2016 OIG Work Plan: State Medicaid Agencies Must Comply with Exclusion Rules
I. The Projects of 2016 OIG Work Plan In the first project, the OIG announced that it will…
Category Medicare Enforcement
Read More2016 OIG Work Plan: State Medicaid Agencies Must Comply with Exclusion Rules
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…
DOJ Doubles Down on False Claims Act Penalties!
The False Claims Act is the primary civil enforcement tool utilized by the federal government in its fight against fraud…
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…
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.…
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…
Excluded Individual Conducts Elaborate Health Care Fraud Scheme
The owner of a New Jersey ambulance company was indicted for health care fraud in mid-August of 2015.…
DOJ Files Another False Claims Act Case Based on OIG Exclusion Violations
DOJ Pursuing Action on Two Separate OIG Exclusion Violations The U.S. Attorney’s Office in Philadelphia filed a False…