Physician Assistant and Certified Nursing Assistant Convicted in $200 Million Medicare Fraud Scheme
Outcome
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Details
Physician Assistant and Certified Nursing Assistant Convicted in $200 Million Medicare Fraud Scheme — $200,000,000 Criminal
Outcome: Official websites use .gov A .gov website belongs to an official government organization in the United States.
Official websites use .gov A .gov website belongs to an official government organization in the United States.
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A federal jury in Miami today convicted a physician assistant and a certified nursing assistant, both South Florida residents, for their participation in a Medicare fraud scheme involving approximately $200 million in fraudulent billings by American Therapeutic Corporation (ATC), a mental health care company headquartered in Miami.
HHS Office of Inspector General
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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