Types of Disciplinary Actions
How state medical boards discipline physicians, from most to least severe
Had license to provide health care revoked or suspended by a state licensing authority, or surrendered license while a formal disciplinary proceeding was pending.
Convicted of a criminal offense related to the delivery of an item or service under Medicare, Medicaid, or other state health care program.
Convicted of a criminal offense relating to neglect or abuse of patients in connection with the delivery of a health care item or service.
Convicted of a felony relating to fraud, theft, embezzlement, breach of fiduciary responsibility, or other financial misconduct in a health care program.
Convicted of a felony relating to the unlawful manufacture, distribution, prescription, or dispensing of a controlled substance.
Default on health education loan or scholarship obligations, or default by managed care entity on contractual obligations.
Entity owned or controlled by an individual who has been excluded, or who has a specified ownership or control interest in a sanctioned entity.
Convicted of a misdemeanor relating to fraud, theft, embezzlement, or other financial misconduct in a health care program.
Suspended or debarred under federal or state law from participating in any federal or state procurement or non-procurement program.
Committed an act described in the anti-kickback statute, Stark law, or engaged in other prohibited referral or billing practices.
Convicted of fraud or false claims in any federal or state program.
Convicted of a criminal offense related to the delivery of items or services under a federal health care program (alternative citation).
Failed to provide medically necessary items or services when obligated under federal health care programs.
Convicted of a misdemeanor relating to the unlawful manufacture, distribution, or dispensing of a controlled substance.
Excluded based on recommendation of a Peer Review Organization (PRO) / Quality Improvement Organization (QIO).
Individual who had a direct or indirect ownership or control interest in a sanctioned entity at the time of the conduct that was the basis for the sanction.
Breached terms of a prior settlement agreement with HHS OIG.
Breached terms of a Corporate Integrity Agreement (CIA) with HHS OIG.
Failed to supply requested information about payments or business transactions, subcontractors, or suppliers.
Excluded for a pattern of submitting claims or billing for services not provided as claimed.
Making false statements or misrepresenting material facts to federal agencies regarding health care matters.
Failed to grant immediate access to OIG for audit, records examination, or program evaluation.