I think it’s wrong for the government to penalize physicians for not meeting compliance standards. However, It’s a great opportunity for the government to aim at small practices because this is where physicians are self-employed. These types of physicians have numerous clinic or health care facilities and are most likely to commit fraud. This seems kind of biased, but it’s true. According to, Ornstein, the most common sanctions are against physicians who have odd Medicare billing reputations (2014, title). In the text, the levels of violations are warnings, an informal disciplinary action, punitive action, and termination (Safian, 2009, pg. 218.). For a physician billing Medicare wrongfully the first time they could receive a warning. The second