What’s New 2008 Archive

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August

08-28-2008
Review of Unexpended Infant and Toddler Targeted Funds and Quality Targeted Funds Claimed by the Iowa Department of Human Services for Fiscal Years 1998–2003 (A-07-07-00231)
Review of Oxaliplatin Billing at Kent County Memorial Hospital for Calendar Year 2004 (A-01-08-00526)
Follow-Up Review of the Medicaid Drug Rebate Program in Alabama (A-04-07-07024)
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-03-07-00017)
Audit of Palmetto Government Benefits Administrators’ Railroad Retirement Board Final Administrative Cost Proposals for Fiscal Years 2002 Through 2006 (A-04-07-04019)
08-26-2008
Advisory Opinion 08-10 (PDF) (concerning a proposal for a physician practice group to provide space, equipment and personnel to other physician practice groups through block leases)
Medicare Payment for Irinotecan (PDF) (OEI-03-08-00310)
Review of Ochsner Foundation Hospital’s Reported Fiscal Year 2005 Wage Data (A-01-08-00519)
Review of High-Dollar Payments for Rhode Island Medicare Outpatient Claims Processed by Pinnacle Business Solutions, Inc., for Calendar Years 2004 Through 2006 (A-01-08-00512)
Review of Blue Cross and Blue Shield of Georgia Medicare Payments to Providers Terminated From January 1, 2003, Through January 31, 2007 (A-05-08-00039)
08-25-08
Medical Review of Claims for the Fiscal Year 2006 Comprehensive Error Rate Testing Program (A-01-07-00508)
Payments Made in Error for Personal Care Services During Institutional Stays (OEI-07-06-00620)
08-21-08
Follow-Up Audit of the Medicaid Drug Rebate Program in Vermont (A-01-08-00004)
Review of Medicaid Overpayments at North Country Associates, Inc., in Maine for Calendar Years 2004 Through 2006 (A-01-07-00012)
08-15-08
Review of Nebraska Medicare Part D Contributions to the Centers for Medicare & Medicaid Services for "Full-Duals" (A-07-07-01040)
Medicaid Payments for Services Provided to Beneficiaries with Concurrent Eligibility in New York and New Jersey for July 1, 2005, Through June 30, 2006 (A-02-07-01030)
Review of Undistributable Child Support Collections in Texas From October 1, 1998, Through March 31, 2006 (A-06-06-00088)
Follow-Up Audit of the Medicaid Drug Rebate Program in Texas (A-06-08-00028)
08-12-08
Review of Wisconsin's Non-Emergency Medical Transportation Costs for Services Provided by American United Taxicab, Inc. for January 1 Through December 31, 2005 (A-05-08-00040)
State Medicaid Agency Referrals to the Office of Inspector General Exclusions Program (OEI-01-06-00301)
08-11-08
Review of Expenses and Revenues Presented in Congressional Testimony by West Jefferson Medical Center (A-01-07-00521)
Exclusions and Reinstatements Occurring in the Month of July 2008
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
08-05-08
Audit of Medicare Part A Administrative Costs for the Period October 1, 2005, Through September 30, 2006—United Government Services (A-05-08-00046)
Review of the Medicaid Drug Rebate Program in Illinois (A-05-08-00011)
New State False Claims Reviews: RI, GA, NH, OK, and NM
Modified State False Claims Reviews: CA, IN, LA, FL, and MI
08-01-08
Review of Medicare Part D Contracting for Contract Year 2006 (A-06-07-00082)
National Cancer Institute’s Monitoring of Research Project Grants (OEI-07-07-00120)

