Enforcement Actions

• North Carolina Ambulance Company Settles Case Involving False Claims

  March 30, 2020

  • CMP and Affirmative Exclusions

• Georgia Man Arrested for Orchestrating Scheme to Defraud Health Care Benefit Programs Related to COVID-19 and Genetic Cancer Testing

  March 30, 2020

  • COVID-19
  • Criminal and Civil Actions

• Ex-Blackfeet Tribal leader sentenced to prison for Head Start program fraud

  March 30, 2020

  • Criminal and Civil Actions

• Northwell Health and North Shore Long Island Jewish Medical PC Agreed to Pay $981,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Upcoded Evaluation and Management Services

  March 30, 2020

  • Fraud Self-Disclosures

• Progressions Behavioral Health Services, Inc. and One of its Former Mental Health Therapists Agree to Pay $27,500 to Resolve Potential False Claims Act Liability

  March 27, 2020

  • Criminal and Civil Actions

• Manhattan U.S. Attorney Files Civil Fraud Suit Against Anthem, Inc., For Falsely Certifying The Accuracy Of Its Diagnosis Data

  March 27, 2020

  • Criminal and Civil Actions

• CEO, CFO, President, and Owner of Sober Homes Network "Serenity Ranch Recovery" Convicted in $38 Million Fraud Scheme after Six-Week Trial

  March 26, 2020

  • Criminal and Civil Actions

• Dartmouth-Hitchcock Clinic Agreed to Pay $22,000 for Allegedly Violating the Civil Monetary Penalties Law by Overcharging Beneficiaries

  March 25, 2020

  • Fraud Self-Disclosures

• The Trustees of Dartmouth College Agreed to Pay $53,000 for Allegedly Violating the Civil Monetary Penalties Law by Overcharging Beneficiaries

  March 25, 2020

  • Fraud Self-Disclosures

• Massachusetts Ambulance Company Settles Case Involving False Claims

  March 23, 2020

  • CMP and Affirmative Exclusions

• Harbour Manor Health and Living Community Agreed to Pay $57,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services by an Unlicensed Nurse

  March 23, 2020

  • Fraud Self-Disclosures

• SMHA Healthcare Agreed to Pay $910,000 for Allegedly Violating the Civil Monetary Penalties Law by Providing Remuneration in the Form of Space and Free Services

  March 18, 2020

  • CIA Reportable Events

• Doctor Who Pleaded Guilty to Health Care Fraud for "Goodie Bags" Agrees to Resolve Civil Fraud and Controlled Substance Liability for $2.8 Million

  March 17, 2020

  • Criminal and Civil Actions

• Klair Medicose Agreed to Pay $1.4 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Pulsed Stimulated Treatment Services not Covered by Medicare

  March 17, 2020

  • Fraud Self-Disclosures

• Villages Dermatologist Agrees To Pay More Than $1.7 Million To Settle False Claims Act Liability For Inflated Medicare Claims

  March 13, 2020

  • Criminal and Civil Actions

• Federal Jury finds Defendants Guilty of Submitting False Claims to Medicare under Civil False Claims Act. Jury verdict results in recovery of more than $10.85 million to the Medicare program

  March 13, 2020

  • Criminal and Civil Actions

• Pittsburgh Resident Pleads Guilty to Conspiracy, Health Care Fraud and Aggravated Identity Theft

  March 13, 2020

  • Criminal and Civil Actions

• Southwestern PA Family Practitioner Charged in 161-Count Superseding Indictment with Dispensing Drugs in Exchange for Sex and Health Care Fraud

  March 13, 2020

  • Criminal and Civil Actions

• Arkansas Assisted Living Facility Excluded for Default

  March 12, 2020

  • CMP and Affirmative Exclusions

• Colorado Physicians and Practice Settles Case Involving Kickbacks

  March 12, 2020

  • CMP and Affirmative Exclusions

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