Plymouth Woman
Outcome
OIG enforcement action against Plymouth Woman for medicaid fraud. Penalty: $250 million.
Details
Plymouth Woman — OIG Enforcement (2026)
OIG took enforcement action against Plymouth Woman in 2026 involving medicaid fraud violations in the Healthcare General sector.
Penalty: $250 million
Violation types: Medicaid Fraud
Entity type: Healthcare Provider
Penalty type: Criminal
Source: Plymouth Woman Pleads Guilty For Her Role In $250 Million Scheme To Defraud The Federal Child Nutrition Program And Separate $4 Million Medicaid Fraud Scheme
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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