center (Red Bluff, CA) — Fraudulent Nursing Service Claims (2025)
Outcome: Shasta View Care Center, a nursing care facility in Red Bluff, California, paid $41,342 after self-disclosing that it submitted false claims for nursing services to Medicare and/or Medicaid.
Shasta View Care Center voluntarily disclosed the violation to the OIG through the fraud self-disclosure program. The facility submitted claims for nursing services that did not meet billing requirements — categorized by the OIG as "fraudulent nursing services." The settlement of $41,342 resolved the Civil Monetary Penalties Law liability.
Nursing homes billing Medicare for skilled nursing care must maintain documentation sufficient to support every claim, including nursing notes, care plans, and time records. Claims for services that were not provided as documented, not medically necessary, or otherwise misrepresented constitute false claims violations.
Primary Source: OIG Enforcement Record
How Crucible Prevents This
Crucible's billing audit hooks cross-reference nursing service claims against time-and-attendance records, staffing logs, and resident care plans. Automated detection of billing for nursing services not supported by documentation prevents submission of fraudulent claims.
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