Operator Of South Carolina Medicaid Call Center Agrees
Outcome
OIG enforcement action against Operator Of South Carolina Medicaid Call Center Agrees for false claims. Penalty: $11.4 million.
Details
Operator Of South Carolina Medicaid Call Center Agrees — OIG Enforcement (2026)
OIG took enforcement action against Operator Of South Carolina Medicaid Call Center Agrees in NJ in 2026 involving false claims violations in the Healthcare General sector.
Penalty: $11.4 million
Violation types: False Claims
Entity type: Healthcare Provider
Penalty type: Criminal
Location: NJ
Source: Operator Of South Carolina Medicaid Call Center Agrees To Pay $11.3 Million To Resolve False Claims Act Liability; Two Former Employees Plead Guilty To Wire Fraud
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.
Don't let this happen to your organization. See how Crucible works.
See How Crucible Works