oig.hhs.gov

Federal Indictments & Law Enforcement Actions in One of the Largest Health Care Fraud Schemes Involving Telemedicine and Durable Medical Equipment Marketing Executives Results ...

One of the largest health care fraud schemes investigated by the FBI and the U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) and prosecuted by the Department of ...
oig.hhs.gov

Man Pleads Guilty to Conspiracy to Launder Money in Connection with $100 Million Health Care Fraud Scheme

Greensboro, NC – Chaudhry Shabbir Ahmed pled guilty on Monday, February 3, 2025, to conspiring to launder over $3 million in connection with a $100 million dollar health care fraud scheme, announced ...
oig.hhs.gov

Dana-Farber Cancer Institute Agrees to Pay $15 Million to Settle Fraud Allegations Related to Scientific Research Grants

Dana-Farber Cancer Institute Inc. (Dana-Farber) has agreed to pay $15,000,000 to resolve allegations that, between 2014 and 2024, it violated the False Claims Act by making materially false statements ...
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

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

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

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

MFCU Recertification Letters

Home Fraud Medicaid Fraud Control Units MFCU Certifications MFCU Recertification Letters MFCU Recertification Letters MFCUs are generally recertified annually on the date of original certification.
oig.hhs.gov

2017 National Health Care Fraud Takedown

The Department of Health and Human Services Office of Inspector General, along with our state and federal law enforcement partners, participated in the largest health care fraud takedown in history in ...
oig.hhs.gov

Altarum Institute Agreed to Pay $262,000 for Allegedly Violating the Civil Monetary Penalties Law by Reporting Inaccurate Time and Effort Spent and Falsifying Data

After it self-disclosed conduct to OIG, Altarum Institute (Altarum), Michigan, agreed to pay $262,881 for allegedly violating the Civil Monetary Penalties Law. OIG alleged that a former employee of ...
oig.hhs.gov

2025 National Health Care Fraud Takedown

The Department of Health and Human Services, Office of Inspector General, participated with key federal and state law enforcement partners in the 2025 National Health Care Fraud Takedown. The action ...