What's New

April 25, 2025

Updated: Corporate Integrity Agreements

Risk Assessment of the Administration for Community Living’s Travel Card Program for Fiscal Year 2022 A-04-24-02043

April 24, 2025

Updated: CMP and Affirmative Exclusions

Updated: Stipulated Penalties and Material Breaches

April 15, 2025

Ohio Did Not Comply With Federal Waiver and State Requirements at 18 of 19 Adult Day Care Facilities Audited A-05-23-00006

Updated: Work Plan

Enforcement Actions

April 24, 2025; U.S. Attorney's Office, Middle District of Pennsylvania

Former Owner Of York Pain Management Practice Sentenced To 42 Months For Health Care Fraud, Money Laundering, And Theft Of Public Money

April 23, 2025; U.S. Attorney's Office, Eastern District of Pennsylvania

Genetic Testing Marketing Companies Genexe, LLC and Immerge, Inc. and Two Executives Agree to Pay $6 Million to Resolve Allegations of Fraudulent Medicare Claims

April 23, 2025; U.S. Attorney's Office, District of New Jersey

Vault Agrees to Pay $8 Million to Settle Allegations of Billing False Claims to the COVID-19 Uninsured Program for Patients with Health Insurance

What's Trending

1. Ohio Did Not Comply With Federal Waiver and State Requirements at 18 of 19 Adult Day Care Facilities Audited
2. Updated: Work Plan
3. Utah Doctor And Co-Defendants Charged For Running A COVID-19 Vaccine Scheme To Defraud The Government And CDC
4. Refresh Mental Health Agreed to Pay $338,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Were Improperly Supervised
5. Fewer than One in Five Medicare Enrollees Received Medication to Treat Their Opioid Use Disorder