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.
The Department of Justice (DOJ) recently announced two new False Claims Act (FCA) settlements involving excluded persons. The…
(This article was originally posted in the National Alliance of Medical Auditing Specialists‘ “Tip of the Week”) At…
Home Health Agency Excluded for Employing Excluded Nurse HHS/OIG recently issued a press release announcing that it had…
I. Gains in State Exclusion Enforcement Efforts Highlighted The Office of the Inspector General’s (OIG) annual Report for the…
Since August 2014, the Office of Inspector General (OIG) has collected roughly $3.75 Million in Civil Money Penalties (CMPs)…
I. Hospital Employed Therapist with Lapsed License The Department of Justice (DOJ) entered into a settlement with a nonprofit Michigan…
I. Fraud Found in HHS’ Backyard A Virginia contractor for dental providers was recently indicted by a grand…
I. OIG Targets Nursing Homes Last year almost half of the exclusion violation matters reported by the Office…
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