Alive Hospice Inc. in Nashville, Tennessee paid $67,714 after self-disclosing that it billed federal healthcare programs for hospice services provided by a nurse without a valid nursing license.

Alive Hospice (Nashville, TN) — Unlicensed Nurse Billed to Medicare, Second OIG Action (2025)

Outcome: Alive Hospice, Inc., a non-profit hospice provider in Nashville, Tennessee, paid $67,714.74 after self-disclosing that it billed federal healthcare programs for hospice nursing services provided by a nurse who lacked a valid nursing license.

Alive Hospice, Inc. operates as a non-profit hospice provider in the Nashville, Tennessee area. The organization self-disclosed to the OIG that it had employed a nurse who provided hospice care to patients and whose services were billed to Medicare, despite the nurse not holding a valid nursing license during the relevant period. The civil monetary penalty of $67,714.74 represents the full salary and benefits paid to the unlicensed nurse.

This is Alive Hospice's second OIG enforcement action — the organization also paid over $1.5 million in 2015 to resolve Medicare and TennCare overbilling allegations. The recurrence of compliance violations at the same organization reflects the need for sustained, systematic compliance infrastructure rather than episodic self-correction. The 2025 penalty was entered December 1, 2025.

Primary Source: OIG Enforcement Record