What's New
- April 2, 2026
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Priority Health (Contract H2320) Submitted to CMS
- March 30, 2026
- Medicare Home Health Agency Provider Compliance Audit: VNS Health
- March 27, 2026
- Selected Diabetes and Weight Loss Drugs Were Dispensed to Michigan Medicaid Managed Care Enrollees in Accordance With Federal and State Requirements
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’
- March 31, 2026; U.S. Attorney's Office, Eastern District of Missouri
- Five Accused of Stealing $511,000 from Missouri Childcare Expansion Program
- March 30, 2026; U.S. Attorney's Office, Middle District of Tennessee
- American Health Companies, dba American Health Partners, Agrees to Pay Over $2M to Resolve False Claims Act Liability Involving a Tennessee Nursing Home
