Medicare Enforcement

Significant Recent Trends in Exclusion Case Settlements

The Office of the Inspector General (OIG) has recently entered into a number of exclusion case settlements tied to skilled nursing facilities…

OIG Semiannual Report to Congress: Fall 2018-Spring 2019

The Office of Inspector General (OIG) recently published its Semi-Annual Report to Congress covering from October 1, 2018 to March…

OIG Enforcement Actions: Notable Decisions from March 2019

(April 2, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has continued its goal…

February Recap of OIG Enforcement Actions: Notable Decisions 

(March 1, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), has continued its goal…

A Review of OIG Enforcement Actions in Fiscal Year 2018

By Cason Liles (February 6, 2019): The Department of Health and Human Services (HHS), Office of Inspector General (OIG) is an…

OIG Enforcement Actions: Notable Decisions from January 2019

(February 6, 2019) The Department of Health and Human Services (HHS), Office of Inspector General (OIG), didn’t skip a beat…

OIG Exclusion Case Study: The Impact of a False Claims Act Judgment.

(August 23, 2018): In 2008, after learning that a Texas-based laboratory services company was submitting false claims to the Medicare…

Dental OIG Exclusions – A Review of 2017 Actions.

(January 12, 2018):  The Medicare and Medicaid programs are both essential, yet costly health benefit programs sponsored in whole or…

The Released Year in Review OIG Podcast

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

Pain Management Prescribing Practices and Audits

(August 16, 2017): Earlier this summer, the U.S. Department of Justice (DOJ) executed its most extensive “health care fraud takedown”…