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 June 23, 2026. These are public records of charges, pleas, sentences and settlements, not findings by Verity.
Northern District of West Virginia Part of National Health Care Fraud Takedown Resulting in 455 Defendants Charged in Connection with Over $6.5 Billion in Alleged Fraud
Two providers reached civil settlements resolving allegations that they used pre-signed, invalid prescriptions issued outside the usual course of their professional practice to patients in West Virginia while traveling and not in close proximity to their offices, and in one case submitted claims to Medicare and Medicaid during that time.
U.S. Attorney Moore Capito Announces Fraud Conspiracy Charges Against Sober Living Home Founder and Spouse
Two individuals affiliated with a sober living recovery program allegedly conspired to falsify and submit timesheets to a testing laboratory for drug testing work not performed, and the laboratory paid the billings and obtained reimbursement from federal and state healthcare programs; separately, a sleep laboratory paid $120,000 to resolve allegations it billed Medicaid and the VA Community Health program for sleep studies and polysomnogram reports prepared and signed by unqualified, non-physician staff.
Mercer County Woman Pleads Guilty to $175,731.31 Fraud Scheme Targeting Federal Veterans Health Care Benefits
Radford, an owner of Healthcare Therapy Services LLC doing business as Medical Massage Therapy, submitted false bills to CHAMPVA for massage services not rendered, stealing $175,731.31.
Laboratory Agrees to Pay More than $200,000 for Improper Billing to West Virginia Medicaid Program
Integra repeatedly submitted billings to the West Virginia Medicaid program for medically unnecessary testing ordered by medical providers over a two-year period, specifically improper claims for specimen validity testing that were not allowable.
Beckley Medical Clinic and Physician Agree to Pay $152,382.70 to Resolve False Claims Act Allegations
Med-Surg and its owner submitted claims to Medicare and Medicaid using HCPCS code Q3014 for the telehealth originating site facility fee for telehealth visits where the patient was at home, which is not payable.
Putnam County Nurse Practitioner Pleads Guilty to Health Care Fraud
A nurse practitioner and clinic owner admitted causing the submission of materially false claims to Medicaid and its Managed Care Organizations for medical services that were not provided and not medically necessary, including smoking cessation counseling and an office visit purportedly performed while he and other licensed providers were out of state.
USAO NDWV Secures False Claims Act Settlement Relating to Use of Amniotic Fluid Injections for Pain Management
The Pain Center of West Virginia agreed to pay $750,000 to resolve allegations that it knowingly submitted or caused the submission of false claims to Medicare for the use of amniotic fluid injections for pain management, which Medicare did not cover.
National Enforcement Action Results in 193 Individuals Charged, Including 2 in West Virginia, for Over $2.75 Billion in False Claims and Controlled Substance Abuse Schemes
A Logan County physician was indicted for unlawfully distributing clonazepam outside the scope of professional practice and a Kentucky travel nurse was indicted for obtaining and tampering with hydromorphone vials at a West Virginia hospital and accessing patient files not assigned to her, as part of a national enforcement action charging 193 defendants with over $2.75 billion in alleged false billings.