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AccuCare Home Health Services Pays $20,000 Fine for Employing Excluded Individual

The Department of Health and Human Services Office of Inspector General (HHS-OIG) has agreed to a $20,000 settlement with AccuCare Home Health Services to resolve allegations that the home healthcare provider employed an individual on the HHS-OIG exclusions list and billed services provided by that individual to federally funded healthcare programs.

AccuCare Home Health Services is a Mesa, Arizona-based provider of home health care services, specializing in skilled nursing, physical therapy, occupational therapy, speech therapy, and medical social services. According to HHS-OIG, AccuCare Home Health Services was discovered to have employed a home healthcare aide who was not permitted to participate in any federally funded healthcare program, and billed products or services provided by that individual to federal health care programs. The alleged violation was settled with a $20,000 financial penalty.

Healthcare organizations must ensure that a check is conducted of the HHS-OIG List of Excluded Individuals and Entities (LEIE) prior to onboarding a new employee. Regular checks must also be conducted on all employees, since individuals may be added to the LEIE after their employment commences. The HHS’ Office for Civil Rights imposes relatively few financial penalties for HIPAA violations; however, when it comes to HHS OIG compliance, there is a much greater risk of a financial penalty if violations are identified. HHS-OIG regularly imposes significant financial penalties for claiming for items and services provided by excluded individuals and companies, submitting false claims, and violations of the Stark Law and the Anti-Kickback Statute. In addition to a financial penalty, there is a risk of being added to the HHS exclusion list, which will prohibit an individual or company from participating in federally funded health care programs.

On November 12, 2025, HHS-OIG announced that William Mangan, DO (Dr. Mangan) of Okemos, Michigan, had agreed to be excluded from participating in federally funded healthcare programs for a period of 10 years in connection with False Claims Act violations. Dr. Mangan was investigated by HHS-OIG in connection with allegations that he ordered genetic tests, durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) that were not reasonable or medically necessary and submitted claims to federally funded health care programs. Dr. Mangan claimed that he had evaluated patients and falsely certified that the ordered products were medically necessary when he failed to perform an adequate review.

HHS OIG Exclusions List
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Individuals can face severe penalties for knowingly causing products or services to be billed to federally funded healthcare programs when they are on the HHS-OIG exclusion list. Erik X. Alonso, 55, of Miami, Florida, had been convicted of conspiracy to commit health care fraud in 2015 for offenses in the Southern District of Florida. As a result of the conviction, Alonso was placed on the exclusion list and was fully aware that he was prohibited from participating in work that was billed to federally funded healthcare programs. In March 2022, Alonso started working for a telehealth mental health provider in New Hampshire and provided services to patients in the state that he knew would be billed to Medicaid. Alonso caused New Hampshire Medicaid to pay approximately $173,998.83 based on false and fraudulent claims. The healthcare fraud was discovered, and Alonso entered a guilty plea to one count of healthcare fraud and is awaiting sentencing. He now faces up to 10 years in jail.

Author: Steve Alder is the editor-in-chief of The HIPAA Journal. Steve is responsible for editorial policy regarding the topics covered in The HIPAA Journal. He is a specialist on healthcare industry legal and regulatory affairs, and has 10 years of experience writing about HIPAA and other related legal topics. Steve has developed a deep understanding of regulatory issues surrounding the use of information technology in the healthcare industry and has written hundreds of articles on HIPAA-related topics. Steve shapes the editorial policy of The HIPAA Journal, ensuring its comprehensive coverage of critical topics. Steve Alder is considered an authority in the healthcare industry on HIPAA. The HIPAA Journal has evolved into the leading independent authority on HIPAA under Steve’s editorial leadership. Steve manages a team of writers and is responsible for the factual and legal accuracy of all content published on The HIPAA Journal. Steve holds a Bachelor’s of Science degree from the University of Liverpool. You can connect with Steve via LinkedIn or email via stevealder(at)hipaajournal.com

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