oig.hhs.gov

Fraud & Abuse Laws

The five most important Federal fraud and abuse laws that apply to physicians are the False Claims Act (FCA), the Anti-Kickback Statute (AKS), the Physician Self-Referral Law (Stark law), the ...
oig.hhs.gov

Two Health Care Executives Convicted for Exploiting Elderly Medicare Advantage Beneficiaries in $34 Million Fraud Scheme

MIAMI – A Miami federal jury convicted two healthcare executives on Dec. 22, 2025 for their roles in a scheme that resulted in the submission of approximately $34 million in false and fraudulent ...
oig.hhs.gov

Manhattan U.S. Attorney Announces $60 Million Civil Fraud Settlement With Accredo Health Group Over Kickback Scheme Involving Prescription Drug

Preet Bharara, the United States Attorney for the Southern District of New York, Diego Rodriguez, the Assistant Director-in-Charge of the New York Office of the Federal Bureau of Investigation ("FBI") ...
oig.hhs.gov

Sovereign Health Group Founder and Ex-CEO Arrested on Indictment Alleging Long-Running, Massive Fraud Against Health Insurers

SANTA ANA, California – The founder and former CEO of the now-defunct Sovereign Health Group addiction treatment provider was arrested today on an eight-count federal grand jury indictment alleging he ...
oig.hhs.gov

Two Home Health Providers Agree to Pay $702,541 to Resolve Self-Referral Allegations

MIAMI – Medical Services of America, Inc. and Traditional Home Care, Inc., doing business as Community Home Health Services, have agreed to pay $702,541.20 to resolve allegations that they violated ...
oig.hhs.gov

Attorney General Raoul Charges Former Employee Of Chicagoland Assisted-Living Facility with Sexual Abuse

Chicago – Attorney General Kwame Raoul today announced charges against a former employee of a greater-Chicago assisted-living facility for sexual abuse committed against an individual with a ...
oig.hhs.gov

Ambulance Company And Its Owners Agree To Pay $900,000 To Settle False Claims Act Allegations Of Medically Unnecessary Ambulance Services

Tampa, FL – United States Attorney Gregory W. Kehoe announces that Courtesy Transport Services, LLC (“Courtesy”) and its owners, Melanie Burger and Dr. John Milanick, have agreed to collectively pay ...
oig.hhs.gov

Tareen Dermatology Agrees To Pay More Than $1.6 Million To Resolve Alleged False Claims Act Violations

MINNEAPOLIS – Tareen Dermatology, P.A., Dr. Mohiba Tareen, and Basir Tareen, CEO (collectively, the “Defendants”) have agreed to pay the Unites States $1.63 million to resolve allegations that they ...
oig.hhs.gov

The Fraud Division Launches West Coast Strike Force to Target Health Care Fraud Schemes Across Arizona, Nevada, and Northern California

The Justice Department’s National Fraud Enforcement Division (Fraud Division) today announced the formation of the West Coast Health Care Fraud Strike Force, a multi-district enforcement initiative ...
oig.hhs.gov

State False Claims Act Reviews

The Office of Inspector General (OIG), in consultation with the Attorney General, determines whether States have false claims acts that qualify for an incentive under section 1909 of the Social ...
oig.hhs.gov

Gem Ambulance Agreed to Pay $1 Million for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Covered by the SNF Consolidated Billing Payment

On November 10, 2022, Gem Ambulance LLC d/b/a Gem Mobile Health (Gem), Lakewood, New Jersey, entered into a $1,060,513.82 settlement agreement with OIG. The settlement agreement resolves allegations ...
oig.hhs.gov

Attorney General Ellison charges three in largest-ever Medicaid fraud prosecution by AGO

SAINT PAUL — Minnesota Attorney General Keith Ellison announced that his office charged three people today as part of a scheme to defraud the Minnesota Medical Assistance (Medicaid) program out of ...