Tennessee Pediatrician Agreed to Be Excluded for 20 Years for Submitting Claims for Pediatric Services Allegedly Not Pro
Outcome
OIG enforcement action against Tennessee Pediatrician Agreed to Be Excluded for 20 Years for Submitting Claims for Pediatric Services Allegedly Not Pro for false claims.
Details
Tennessee Pediatrician Agreed to Be Excluded for 20 Years for Submitting Claims for Pediatric Services Allegedly Not Pro — OIG Enforcement (2026)
OIG took enforcement action against Tennessee Pediatrician Agreed to Be Excluded for 20 Years for Submitting Claims for Pediatric Services Allegedly Not Pro in TN in 2026 involving false claims violations in the Healthcare / General sector.
Violation types: False Claims
Entity type: Healthcare Provider
Penalty type: Settlement
Location: TN
Source: Tennessee Pediatrician Agreed to Be Excluded for 20 Years for Submitting Claims for Pediatric Services Allegedly Not Provided as Claimed
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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