Violation Tracker Individual Record

Company: 
CareCore National LLC
Current Parent Company: 
CareCore National
Penalty: 
$18,000,000
Year: 
2017
Date: 
May 11, 2017
Primary Offense: 
False Claims Act and related
Violation Description: 

CareCore agreed in principle to pay $18 million to resolve multistate litigiation alleging that it auto-approved hundreds of radiology service requests on a daily basis, deeming them reasonable and medically necessary, even though there had been no evaluation of those cases by appropriate medical personnel. This was part of a larger $54 million settlement involving the federal government; see the Violation Tracker entry at https://violationtracker.goodjobsfirst.org/violation-tracker/-carecore-n...

Level of Government: 
state
Action Type: 
agency action
Agency: 
Multistate Attorneys General Case
Civil or Criminal Case: 
civil
Private Lawsuit Resolution Type: 
settlement
HQ Country of Parent: 
USA
HQ State of Parent: 
South Carolina
Ownership Structure of Parent: 
privately held
Major Industry of Parent: 
healthcare services
Specific Industry of Parent: 
healthcare information technology
Source Notes: 
If an online information source is not working, check the Violation Tracker Data Sources page for an updated link.
Parent company note: 
Parent-subsidiary relationship is current as of the most recent revision listed in the Update Log.