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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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Actions before 2013

Showing 21–40 of 1,357 actions

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Monroe Hospital, North Vista Hospital, Paradise Valley Hospital, San Dimas Community Hospital, and St. Mary’s Regional Medical Center Agreed to Pay $250,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing Excluded Individuals
August 19, 2022
- Fraud Self-Disclosures
Dr. Kenneth Martinez and Neurology and Pain Specialty Center Agreed to Pay $919,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Medically Unnecessary or Upcoded Services
August 18, 2022
- CMP and Affirmative Exclusions
Charles Buzzanell, MD and Blue Ridge Pain Management and Palliative Care Agreed to Pay $286,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Exceeded the Number of Sessions Allowed
August 17, 2022
- CMP and Affirmative Exclusions
Danita Smith and My Blooming Health Mobile Agreed to Be Excluded for 3 Years for Submitting False Claims for Fingersticks, Travel Allowance, and Clotting Tests
August 16, 2022
- CMP and Affirmative Exclusions
Home Healthcare, Hospice and Community Services Agreed to Pay $27,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
August 15, 2022
- Fraud Self-Disclosures
Tampa General Hospital Agreed to Pay $57,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Provided by an Unlicensed Individual
August 15, 2022
- Fraud Self-Disclosures
Key Learning Concepts Agreed to Pay $33,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
August 12, 2022
- CMP and Affirmative Exclusions
Mangesh Kanvinde, MD Agreed to Be Excluded for 15 Years for Receiving Remuneration in Exchange for Ordering Genetic Tests and Durable Medical Equipment
August 12, 2022
- CMP and Affirmative Exclusions
Mitchell Spivack and Verree Pharmacy Agreed to Be Excluded for 22 Years for Dispensing and Distributing Medically Unnecessary Controlled Substances
August 11, 2022
- CMP and Affirmative Exclusions
University of Miami Health System Agreed to Pay $289,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Did Not Meet Conditions of Payment
August 10, 2022
- Fraud Self-Disclosures
Dr. Craig Copeland Agreed to Be Excluded for 10 Years for Receiving Remuneration in Exchange for Ordering Durable Medical Equipment and Genetic Tests and Prescribing Medications
August 3, 2022
- CMP and Affirmative Exclusions
Comfort Health Agreed to Pay $16,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Provided by an Unlicensed Individual
August 3, 2022
- Fraud Self-Disclosures
Dartmouth-Hitchcock Health Entities Agreed to Pay $2.1 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Tests Not Ordered by a Physician
August 2, 2022
- Fraud Self-Disclosures
Troy Gastroenterology Agreed to Pay $261,000 for Allegedly Violating the Civil Monetary Penalties Law by Receiving Renumeration in the Form of an Ownership Interest and Reimbursement for Legal Fees
July 27, 2022
- Fraud Self-Disclosures
Brett Dickinson Agreed to Be Excluded for 5 Years for Medically Unnecessary Prescriptions
July 21, 2022
- CMP and Affirmative Exclusions
Eric Baumann, MD and Eric Bauman, MD, PC Agreed to Pay $224,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services that Exceeded the Number of Sessions Allowed
July 18, 2022
- CMP and Affirmative Exclusions
AdventHealth Medical Group Agreed to Pay $807,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Not Performed
July 15, 2022
- Fraud Self-Disclosures
G&W Ambulance Agreed to Pay $195,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment
July 14, 2022
- CMP and Affirmative Exclusions
Laurus Labs Agreed to Pay $50,000 for Allegedly Violating the Civil Monetary Penalties Law by Failing to Submit Timely Pricing Data
July 14, 2022
- CMP and Affirmative Exclusions
Saud Siddiqui, MD and Columbus Spine Specialists Agreed to Pay $219,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Non-Covered Services
July 14, 2022
- CMP and Affirmative Exclusions