Excluded Dentist Pays Record $1.1 Million and Agrees to 50 Year Exclusion
Exclusion Violation by Dentist “Sends a Strong Warning” The Office of the Inspector General’s (OIG) announced last week…
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 MoreExcluded Dentist Pays Record $1.1 Million and Agrees to 50 Year Exclusion
OIG Issues Final Rule Expanding Exclusion Authority
On January 12, 2017, the Office of Inspector General published a final rule finalizing revisions to its exclusion…
DOJ Announces $4.7B in FCA Recoveries: What Does It Mean?
DOJ Announces $4.7 billion in FCA Recoveries The “Third Best Year” in False Claims Act History? The Department…
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…
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…
OIG Issues Updated Criteria for Implementing Its Permissive Exclusion Authority
On April 18, 2016, the Department of Health and Human Services, Office of Inspector General (HHS-OIG) issued updated…
Exclusion Loophole: Medicaid Managed Care
In August, we discussed an OIG audit, which revealed that Medicaid providers who were terminated for cause were…