Enforcement Actions

• Seven People Charged In New Jersey Massive Health Care Fraud Scheme Involving Telemedicine And Durable Medical Equipment (DME)

  April 9, 2019

  • Criminal and Civil Actions

• Federal Indictments & Law Enforcement Actions in One of the Largest Health Care Fraud Schemes Involving Telemedicine and Durable Medical Equipment Marketing Executives Results in Charges Against 24 Individuals Responsible for Over $1.2 Billion in Losses

  April 9, 2019

  • Criminal and Civil Actions

• Winchester Radiologists Agreed to Pay $1.6 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Diagnostic Services Ineligible for Reimbursement

  April 9, 2019

  • Fraud Self-Disclosures

• Two Tulsa Doctors Settle with the U.S. Government for Allegedly Engaging in Illegal Kickback Schemes

  April 5, 2019

  • Criminal and Civil Actions

• Unlicensed Dentist Sentenced To 2 Years In Prison For Healthcare Fraud, Conspiracy To Commit Healthcare Fraud, And Conspiracy To Violate The Anti-Kickback Statute

  April 5, 2019

  • Criminal and Civil Actions

• South Florida Health Care Facility Owner Convicted for Role in Largest Health Care Fraud Scheme Ever Charged by The Department of Justice, Involving $1.3 Billion in Fraudulent Claims

  April 5, 2019

  • Criminal and Civil Actions

• Maine Mental Health Service Provider Settles Case Involving Excluded Individual

  April 4, 2019

  • CMP and Affirmative Exclusions

• Lee County Ambulance Service and its Director Agree to Pay $253,930 to Resolve Allegations of False Claims to Medicare

  April 4, 2019

  • Criminal and Civil Actions

• Former Administrator of Two Houston Home Health Companies Sentenced to Prison in $20 Million Medicare Fraud Scheme

  April 4, 2019

  • Criminal and Civil Actions

• Former CEO of Tennessee Pain Management Company Convicted for Role in Approximate $4 Million Medicare Kickback Scheme

  April 4, 2019

  • Criminal and Civil Actions

• Three Pharmaceutical Companies Agree to Pay a Total of Over $122 Million to Resolve Allegations That They Paid Kickbacks Through Co-Pay Assistance Foundations

  April 4, 2019

  • Criminal and Civil Actions

• Great River Health System Agreed to Pay $3 Million for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration to a Physician in the Form of Excessive Compensation and Submitting Claims for Medically Unnecessary Services

  April 4, 2019

  • Fraud Self-Disclosures

• Davidson Co. Woman Must Repay TennCare in Fraud Plea Deal

  April 4, 2019

  • State Enforcement Agencies

• Merit Health Medical Group Agreed to Pay $2 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medically Unnecessary Services

  April 3, 2019

  • Fraud Self-Disclosures

• Vanderbilt Stallworth Rehabilitation Hospital Agreed to Pay $25,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual

  April 3, 2019

  • Fraud Self-Disclosures

• OIG Excludes Indiana Ambulance Provider for Material Breach

  April 3, 2019

  • Stipulated Penalties and Material Breaches

• Dallas-Area Home Health Care Employee Sentenced to Five Years in Prison for His Role in a $3.7 Million Health Care Fraud Scheme

  April 2, 2019

  • Criminal and Civil Actions

• Hardin Co. Woman Charged with TennCare Fraud

  April 2, 2019

  • State Enforcement Agencies

• Indictment Unsealed Charging Mangum Pharmacist with Over $1 Million in Health Care Fraud

  April 1, 2019

  • Criminal and Civil Actions

• Mid-Florida Pathology and Laboratory Services of Central Florida Agreed to pay $314,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration for Provision of Services

  April 1, 2019

  • Fraud Self-Disclosures

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