What's New
- December 16, 2025
- Excluding Noncovered Versions Would Have Substantially Lowered Fourth-Quarter 2025 Part B Payment Amounts for Stelara Biosimilars OEI-BL-25-00240
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes Humana Health Benefit of Louisiana (Contract H1951) Submitted to CMS A-06-21-02001
- Oklahoma Medicaid Fraud Control Unit: 2025 Inspection OEI-07-25-00060
- December 15, 2025
- New Jersey Should Improve Its Oversight of Nursing Homes' Compliance With Background Check Requirements A-02-23-01011
Enforcement Actions
- December 15, 2025; U.S. Attorney's Office, Eastern District of Virginia
- Federal Jury Convicts North Chesterfield Man For Billing Medicaid For Services He Did Not Provide
- December 15, 2025; U.S. Attorney's Office, District of Massachusetts
- Medical Software Company Agrees to Pay $500,000 to Resolve Allegations of Causing Medically Unnecessary Breast Cancer Screening Claims
- December 15, 2025; U.S. Attorney's Office, District of Delaware
- Medical Biller Charged with Diverting Opioids and Federal Health Care Fraud





