Medicare Enforcement

Health Care Fraud to Remain a DOJ Priority

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

Pharmacies Targeted for Exclusion Violations by OIG and States

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

Excluded Dentist Pays Record $1.1 Million and Agrees to 50 Year Exclusion

Exclusion Violation by Dentist “Sends a Strong Warning” February 1, 2017 By Paul Weidenfeld The Office of the Inspector General’s…

DOJ Announces $4.7B in FCA Recoveries: What Does It Mean?

DOJ Announces $4.7 billion in FCA Recoveries By Paul Weidenfeld December 16, 2016 The “Third Best Year” in False Claims…

OIG Imposes Record Penalties for Exclusion Violations

OIG Imposes Record $21.5 Million in Penalties for Exclusion Violations! The OIG imposed a record $21.5 million civil money penalties…

DOJ Doubles Down on False Claims Act Penalties!

  By Robert W. Liles.  August 3, 2016.  The False Claims Act is the primary civil enforcement tool utilized by the federal government…

2016 OIG Work Plan: State Medicaid Agencies Must Comply with Exclusion Rules

The Office of Inspector General’s 2016 OIG Work Plan contains two important projects that focus on the enforcement of exclusion rules…

Health Care Fraud: Second Conviction Secured in Michigan Excluded Provider Scheme

In February, we reported that the Michigan Attorney General secured a racketeering and health care fraud conviction against an excluded…

Pennsylvania Judge Holds that CIA violations May Result in FCA Liability

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

2015 Mid-Year Exclusion Enforcement Action Review

OIG has been busy cracking down on providers who employ or contract with excluded persons or contractors.  In fact, by…