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…
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 MoreHealth Care Fraud: Second Conviction Secured in Michigan Excluded Provider Scheme
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.…
Medicaid Providers That Are Excluded or Terminated for Cause Often Continue to Participate in Other States According to a New OIG Audit
OIG Audit Findings In a recently released audit, the OIG found that despite the ACA requirement that…
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…
Exclusion Alert: Assistant Inspector General Tells Congress That Exclusion Violations Plague Part D
Assistant Inspector General Testifies before Congress Ann Maxwell, the Assistant Inspector General for Evaluation and Inspections, recently testified…
OIG Announces Creation of Special Unit for CMP and Exclusion Litigation
Exclusion Screening, LLC has been chronicling the Office of Inspector General’s (OIG) interest in exclusion enforcement for quite…