July

07-31-08
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in New Jersey and New York for July 1, 2005, Through June 30, 2006 - New Jersey Department of Human Services (A-02-07-01029)
Review of High-Dollar Medicare Payments to Hospitals for Inpatient Claims Processed by National Government Services for the Period January 1, 2003, Through December 31, 2005 (A-02-08-01002)
Follow-up Audit of the Medicaid Drug Rebate Program in Delaware (A-03-07-00217)
07-29-08
Review of Federal Medicaid Claims Made By Inpatient Substance Abuse Treatment Facilities in New Jersey (A-02-07-01005)
Medicare Administrative Law Judge Hearings: Early Implementation, 2005–2006 (PDF) (OEI-02-06-00110)
07-25-08
Review of Disproportionate Share Hospital Payments Made by Pennsylvania to Temple University Hospital for State Fiscal Year 2005-06 (A-03-07-00207)
Review of Disproportionate Share Hospital Payments Made by Pennsylvania to Penn State Milton S. Hershey Medical Center for State Fiscal Year 2005-06 (A-03-07-00208)
Review of Disproportionate Share Hospital Payments Made by Pennsylvania to University of Pittsburgh Medical Center-Presbyterian/Shadyside for State Fiscal Year 2005-06 (A-03-07-00209)
Advisory Opinion 08-08 (PDF) (concerning an investment in an ambulatory surgery center by a group of surgeons and a health care corporation that owns hospitals)
07-23-08
OIG Policy Regarding Providers, Practitioners, and Suppliers That Waive Retroactive Beneficiary Cost-Sharing Amounts Attributable to Increased Payment Rates Under the Medicare Improvements for Patients and Providers Act of 2008 (PDF)
Review of Improper Temporary Assistance for Needy Families Basic Assistance Payments in Ohio for April 1, 2006, Through March 31, 2007 (A-04-07-03520)
Review of First Coast Services Options Medicare Payments to Providers Terminated from January 1, 2003, Through January 31, 2007 (A-05-08-00038)
Separate State Children’s Health Insurance Program Enrollees’ Eligibility for Medicaid in 2006 (PDF) (OEI-06-07-00310)
07-22-08
Review of High-Dollar Payments for Rhode Island Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for Calendar Years 2004 Through 2006 (A-01-08-00504)
Review of Wisconsin Physicians Service Insurance Corporation High-Dollar Payments for Medicare Part A Claims Processed by Wheatlands Administrative Services, Inc., for the Period January 1, 2003, Through December 31, 2005 (A-07-08-04132)
Review of Wisconsin Physicians Service Insurance Corporation High-Dollar Payments for Medicare Part A Claims Processed by Blue Cross Blue Shield of Nebraska for the Period January 1, 2003, Through December 31, 2005 (A-07-08-04133)
Review of Mutual of Omaha's Medicare Part A Emergency Department Adjustments for Inpatient Psychiatric Facilities (A-01-07-00519)
Review of Broward General Medical Center's Reported Fiscal Year 2006 Wage Data (A-04-07-06034)
07-18-08
Review of Medicaid Credit Balances at Boston Medical Center for the Period Ending March 31, 2007 (A-01-07-00008)
Review of Medicaid Claims Made by Freestanding Residential Treatment Facilities in New York State (A-02-06-01021)
Follow-Up Audit of the Medicaid Drug Rebate Program in Connecticut (A-01-08-00002)
Early Implementation Review of Qualified Independent Contractor Processing of Medicare Appeal Reconsiderations (PDF) (OEI-06-06-00500)
Fee-For-Service Payments for Services Covered by Capitated Medicaid Managed Care (PDF) (OEI-07-05-00320)
07-17-08
Issuance of Advisory Opinions by OIG: Final Rule (PDF)
Review of Touro Infirmary’s Reported Fiscal Year 2005 Wage Data (A-01-08-00513)
Review of Tulane Medical Center’s Reported Fiscal Year 2005 Wage Data (A-01-08-00518)
Medical Assistance Provided by Pennsylvania to Hurricane Katrina Evacuees (A-03-07-00210)
07-16-08
Administrative Law Judge Affirms HHS OIG’s Sanctions Against Clearwater, Florida Durable Medical Equipment Owner and Provider: Press Release (PDF)
Follow-up Review of the Medicaid Drug Rebate Program In Michigan (A-05-08-00014)
Review of Place-of-Service Coding for Physician Services Processed by First Coast Service Options, Inc., During Calendar Years 2004 and 2005 (A-01-07-00518)
Review of Medicaid Outpatient Drug Expenditures in Illinois for the Period October 1, 2003, Through September 30, 2005 (A-05-07-00019)
Follow-Up Audit of the Medicaid Drug Rebate Program in Utah (A-07-07-03098)
07-10-08
Review of Quality Improvement Organization in Tennessee for August 1, 2002, Through July 31, 2005 (A-04-06-00023)
A Comparison of Average Sales Prices to Widely Available Market Prices for Inhalation Drugs (PDF) (OEI-03-07-00190)
07-09-08
Review of Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Wyoming for Fiscal Years 1986 Through 2007 (A-07-08-00263)
Review of the Qualified Pension Plan at Blue Cross Blue Shield of Wyoming, a Terminated Medicare Contractor, for the Period January 1, 1986, to January 1, 2007 (A-07-08-00262)
Review of High-Dollar Payments for Part B Services Processed by First Coast Service Options, Inc. for the Period January 1, 2004, Through December 31, 2006 (A-04-07-06021)
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
Exclusions and Reinstatements Occurring in the Month of June 2008
Testimony of Robert Vito, Regional Inspector General for Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services, before the U.S. Senate Permanent Subcommittee on Investigations, Committee on Homeland Security and Governmental Affairs (PDF)
07-08-08
Review of Centers for Medicare & Medicaid Services' Medicaid Information Technology Audit Resolution Process (A-04-06-05039)
Audit of North Carolina's Buy-In of Medicare Part B Premiums for Medicaid Beneficiaries From April 2004 Through March 2007 (A-04-07-03011)
Review of Excessive Payments for Outpatient and Inpatient Services Processed by Blue Cross and Blue Shield of Georgia (A-04-07-07021)
Review of Medicaid Outpatient Drug Expenditures in West Virginia for the Period October 1, 2003, Through September 30, 2005 (A-03-07-00220)
Review of Methodist Hospital Wage Data for the Fiscal Year 2009, Wage Indexes (A-06-07-00098)
07-07-08
Advisory Opinion 08-07 (PDF)
(concerning a proposal for a health care system to provide $10 gift cards to patients whose service expectations were not met)
07-03-08
Review of Social Security Act Section 1915(c) Waiver Payments for Home and Community-Based Services at Seguin Services, Inc., July 1, 2004, Through June 30, 2005 (A-05-08-00018)
Review of Missouri Medicare Part D Contributions to the Centers for Medicare & Medicaid Services for Full-Duals (A-07-07-01044)
Review of High-Dollar Part B Claims Processed by Cahaba Government Benefits Administrators Carrier No. 00511 for the Period January 1, 2004, Through December 31, 2006 (A-04-08-00042)
07-02-08
Review of High-Dollar Part B Claims Processed by Cahaba Government Benefits Administrators Carrier No. 00512 for the Period January 1, 2004, Through December 31, 2006(A-04-08-00037)
Review of High-Dollar Part B Claims Processed by Cahaba Government Benefits Administrators Carrier No. 00510 for the Period January 1, 2004, Through December 31, 2006 (A-04-08-00041)
Review of High-Dollar Payments for District of Columbia Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1, 2003, Through December 31, 2005 (A-03-07-00019)
07-01-08
Review of Disaster-Related Medicare Claims Submitted by The Mobility Depot for Calendar Year 2005 (A-06-07-00079)
Review of High-Dollar Payments for Delaware Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1, 2003, Through December 31, 2005 (A-03-07-00018)
Follow-up Review of the Medicaid Drug Rebate Program in North Carolina (A-04-07-07028)

