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A Florida man was sentenced to 12 years in prison for orchestrating a $61 million #Medicare fraud scheme involving false claims for durable medical equipment. He was also ordered to pay more than $21.1 million in restitution and forfeit about $2.5 million. direc.to/fnYc

#ICYMI: Last week, HHS-OIG, U.S. Department of Justice, Criminal Division, CMSGov, FBI, DEA HQ, & other law enforcement partners conducted a nationwide Takedown, charging 324 defendants for over $14.6B in alleged health care fraud that exploited patients & taxpayers. direc.to/fnX5

An HHS-OIG audit found that HRS Home Health met #Medicare billing requirements for 80 of 100 claims. The remaining claims included unsupported codes and skilled services that didn’t meet requirements, resulting in over $100,000 in overpayments. Read more: direc.to/fnY3

Medicaid Fraud Control Units (MFCUs) are critical partners in HHS-OIG’s fight against fraud, waste, and abuse. In fiscal year 2024, the 53 MFCUs recovered $1.4 billion—a return of $3.46 for every $1 spent. They protect patients and the #Medicaid program.

Two California residents pleaded guilty to defrauding #Medicare of nearly $16 million through sham hospice companies and to laundering the proceeds as part of a multi-year scheme. Learn more: direc.to/fn52

The United States filed a civil complaint under the False Claims Act against a Delaware medical provider, alleging that she caused false claims to be submitted to #Medicare for medically unnecessary genetic tests. Learn more: direc.to/fn5z

HHS-OIG’s new brief identifies an estimated $783.6 million in potential savings—based on select reports that highlight the recovery of misspent #COVID19 Uninsured Program funds. Learn more: direc.to/fnhM

A former Delaware nurse practitioner resolved allegations that she violated the False Claims Act by ordering unnecessary genetic testing and medical equipment for #Medicare enrollees that totaled approximately $520,000. Read more: direc.to/fn5q

HHS-OIG maintains a list of individuals & entities excluded from federally funded health care programs. Anyone who hires an excluded individual or entity may be subject to civil monetary penalties. View the updated June 2025 list: direc.to/fhfe

HHS-OIG’s oversight protects taxpayer dollars and strengthens HHS programs—and we impact the lives of nearly every American family with our audits, evaluations, and investigations. Learn more: direc.to/fnnZ

A new HHS-OIG report identifies several areas of improvement for a large northeastern hospital’s cybersecurity controls to prevent cyberattacks, including a need for enforcement of compliance with its configuration and change management policy. Read more: direc.to/fn75

A new HHS-OIG audit found that Sunflower Home Health complied with #Medicare billing requirements for all 100 claims we reviewed. Learn more: direc.to/fn77

Centers Healthcare agreed to pay $6.06 million to resolve allegations that 44 skilled nursing facilities submitted #Medicare cost reports with false statements or omissions by failing to disclose related-party transactions. Read more: direc.to/fn33

A new HHS-OIG audit found that Wisconsin made at least $18.5 million in improper fee-for-service #Medicaid payments for Applied Behavior Analysis services provided to children with #autism in 2021 and 2022. Read more: direc.to/fn39

HHS-OIG's Work Plan is a description of all current and upcoming reports designed to promote the economy, efficiency and effectiveness of HHS programs. View updated items in the July 2025 Work Plan here: direc.to/fgxn

HHS-OIG—working alongside our dedicated law enforcement partners—continues to protect taxpayer dollars by holding fraudsters accountable and recovering millions lost to health care fraud. Learn more: direc.to/fn3y

A California man pleaded guilty to defrauding #Medicare of nearly $16 million by operating sham hospice companies and laundering the proceeds, including billing for hospice services that were not medically necessary and never provided. Read more: direc.to/fn3v

An urgent care operator in Idaho and New Mexico paid $3 million to settle False Claims Act allegations involving medically unnecessary testing and inflated billing to federal health care programs. Read more: direc.to/fn8a

A new HHS-OIG audit identified 426 deficiencies related to life safety, emergency preparedness, and infection control at 42 intermediate care facilities for individuals with intellectual disabilities in Oklahoma. Read more: direc.to/fn8j

A Las Vegas nurse practitioner pleaded guilty to fraudulently billing #Medicare $14.3 million for unnecessary wound grafts in exchange for kickbacks. Medicare paid about $9.1 million from 2022 to 2024 based on those false claims. Read more: direc.to/fn8n