Oregon Healthcare FCA Enforcement
Medicare/Medicaid enforcement data, FCA settlement history, and risk assessment for healthcare providers in Oregon.
25K
Medicare Providers
$10.4B
Medicare Spending
$48M
FCA Settlements (5yr)
Standard
Enforcement Risk
Enforcement Landscape
Moderate enforcement focused on Medicaid behavioral health billing.
Behavioral health provider settled $24M over Medicaid billing irregularities.
Primary Enforcement Targets
Enforcement Statistics
Medicare Spending
$10.4B
Medicaid Spending
$12.8B
FCA Settlements (5yr)
8 cases
Qui Tam Filings (5yr)
14 cases
What This Means for Oregon Providers
With 25K Medicare providers and $10.4B in Medicare spending, Oregon represents a moderate target for healthcare FCA enforcement.
Over the past 5 years, 8 FCA settlements totaling $48M have been reached in Oregon, with 14 qui tam (whistleblower) lawsuits filed. Primary enforcement targets include: Hospitals, Behavioral Health, Home Health.
Healthcare providers in Oregon should conduct regular compliance audits, particularly focusing on billing practices for high-volume procedure codes and referral relationship compliance with Stark Law and Anti-Kickback Statute requirements.