In short, everything you've worked so hard for is at stake during a DEA administrative audit. While minor violations may result in a Letter of Admonishment, even this can carry serious consequences. This is because a Letter of Admonishment is retained by the DEA for future reference during subsequent investigations and audits. Thus, in the DEA's eyes, a Letter of Admonishment is the first sign of a potential pattern. However, if DEA agents uncover evidence of a more serious violation, they may refer the case to the DOJ for criminal prosecution. Criminal cases stemming from a DEA investigation usually involve the DEA issuing an Order to Show Cause, which requires a doctor to go before an Administrative Law Judge explaining why their DEA registration should not be suspended or revoked. The Administrative Law Judge will render an opinion, forwarding it to the DEA, which can then accept, reject, or modify ALJ's findings. At Oberheiden, P.C., we can effectively intervene at any stage in the DEA audit process to protect the rights of physicians.