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…
Category Enforcement
Enforcement actions and civil money penalties for exclusion violations. In 2025 alone, 35 healthcare organizations paid more than $26 million in CMPs and settlements — a six-fold increase over 2024. This section tracks OIG enforcement trends by sector and state, documents landmark settlements including the $18.8M Florida case, and covers both Medicare and Medicaid enforcement programs.
Read MoreOIG Exclusion Case Study: The Impact of a False Claims Act Judgment.
Personal Care Service Aides and Attendants Excluded in 2017
(January 22, 2018): With 2017 behind us, it can be quite helpful to review the Medicare “exclusion” actions taken…
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…
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”…
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…
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…
Health Care Fraud to Remain a DOJ Priority
Exclusion News (May 22, 2017):Health Care Fraud will continue to be a high priority of the Department of…
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…