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.
Kentucky Medical Biller Indicted for Healthcare Fraud and Money Laundering Charges
Sanders recruited individuals to open behavioral health entities, handled their Kentucky Medicaid credentialing and enrollment, and directed submission of fraudulent Medicaid claims across ten behavioral health providers for services never provided, including for incarcerated, hospitalized, or deceased members, using licensed professionals' NPIs without authorization.
5 Individuals and 2 Companies Charged as Part of Department of Justice National Health Care Fraud Takedown
Seven defendants were charged in four cases with schemes including billing Kentucky Medicaid for peer support and psychoeducation services that were fraudulent, unauthorized, or not rendered using providers' NPIs, using a DEA number to order controlled substances in others' names, credentialing a company with Medicare and billing for services not rendered using a doctor's NPI, and stealing controlled substances from hospitals and falsely documenting administration.
Civil Settlements Reached as Part of Department of Justice National Health Care Fraud Takedown
Three Home and Community Based Waiver providers and their owners, who had shared financial interests, referred Medicaid waiver beneficiaries for attendant care services and billed Medicaid for attendant care hours that were not fully provided or not provided at all.
Operators of Day Treatment Program for Children Agree to $15.2 Million Civil Judgment to Resolve Medicaid Fraud Allegations
The Government alleged that from August 2022 through June 2025 the Recovery Centers sought Medicaid payments for time children spent on education, recreation, and lunch breaks at the Aspire Day Program and that Recovery Center of Kentucky falsely represented clinician qualifications to obtain higher reimbursements.
Former Sober Home Owner and Operator Sentenced for Kickback Conspiracy and Health Care Fraud
Jordan solicited and received kickbacks in exchange for referring urine drug testing from her sober home company to three labs, and Serenity Keepers billed Medicaid for peer support services not provided by licensed peer support specialists, with Williams reporting that residents received six hours of peer support services per day knowing that was not true.
Lexington Man Convicted of Conspiracies to Commit Healthcare Fraud and Violate the Anti-Kickback Statute at Sober Homes
Dawkins received $62,750 in kickbacks for ordering urine drug testing at a sober home company that billed Kentucky Medicaid and Medicare for tests not ordered or reviewed by a treating medical provider, using a nurse practitioner's stolen identification number and forged signature, and the company also billed for peer support services that were not provided or supervised as required.
Louisville Physician Agrees to Pay $250,000 to Settle False Claims Act Allegations
The United States alleged that Dr. Charasika and LPCMH billed government programs as if he provided medical services when the services were provided by nurse practitioners, without satisfying the conditions for such billing.
U.S. Attorney’s Office Announces 5 Individuals Charged as Part of Department of Justice’s 2025 National Health Care Fraud Takedown
Five defendants were charged with schemes to defraud Medicaid and divert controlled substances, including issuing over 25,000 Schedule II prescriptions in the names of canines, stealing controlled substances from a pharmacy and employer, tampering with a fentanyl syringe, and causing a dextroamphetamine prescription claim to be submitted to Medicaid.
Pharmacist Sentenced to Prison for False Medicaid Claims
Bell solicited Kentucky Medicaid patients to receive expensive medicated scar pads they did not medically need, and his pharmacy submitted eight claims causing Medicaid to pay $118,621.28 for medically unnecessary prescriptions.
Medical Equipment Business Owner Sentenced to Federal Prison and Ordered to Pay Over $6 Million in Restitution for a Conspiracy to Commit Health Care Fraud
Reyes, through multiple Kentucky companies, fraudulently billed Medicare for durable medical equipment, including back, knee, and shoulder braces, that was medically unnecessary, unwanted by patients, and not prescribed by the patients' medical providers.
Franklin, Kentucky, Pharmacist and Spouse Sentenced to Federal Prison
A pharmacist and his wife diverted oxycodone and hydrocodone from the pharmacy, sold or traded them for other drugs, billed Kentucky Medicaid for prescriptions not ordered by a physician or nurse practitioner, billed insurers for brand name Adderall when generic was dispensed and for medication never dispensed, falsely reported a pharmacy robbery, and used another medical professional's name and NPI to issue prescriptions.
The Arthritis Knee Pain Centers and Dr. John Rush Face Federal Civil False Claims Allegations
The United States alleges that AKPC and Dr. Rush knowingly submitted or caused the submission of millions of dollars in false claims to Medicare for medically unreasonable and unnecessary knee injections performed on separate dates for each knee and for more contrast dye than they actually used.
Three Convicted for Fraudulently Billing Over $8 Million to Medicare and Medicaid Through Opioid Addiction Treatment Clinics in Kentucky
Through Kentucky Addiction Centers, the defendants billed Medicare and Kentucky Medicaid for medical services that were not performed or were falsely represented as more complex than the services provided, and billed for services in the name of Alzadon's father to bypass credentialing issues and use his DEA prescribing credentials to prescribe Suboxone.
