What's New

August 25, 2020

Indiana Properly Reported Adjustments Related to the Drug Rebate Program A-05-19-00028

August 24, 2020

Updated: Corporate Integrity Agreements

August 21, 2020

Rhode Island's Monitoring Did Not Ensure Child Care Provider Compliance With State Criminal Background Check Requirements at 18 of 30 Providers Reviewed A-01-18-02505

August 20, 2020

Updated: Fraud Risk Indicator

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Enforcement Actions

August 24, 2020; Department of Justice

DUSA Pharmaceuticals To Pay U.S. $20.75 Million To Settle False Claims Act Allegations Relating To Promotion Of Unsupported Drug Administration Process

August 21, 2020; U.S. Attorney's Office, Southern District of Georgia

Government obtains more than $5 million in judgments to resolve healthcare fraud allegations against Georgia chiropractor, practice: Medicare provider falsely claimed reimbursement for hundreds of procedures misrepresented as surgery

August 21, 2020; U.S. Attorney's Office, Eastern District of New York

Former Queens Cardiologist Settles Civil Fraud Allegations: Ghanshyam Bhambhani to Pay $2 Million to Resolve Kickback and False Claims Allegations

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Most Shared This Week

1. Fraud Alert: COVID-19 Scams
2. Rhode Island's Monitoring Did Not Ensure Child Care Provider Compliance With State Criminal Background Check Requirements at 18 of 30 Providers Reviewed
3. New Jersey Did Not Ensure That Incidents of Potential Abuse or Neglect of Medicaid Beneficiaries Residing in Nursing Facilities Were Always Properly Investigated and Reported
4. Some Nursing Homes' Reported Staffing Levels in 2018 Raise Concerns; Consumer Transparency Could Be Increased
5. Inadequate Edits and Oversight Caused Medicare To Overpay More Than $267 Million for Hospital Inpatient Claims With Post-Acute-Care Transfers to Home Health Services