Enforcement, updated every day.
Every health care enforcement release from the Department of Justice and the HHS Office of Inspector General, including state attorneys general and Medicaid fraud control units, fetched daily and read into the same schema the detectors use. Each one links to the providers it names when the match is certain, and the newest is dated August 27, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.
Behavioral Health Worker Pleads Guilty to Billing D.C. Medicaid for Therapy Sessions That Never Happened
Nassor, a Community Support Worker at a D.C. Medicaid behavioral health provider, conspired with company employees and other community support workers to bill D.C. Medicaid for mental health telehealth services that were never provided or were inflated, including documenting over 701 hours of telehealth across six patients when call records showed roughly 172 minutes.
WMATA Train Operator Sentenced in Four-Year Scheme to Defraud AFLAC Insurance of More Than $360,000
Shropshire prepared and submitted fraudulent disability and health care claims to AFLAC for herself and WMATA coworkers claiming injuries they never suffered, fabricating medical records and forging doctors' signatures, and received kickbacks of about 20 percent of each payout.
D.C. Dentist and Hygienist Found Guilty in Scheme to Defraud D.C. Medicaid of $4 Million
Price and Moore submitted repeated D.C. Medicaid claims for clinical crown lengthening procedures and space maintainers that were not actually performed, causing more than $4 million to be paid out.
WMATA Train Operators Plead Guilty in Health Care Fraud Scheme
Two WMATA train operators admitted conspiring to submit fraudulent health care and short-term disability claims to AFLAC using forged medical notes and physician signatures, with kickbacks paid from claim payments.
Former Community Support Worker Pleads Guilty to Defrauding District of Columbia Medicaid Program
Jalloh submitted encounter notes for community support services she did not provide and overbilled for services she allegedly provided to District Medicaid beneficiaries, causing the District's Medicaid program to pay over $234,500.
Maryland Woman Arraigned for Defrauding the D.C. Medicaid Program
While employed by a District Mental Health Rehabilitation Service provider as a community support worker, Jalloh submitted encounter notes for community support services she did not provide and overbilled for services she allegedly provided to District Medicaid beneficiaries.
Healthcare Worker Pleads Guilty to Double Billing District of Columbia Medicaid Programs
Chapajong submitted false timesheets to his employers claiming to have provided in-person personal care aide services and telephonic behavioral health services to multiple District Medicaid beneficiaries simultaneously while at different locations, causing the District's Medicaid program to pay $113,243 for services he did not render.
U.S. Attorney’s Office Participates in Record-Setting National Health Care Fraud Takedown
A personal care aide and community support worker was charged with billing D.C. Medicaid for overlapping in-home personal care and behavioral health services purportedly provided to multiple clients at the same time, and WMATA employees were charged with submitting fraudulent health care and short-term disability insurance claims to AFLAC using forged medical paperwork and paying kickbacks.
Pharmaceutical Manufacturer Assertio Therapeutics, Inc. to Pay $3.6 Million to Resolve Allegations that It Violated the False Claims Act in Connection with Marketing its Fentanyl Product
The United States alleged that between 2013 and 2017 Assertio caused the submission of false claims to Medicare and TRICARE for the fentanyl drug Lazanda for individuals who did not have breakthrough cancer pain by marketing to high-volume TIRF prescribers, placing them on its speakers' bureau and advisory boards, and using a program to ensure insurance approval of prescriptions.
More Than a Dozen Cardiology Practices Will Pay Over $17.7 Million to Resolve False Claims Act Allegations Concerning Inflated Medicare Reimbursements
Sixteen cardiology practices and associated physicians reported inflated acquisition costs to Medicare Part B for diagnostic radiopharmaceuticals, agreeing to pay a total of $17,761,564 to resolve False Claims Act allegations.
Sixteen Cardiology Practices to Pay a Total of $17.7M to Resolve False Claims Act Allegations Concerning Inflated Medicare Reimbursements
Sixteen cardiology practices and associated physicians reported inflated acquisition costs to Medicare for diagnostic radiopharmaceuticals, overbilling Medicare Part B.
Six Indicted in Scheme to Defraud D.C. Medicaid Program
Defendants conspired to defraud the D.C. Medicaid program of over $10 million by submitting bills for mental health services that were not medically necessary, not reimbursable, and did not occur, including improperly stepping consumers into and out of the Assertive Community Treatment program based on false assessments.