Five Ophthalmology Practices
Outcome
OIG enforcement action against Five Ophthalmology Practices for false claims, kickbacks. Penalty: $6 million.
Details
Five Ophthalmology Practices — OIG Enforcement (2026)
OIG took enforcement action against Five Ophthalmology Practices in FL in 2026 involving false claims, kickbacks violations in the Healthcare General sector.
Penalty: $6 million
Violation types: False Claims, Kickbacks
Entity type: Healthcare Provider
Penalty type: Settlement
Location: FL
Source: Five Ophthalmology Practices Agree to Pay Nearly $6M to Resolve Allegations of Fraudulent Claims to Medicare and Medicaid for Cranial Ultrasounds
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. Crucible's referral monitoring tracks patient source patterns and flags arrangements that correlate referral volume with financial relationships, enforcing anti-kickback compliance documentation.
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