Gamma Healthcare and Three of Its Owners
Outcome
OIG enforcement action against Gamma Healthcare and Three of Its Owners for false claims. Penalty: $13.6 million.
Details
Gamma Healthcare and Three of Its Owners — OIG Enforcement (2026)
OIG took enforcement action against Gamma Healthcare and Three of Its Owners in MO in 2026 involving false claims violations in the Physician Practices sector.
Penalty: $13.6 million
Violation types: False Claims
Entity type: Physician Practice
Penalty type: Settlement
Location: MO
Source: Gamma Healthcare and Three of Its Owners Agree to Pay $13.6 Million for Allegedly Billing Medicare for Lab Tests That Were Not Ordered or Medically Necessary
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.
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