What's New
- March 10, 2026
- Emergency Department Procedure Codes Used on Medicare Claims for Services Billed With Nonemergency Department Sites of Service Resulted in Over $15 Million in Improper and Potentially Improper Payments
- LEIE Updated with February 2026 Exclusions and Reinstatements
- March 9, 2026
- Advisory Opinion 26-03 (Favorable)
- Advisory Opinion 26-04 (Favorable)
- March 2, 2026
- Colorado Made at Least $77.8 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children
Enforcement Actions
- March 9, 2026; U.S. Department of Justice
- Owner of Durable Medical Equipment Company Sentenced for $59M Medicare Fraud
- March 9, 2026; U.S. Department of Justice
- Pennsylvania Brothers Convicted of Decades Long Racketeering Conspiracy
- March 9, 2026; U.S. Attorney's Office, District of New Jersey
- Chiropractor Sentenced to 43 Months in Prison for $14.9 Million Health Care Fraud and Kickback Scheme Related to Durable Medical Equipment and Cancer Genetic Testing
- March 9, 2026; U.S. Attorney's Office, Eastern District of Missouri
- Psychiatrist Reaches Civil Settlement of $360,000 to Resolve Allegations of False Claims to Federal Health Care Programs
