Pediatric Services of America
Outcome
OIG enforcement action against Pediatric Services of America for false claims, excluded individual. Penalty: $274,000.
Details
Pediatric Services of America — OIG Enforcement (2026)
OIG took enforcement action against Pediatric Services of America in CO in 2026 involving false claims, excluded individual violations in the Healthcare General sector.
Penalty: $274,000
Violation types: False Claims, Excluded Individual
Entity type: Healthcare Provider
Penalty type: Fine
Location: CO
Source: Pediatric Services of America Agreed to Pay $274,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual and Submitting Claims for Services Provided by an Indi
How Crucible Prevents This
Crucible's automated OIG-LEIE exclusion screening runs monthly against the full employee roster, flagging matches immediately and enforcing hiring workflow gates that prevent onboarding excluded individuals. 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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