Medicare Enforcement

The Office of Inspector General (OIG) recently published its Semi-Annual Report to Congress covering...

(April 2, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG),...

(March 1, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG),...

By Cason Liles (February 6, 2019): The Department of Health and Human Services (HHS), Office of...

(February 6, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG),...

(August 23, 2018): In 2008, after learning that a Texas-based laboratory services company was submitting...

(January 12, 2018):  The Medicare and Medicaid programs are both essential, yet costly health benefit...

Year in Review OIG Podcast Earlier this week, the Office of Inspector General released its “Year in...

(August 16, 2017): Earlier this summer, the U.S. Department of Justice (DOJ) executed its most extensive...

The Office of the Inspector General (OIG) has recently entered into a number of exclusion case settlements tied...

Exclusion News (May 22, 2017): By Paul Weidenfeld Health Care Fraud will continue to be a high priority...

In what appears to be a growing enforcement trend, the Department of Health and Human Services, Office...

Exclusion Violation by Dentist “Sends a Strong Warning” February 1, 2017 By Paul...

DOJ Announces $4.7 billion in FCA Recoveries By Paul Weidenfeld December 16, 2016 The “Third Best...

OIG Imposes Record $21.5 Million in Penalties for Exclusion Violations! The OIG imposed a record $21.5...

  By Robert W. Liles.  August 3, 2016.  The False Claims Act is the primary...

The Office of Inspector General’s 2016 OIG Work Plan contains two important projects that focus...

In February, we reported that the Michigan Attorney General secured a racketeering and health care fraud...

  In late July, a federal district court in Pennsylvania joined in the flurry of False Claims Act (FCA)...

OIG has been busy cracking down on providers who employ or contract with excluded persons or contractors. ...

  The owner of a New Jersey ambulance company was indicted for health care fraud in mid-August of...

DOJ Pursuing Action on Two Separate OIG Exclusion Violations The U.S. Attorney’s Office in Philadelphia...

Assistant Inspector General Testifies before Congress Ann Maxwell, the Assistant Inspector General for...

 Exclusion Screening, LLC has been chronicling the Office of Inspector General’s (OIG) interest...

The Department of Justice (DOJ) recently announced two new False Claims Act (FCA) settlements involving...

(This article was originally posted in the National Alliance of Medical Auditing Specialists‘ “Tip...

Home Health Agency Excluded for Employing Excluded Nurse HHS/OIG recently issued a press release announcing...

I.  Hospital Employed Therapist with Lapsed License The Department of Justice (DOJ) entered...

I.  Fraud Found in HHS’ Backyard A Virginia contractor for dental providers was recently indicted...

I. OIG Targets Nursing Homes Last year almost half of the exclusion violation matters reported by the...

I.  Excluded Podiatrist Commits Health Care Fraud    A Michigan podiatrist who was...

I.  CMPs doubled in OIG Exclusion Violations 2014 Exclusion Screening, LLCSM dedicates a significant...

I.  OIG Report In the Office of the Inspector General’s (OIG) semiannual report to Congress,...

The Office of the Inspector General (OIG) issued a Special Advisory Bulletin in May 2013, which states...

I.  Civil Monetary Penalties Twenty-five out of the fifty-five exclusion enforcement actions reported...

I.  Mandatory OIG Exclusions When the Office of Inspector General (OIG) considers imposing a mandatory...

[visualizer id=”1978″] A quick review of the Office of Inspector General’s (OIG) exclusion...

HHS/OIG Deputy Inspector General Gary Cantrell testified earlier this year that States are failing to...

I.  Which Exclusion Databases Do I Need to Screen? The Office of Inspector General (OIG) recommends...

By Paul Weidenfeld I. Concerns of the 2015 OIG Exclusion Work Plan The Office of Inspector General (OIG)...