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Compliance, Fraud & Oversight

Expert articles and analysis related to compliance, fraud & oversight.

15 articles•Last 24 Hours

AI Summary — Last 24 Hours

Synthesis:

In the last 24 hours, enforcement actions have intensified across Medicaid and Medicare, signaling heightened compliance scrutiny and a new era of CMS and OIG validation. Notable developments include Medicaid fraud charges and convictions in multiple states, with settlements such as the $275,000 penalty for a Suboxone clinic submitting false claims to MassHealth and the indictment of a Macomb County dentist for a large-scale Medicaid fraud scheme (OIG news). Meanwhile, a

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Macomb County Dentist Charged with Racketeering in Massive Alleged Medicaid Fraud Scheme - Office of Inspector General (.gov)

Macomb County Dentist Charged with Racketeering in Massive Alleged Medicaid Fraud Scheme  Office of Inspector General (.gov)

OIG HHSApr 10, 2026
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Attorney General Bonta Dismantles Los Angeles Hospice Fraud Ring Responsible for $267 Million in Fraud, 21 Charged - Office of Inspector General (.gov)

Attorney General Bonta Dismantles Los Angeles Hospice Fraud Ring Responsible for $267 Million in Fraud, 21 Charged  Office of Inspector General (.gov)

OIG HHSApr 10, 2026
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What SNFs should do now to protect themselves in a new era of CMS validation and OIG enforcement

What SNFs should do now to protect themselves in a new era of CMS validation and OIG enforcement  McKnight's Long-Term Care News

McKnight's Long-Term Care NewsApr 10, 2026
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States' lawsuit against HHS cuts moves forward after court win

A federal judge has dismissed an attempt by Health and Human Services Secretary Robert F. Kennedy Jr. to dismiss a lawsuit brought by 19 states and the District of Columbia over the restructuring and ...

Healthcare FinanceApr 10, 2026
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AG's Office Secures $275,000 Settlement from Suboxone Clinic for Submitting False Claims to MassHealth - Office of Inspector General (.gov)

AG's Office Secures $275,000 Settlement from Suboxone Clinic for Submitting False Claims to MassHealth  Office of Inspector General (.gov)

OIG HHSApr 10, 2026
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MedLearn Publishing, a Panacea Company, Celebrates Medical Laboratory Professionals Week 2026 with Exclusive Education Giveaway and New Coding Webcast

MedLearn Publishing, a Panacea Company, is recognizing Medical Laboratory Professionals Week (Lab Week) with an education giveaway and the launch of a new laboratory coding webcast. Inver Grove Height...

RAC MonitorApr 10, 2026
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AG Rayfield Announces Medicaid Fraud Charges and Convictions in Three Separate Multnomah County Cases - Office of Inspector General (.gov)

AG Rayfield Announces Medicaid Fraud Charges and Convictions in Three Separate Multnomah County Cases  Office of Inspector General (.gov)

OIG HHSApr 10, 2026
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The Trump Administration Is Seeking Federal Workers’ Sensitive Medical Data. That’s Raising Alarms.

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KFF Health NewsApr 10, 2026
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4 clinics closing after physician owner sentenced for selling recalled medical devices as new

Four Washington state sleep diagnostic centers are closing following the sentencing of their physician owner on federal fraud charges, the Columbia Basin Herald reported April 9. Central Washington Sl...

Becker's ASCApr 10, 2026
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Trump’s personnel agency is asking for federal workers’ medical records

Trump’s personnel agency is asking for federal workers’ medical records  Fierce Healthcare

Fierce HealthcareApr 10, 2026