Telehealth Company Pays $386,000 to Resolve Allegations of Overbilling for Medicare Telehealth Time
The United States alleged that between January 1, 2017, and November 30, 2022, Meditelecare submitted and caused the submission of claims to Medicare for telehealth psychotherapy sessions that did not meet the minimum time requirements for payment and relied on false time records in support of those services.
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 agreed to pay a total of $17,761,564 to resolve allegations that they reported inflated acquisition costs to Medicare Part B for diagnostic radiopharmaceuticals.
Four Individuals Indicted for Conspiracy to Commit Healthcare Fraud At Sober Homes
Indictment alleges the owner and associates of a sober home company solicited kickbacks for referring urine drug tests to laboratories and caused approximately $26.7 million in medically unnecessary urine drug tests, plus peer support services not properly provided, to be billed to Medicare and Kentucky Medicaid.
Former Eastern Kentucky Pharamacist Sentenced for Healthcare Fraud
Collins used her pharmacy's computer system to submit claims to Medicare and Kentucky Medicaid for prescription drugs that patients never picked up or received, and billed Medicaid for more expensive diabetic test strips than those actually dispensed.
Physician and Office Manager Pay $450,000 to Resolve Alleged Violations of the Controlled Substance Act and the False Claims Act
The United States alleged that Dr. and Mrs. Merced solicited kickbacks from a laboratory sales representative in exchange for referrals of laboratory tests to Physicians' Medical Center, BIOTAP Medical, and Bluewater Toxicology, and that Dr. Merced pre-signed 94 blank prescriptions for controlled substances completed by unauthorized individuals.
Hospital, Laboratory, Referring Physician, and Lab Employees Pay More than $7.2 Million To Resolve Civil Allegations of Fraudulent Laboratory Testing
A hospital, a laboratory, lab sales representatives, a specimen collector, and a referring physician and his office manager agreed to pay more than $7.2 million to resolve allegations that they submitted or caused false claims for urine drug tests that were not medically necessary or were tainted by kickbacks to induce laboratory referrals.
Nationwide Home Healthcare and Hospice Provider to Pay $3.85M to Resolve False Claims Act Allegations
Intrepid knowingly submitted claims to Medicare for home healthcare services for patients who did not qualify or were not properly certified, where services were not reasonable or medically necessary, were provided by untrained staff or were not performed, and admitted or retained hospice patients who were ineligible for the Medicare hospice benefit.
Pain Management Physician and Former Member of Kentucky’s Medical Board Convicted of Unlawfully Prescribing Opioids
A physician illegally prescribed opioids to pain clinic patients, including some who tested positive for cocaine and heroin, in part so he could perform and bill for medically unnecessary procedures on the same patients.
Kindred and Related Entities Agree to Pay $19.428M to Settle Federal and State False Claims Act Lawsuits Alleging Ineligible Claims for Hospice Patients
Kindred at Home and related hospice entities allegedly submitted false claims and retained overpayments for hospice services provided to patients who were not terminally ill and therefore ineligible for hospice benefits, and SouthernCare New Beacon allegedly paid remuneration to a consulting physician to induce hospice referrals.
U.S. Attorney’s Office Announces Two Indictments of Healthcare Fraud Related Charges
Collins caused claims for prescription drugs to be submitted to Medicare and Medicaid despite knowing the drugs were never dispensed to pharmacy customers, and Bryson conspired to use another provider's name and DEA registration number to issue hydrocodone prescriptions.
U.S. Attorney Announces Participation in Coordinated National Health Care Fraud Enforcement Action
Six defendants were charged in the Western District of Kentucky in connection with three billing schemes, an opioid theft scheme, and a doctor who allowed his staff to issue Schedule II controlled substance prescriptions in his absence.
Lexington Doctor Sentenced for Kickback Conspiracy
A physician received kickbacks averaging $20 per beneficiary from a telemedicine company for ordering medically unnecessary medical equipment, topical creams, and genetic testing for Medicare beneficiaries with whom he had no physician-patient relationship.
Two Doctors Sentenced for $4M Fraudulent Urine Drug Testing Scheme
The clinic owner and medical director billed Medicare, Medicaid, and commercial insurers over $4 million for medically unnecessary urine drug testing at a Kentucky pain clinic.
Lexington Lab Agrees to $10.4 Million in Civil Judgments to Resolve False Claims Act Allegations; Owner and Lab Officer Sentenced to Prison
LabTox, its owner and its compliance officer billed Medicare and Kentucky Medicaid for urine drug tests that were court-ordered or referred by non-medical substance abuse recovery programs and were not medically necessary.