An HHS-OIG audit found that Blue Cross Blue Shield of South Carolina, a Medicare contractor, reported $1,072,831 in Supplemental Executive Retirement Plan III #Medicare Allowable pension assets as of Jan. 1, 2022. Read more:

A Connecticut lab, its owners, and officers agreed to pay more than $1.2 million to resolve allegations they billed government health care programs for unnecessary urine drug tests. Read more:

An HHS-OIG audit found that Blue Cross Blue Shield of South Carolina, a Medicare contractor, implemented a prior recommendation to decrease Excess Plan Partial Medicare segment pension assets by $2.8 million as of Jan. 1, 2017. Read more:

A Virginia licensed clinical social worker convicted of health care fraud will pay $1.2 million in restitution, forfeiture, fines, and settlement to resolve civil fraud claims for billing Virginia #Medicaid and #Medicare for services not provided.

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 August 2025 Work Plan here:

A recent HHS-OIG investigation led the Justice Department to obtain a judgment of over $1.4 million against a Maryland family doctor and his practice for submitting false claims to the #Medicare program related to auricular stimulation (P-Stim) devices.

A Texas-based anesthesiologist and pain medicine doctor agreed to pay more than $2 million to settle allegations of improper billing to #Medicare and the Dept. of Labor's Workers’ Compensation Programs for neurostimulator implant procedures. Read more:

An HHS-OIG audit found that, from Jan. 1, 2022, to April 8, 2024, Alabama did not ensure some #nursinghomes in the audit sample complied with federal and state rules prohibiting the employment of individuals with disqualifying background checks.

An HHS-OIG audit found that CGS Administrators, LLC, a Medicare contractor, claimed $84,579 in Supplemental Executive Retirement Plan III costs for 2017-2021. The allowable amount was $82,666, resulting in $1,913 in unallowable costs claimed. Read more:

A newly released memorandum summarizes the results of HHS-OIG’s comparison of average sales prices and average manufacturer prices for #Medicare Part B drugs during the first quarter of 2025. Read the full memo:

A Pennsylvania pharmacy and its owner agreed to pay $825,000 to settle allegations they violated the False Claims Act by billing #Medicare for prescription medications not dispensed. Read more:

An HHS-OIG audit found that CGS Administrators, LLC, a Medicare contractor, claimed $624,843 in Excess Plan costs for calendar years 2017 through 2021. The allowable amount was $861,970, resulting in $237,127 in eligible costs unclaimed. Read more:

An HHS-OIG audit found that CGS Administrators, LLC, a Medicare contractor, claimed $5.02 million in pension costs for calendar years 2017 through 2021. The allowable amount was $5.07 million, resulting in $51,297 in eligible costs unclaimed. Read more:

📢 #FugitiveAlert: Herbert “Herb” Kimble operated an offshore call center marketing orthotic braces, leading to $1.2 billion in false #Medicare charges: Report fugitive information at (888) 476-4453 or

An Illinois man was charged and agreed to plead guilty in a scheme to defraud #Medicare of more than $2 million by submitting claims for medically unnecessary durable medical equipment that enrollees did not want and that was tainted by kickbacks.

The CEO of a Massachusetts medical device company was sentenced for making false statements to CMS and was ordered to pay a $9,500 fine, $40,000 in a related civil settlement, and $855,000 through his company. Read more:

Advanced Practice Registered Nurse and a medical practice agreed to pay over $600,000 to settle federal and state allegations of violations of the False Claims Acts by causing false claims to be submitted to #Medicare and Connecticut #Medicaid. Read more:

A recent HHS-OIG investigation led the Justice Department to file charges against two durable medical equipment companies accused of fraudulently billing #Medicare more than $33 million for medically unnecessary items not provided as claimed. Read more:

A New York woman pleaded guilty to conspiring to defraud #Medicaid and pay kickbacks at her two Brooklyn social adult day cares in a scheme that misappropriated more than $68 million. Read more:

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 July 2025 list: