What's New
- April 3, 2026
- Vibrent Health Claimed Unallowable Costs Under a National Institutes of Health Other Transaction Award
- Louisiana Healthcare Connections Generally Complied With Federal and State Process Requirements When Denying Prior Authorization Requests
- April 2, 2026
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Priority Health (Contract H2320) Submitted to CMS
Enforcement Actions
- April 2, 2026; U.S. Attorney's Office, Central District of California
- 8 Arrested in Health Care Fraud Takedown, Including Owners of Hospices that Billed Taxpayers Millions of Dollars to Serve the ‘Dying’
- April 2, 2026; U.S. Attorney's Office, Northern District of Georgia
- Advanced Urology and Jitesh Patel will pay $14 million to settle False Claims Act case involving allegations of fraudulent billing and unnecessary medical procedures
- April 2, 2026; U.S. Attorney's Office, District of Rhode Island
- Dominican National Pleads Guilty to Illegal Reentry, Misuse of Social Security Number, and Benefits Fraud
