Enforcement Briefing · Sep 27, 2026

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Billing fraud & false claimsEnforcement BriefingNew in this edition

Skilled-nursing company and executives agree to pay $1 million to resolve therapy overbilling allegations

RegalCare entities and two executives agreed to $1 million plus interest, with specific admitted billing facts; the signed agreement qualifies how clinical consultation and MDS certification occurred.

High priority · Sep 27, 2026 editionRead story →

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Consumer & business misconductEnforcement BriefingContinuing

NYU and UPMC agree to end specified pediatric services and pay $9.45 million to resolve federal investigations

NYU and UPMC agreed to specified pediatric service restrictions and payments totaling $9.45 million to resolve investigations; both denied allegations and no liability determination was made.

High priority · Sep 27, 2026 editionRead story →

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Consumer & business misconductEnforcement BriefingContinuing

Abbott agrees to pay about $385 million over alleged WIC and Medicaid product-quality misrepresentations

Abbott's settlement provides approximately $385 million plus interest to resolve disputed WIC and Medicaid product-quality claims, with express denials and reserved claims.

High priority · Sep 27, 2026 editionRead story →

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Audits & repaymentsEnforcement BriefingContinuing

OIG hospital audits identify Medicare overpayments and recurring claim-control failures

OIG identified hospital billing errors in Methodist and McLeod samples, recommending an estimated $12.4 million refund for Methodist and $38,676 for McLeod, with different hospital responses.

High priority · Sep 27, 2026 editionRead story →

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Billing fraud & false claimsEnforcement BriefingNew in this edition

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Enforcement Briefing · Sep 27, 2026

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