Quincy-Based Physician Group

MA 2026 Behavioral Health

OIG False Claims

Penalty

$650,000

Outcome

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Details

Quincy-Based Physician Group — $650,000 Settlement

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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BOSTON — The Massachusetts Attorney General’s Office (AGO) has reached a settlement with Evolve Health, P.C. (Evolve), a Quincy-based physician group practice specializing in substance abuse treatment. The settlement resolves allegations that the organization submitted false claims to MassHealth and MassHealth managed care entities (MCEs) by billing MassHealth for services that were not provided and billing for more expensive levels of service than actually provided.

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.

Source: Quincy-Based Physician Group To Pay $650,000 To Resolve Allegations Of False Billing To MassHealth

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