What’s New | October 2008

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October

10-03-08
Review of the Puerto Rico Health Department’s Compliance With the Ryan White CARE Act Payer-of-Last-Resort Requirement (A-02-06-02000)
Safeguards Over Controlled Substances at the National Institutes of Health Clinical Center Pharmacy for the Period May 2006 to June 2007 (A-03-07-00353)
Review of Improper Temporary Assistance for Needy Families Basic Assistance Payments in Vermont for April 1, 2006, Through March 31, 2007 (A-01-07-02504)
Review of Excessive Payments for Inpatient Services Processed by National Government Services in Michigan and Wisconsin for Calendar Years 2004 and 2005 (A-05-07-00069)
Review of Kaiser Foundation Hospital–Vallejo’s Reported Fiscal Year 2005 Wage Data (A-09-07-00083)
Allowability of Costs Claimed for Reimbursement Under Alabama’s Bioterrorism and Emergency Preparedness Programs for the Period August 31, 2004, Through August 30, 2006 (A-04-07-01047)
Review of New Hampshire’s Bioterrorism and Emergency Preparedness Funds for the Period July 1, 2003, through June 30, 2007 (A-01-07-01502)
10-02-2008
Advisory Opinion 08-14 (PDF)
(concerning a substance abuse treatment center’s use of motivational incentives to reward a patient’s achievement of certain treatment-related goals)
Advisory Opinion 08-13 (PDF)
(concerning the use of a “preferred hospital” network as part of a Medicare Supplemental Health Insurance (“Medigap”) policy)
10-01-2008
OIG Work Plan: Fiscal Year 2009 (PDF)

September

09-30-2008
OIG Supplemental Compliance Program Guidance for Nursing Facilities: Federal Register Notice (PDF)
OIG Publishes Voluntary Supplemental Compliance Program Guidance for Nursing Facilities (PDF)
09-29-08
Trends in Nursing Home Deficiencies and Complaints (PDF) (OEI-02-08-00140; 09/08)
Review of Improper Temporary Assistance for Needy Families Basic Assistance Payments in Minnesota for April 1, 2006, Through March 31, 2007 (A-07-07-01045)
Review of Improper Temporary Assistance for Needy Families Basic Assistance Payments in Idaho for April 1, 2006, Through March 31, 2007 (A-06-07-00104)
OIG To Publish Voluntary Supplemental Compliance Program Guidance for Nursing Facilities: Press Release
Cephalon, Inc. Corporate Integrity Agreement (PDF)
09-26-2008
Advisory Opinion 08-12 (PDF)
(concerning a proposed arrangement under which a newly formed legal entity would provide purely administrative insurance preauthorization processing and submission services for various radiology and imaging centers)
09-25-2008
Provider Relationships and the Use of Magnetic Resonance Under the Medicare Physician Fee Schedule (PDF) (OEI-01-06-00261)
Review of Minnesota's Drug Rebate Accounts Receivable Balance Reported on the Form CMS-64 (A-05-08-00058)
Review of Comprehensive Outpatient Rehabilitation Facility Therapy Services Provided by Ultimate Rehabilitation Agency, Inc.
Administrative Enforcement Actions
09-23-2008
Review of High-Dollar Payments for Medicare Part B Claims Processed by Palmetto GBA, Railroad Benefit Contractor #882, for the Period January 1, 2004, Through December 31, 2006 (A-04-07-06026)
Review of Improper Temporary Assistance for Needy Families Basic Assistance Payments in California for April 1, 2006, Through March 31, 2007 (A-09-07-00087)
Allowability of Costs Claimed for Reimbursement Under Mississippi’s Bioterrorism and Emergency Preparedness Programs for the Period August 31, 2004, Through August 30, 2006 (A-04-07-03517)
Review of Louisiana Bioterrorism Hospital Preparedness Program (A-06-07-00012)
09-19-2008
Review of Profitability Analysis of New Orleans Hospitals Compared With Peer Hospitals (A-07-07-02734)
Review of Profitability Analysis of New Orleans Hospitals (A-07-07-02733)
Allowability of Costs Claimed for Reimbursement Under Florida’s Bioterrorism and Emergency Preparedness Programs for the Period August 31, 2004, Through August 30, 2006 (A-04-07-01046)
09-17-2008
Review of High-Dollar Payments for West Virginia Medicare Part B Claims Processed by Palmetto GBA for the Period January 1, 2003, Through December 31, 2005 (A-03-07-00021)
Follow-Up Audit of the Medicaid Drug Rebate Program in New York (A-02-07-01055)
Review of Social Security Act Section 1915(c) Waiver Payments for Home and Community-Based Services at Chicago ARC, July 1, 2004, Through June 30, 2005 (A-05-07-00080)
Review of High-Dollar Payments for Outpatient Services Processed by Palmetto GBA, Intermediary #380, for the Period January 1, 2004, Through December 31, 2005 (A-04-08-06009)
Review of Louisiana Bioterrorism Hospital Preparedness Program – Louisiana Hospital Association (A-06-07-00096)
Medicare Payments for Facet Joint Injection Services (PDF) (OEI-05-07-00200)
Staten Island University Hospital Corporate Integrity Agreement (PDF)
09-15-08
Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2005 (A-18-06-02600)
Review of High-Dollar Payments for Medicare Part B Claims Processed by Palmetto GBA, Carrier #880, for the Period January 1, 2004, Through December 31, 2006 (A-04-07-06025)
Review of High Dollar Payments for Inpatient Services Processed by National Government Services in Illinois, Indiana, Kentucky, and Ohio for Calendar Years 2004 Through 2006 - Hospitals with Less Than 10 High Dollar Payments (A-05-08-00027)
Exclusions and Reinstatements Occurring in the Month of August 2008
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
09-10-2008
Review of Improper Temporary Assistance for Needy Families Basic Assistance Payments in Michigan for April 1, 2006, Through March 31, 2007 (A-05-07-00067)
Review of Medicare Claims Submitted by Inpatient Psychiatric Facilities During the Transition to the Prospective Payment System in 2005 (A-01-07-00520)
Recent Criminal Enforcement Actions
09-04-2008
Review of Undistributable Child Support Collections in Mississippi From October 1, 1998, Through June 30, 2006 (A-04-07-03515)
Review of Henry Ford Hospital’s Reported Fiscal Year 2005 Wage Data (A-05-07-00063)
Notice of Modification of OIG Advisory Opinion No. 04-15 (PDF) (concerning Advisory Opinion No. 04-15 (PDF), which was issued on 11/05/04, regarding proposed modifications to the nonprofit, charitable organization’s existing program to provide grants to financially-needy patients suffering from specific chronic or life-threatening diseases to defray the costs of prescription drug therapies)
Marketing Materials for Medicare Prescription Drug Plans (PDF) (OEI-01-06-00050)
09-02-2008
Follow-Up Audit of the Medicaid Drug Rebate Program in Colorado (A-07-08-03108)
Review of High-Dollar Payments for Maryland Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1, 2003 Through December 31, 2005 (A-03-08-00025)
Use of Discounted Airfares by the Office of the Secretary (A-03-07-00500)
Superfund Financial Activities at the National Institute of Environmental Health Sciences for Fiscal Year 2007 (A-04-08-01057)
Review of Title IV-E Foster Care Costs Claimed for the Placement of Delinquent Youth in Ohio From October 1, 2004, Through September 30, 2006 (A-05-07-00062)

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