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Enforcement Actions

Criminal, civil or administrative legal actions relating to fraud and other alleged violations of law, initiated or investigated by OIG and its law enforcement partners.

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Stipulated Penalties and Material Breaches

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Actions before 2013

Showing 1–20 of 1,477 actions

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BH Grand River Southfield Agreed to Pay $260,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment
August 31, 2023
- CMP and Affirmative Exclusions
Ascension Providence Rochester Hospital Agreed to Pay $545,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
August 24, 2023
- Fraud Self-Disclosures
IvyRehab Network Agreed to Pay $171,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration to Physicians in the Form of Discounts and Waiving Patient Cost-Sharing Obligations
August 17, 2023
- Fraud Self-Disclosures
Gosnold Behavioral Health Agreed to Pay $23,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
August 16, 2023
- Fraud Self-Disclosures
Personal Care Agreed to Pay $255,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment
August 11, 2023
- CMP and Affirmative Exclusions
Community Home Physicians Agreed to Pay $74,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
August 11, 2023
- Fraud Self-Disclosures
Delmar Pharmacy Agreed to Pay $218,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Prescriptions Dispensed by Another Pharmacy
August 11, 2023
- Fraud Self-Disclosures
Norton Hospitals Agreed to Pay $197,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing Excluded Individuals
August 11, 2023
- Fraud Self-Disclosures
Shore Orthopaedic University Associates, Charles Krome, DO, and OrthoNJ Agreed to Pay $333,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Unapproved Services
August 10, 2023
- Fraud Self-Disclosures
Agape Hospice Care Agreed to Pay $250,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Provided by Unlicensed Individuals
August 8, 2023
- Fraud Self-Disclosures
TVG Capital Group Agreed to Pay $115,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
August 7, 2023
- CMP and Affirmative Exclusions
Tarpon Interventional Pain & Spine Care Agreed to Pay $21,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Misidentified the Rendering Provider
August 3, 2023
- Fraud Self-Disclosures
Lehigh Regional Medical Center Agreed to Pay $50,000 for Allegedly Violating Patient Dumping Statute by Failing to Provide an Appropriate Medical Screening Examination and Stabilizing Treatment
July 27, 2023
- CMP and Affirmative Exclusions
Bridges MN Agreed to Pay $150,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
July 25, 2023
- CMP and Affirmative Exclusions
Team Rehabilitation Services Agreed to Pay $12.2 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Were Not Reimbursable and Services that Did Not Meet the Requirements of Time-Based Codes
July 21, 2023
- Fraud Self-Disclosures
Alton Memorial Hospital Agreed to Pay $147,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
July 14, 2023
- Fraud Self-Disclosures
Bridges Aid Services Agreed to Pay $40,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
July 13, 2023
- CMP and Affirmative Exclusions
AU Medical Center Agreed to Pay $528,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Individual Excluded from South Carolina Medicaid and an Individual Excluded from Participation in Federal Health Care Programs
July 13, 2023
- Fraud Self-Disclosures
Ascension Macomb Oakland Hospital Agreed to Pay $100,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration in the Form of Free Staff
July 10, 2023
- Fraud Self-Disclosures
Lakeview Healthcare System Agreed to Pay $117,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
July 10, 2023
- Fraud Self-Disclosures

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