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June

06-30-08
Review of Outpatient Medicaid Claims Billed as Family Planning By New Jersey (A-02-06-01010)
Review of Nursing Education Payments to St. Joseph's Hospital Health Center for the Period January 1, 2004, Through December 31, 2004 (A-02-06-01025)
Audit of Medicare Part B Administrative Costs October 1, 2003, Through September 30, 2006 - Wisconsin Physicians Service Insurance Corporation (A-05-07-00060)
Review of Skilled Services at Four Seasons Nursing Center of Durant, Oklahoma (A-06-07-00046)
06-24-08
Medical Assistance Provided by Virginia to Hurricane Katrina Evacuees (A-03-07-00211)
Review of Illinois Medicare Part D Contributions to the Centers for Medicare & Medicaid Services for "Full-Duals" (A-05-07-00009)
Review of Medicaid Outpatient Drug Expenditures in Missouri for the Period October 1, 2002, Through September 30, 2004 (A-07-06-04063)
Review of Rhode Island's Title IV-E Adoption Assistance Costs for State Fiscal Years 2003-2005 (A-01-07-02503)
06-23-08
Administrative Enforcement Actions
Medicaid Fraud Control Units Annual Report: FY 2007 (PDF)
06-19-08
Review of East Jefferson General Hospital's Reported Fiscal Year 2005 Wage Data (A-01-08-00515)
Medical Assistance Provided by Maryland to Hurricane Katrina Evacuees (A-03-07-00200)
Review of Expenses and Revenues Presented in Congressional Testimony by Tulane Medical Center (A-06-08-00011)
Review of Long-Term Care Hospital Classification - Kindred Hospital South Florida (A-04-07-00029)
06-18-08
Review of Nursing and Allied Health Education Payments to St. Elizabeth Medical Center for the Period January 1, 2004, Through December 31, 2004 (A-02-05-01027)
Review of Long-Term Care Hospital Classification - Asheville Specialty Hospital (A-04-07-00035)
Follow-Up Audit of the Medicaid Drug Rebate Program in Montana (A-07-07-03101)
Review of Long-Term Care Hospital Classification - Specialty Hospital of Jacksonville (A-04-07-00030)
Audit of Termination Costs Claimed by Blue Cross Blue Shield of Arizona for the Period October 1, 2006, Through November 30, 2007 (A-09-08-00030)
Review of Undistributable Child Support Collections in Riverside County, California, from October 1, 1998, Through March 31, 2006 (A-09-07-00049)
06-16-08
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
06-13-08
The Food and Drug Administration's Generic Drug Review Process (PDF) (OEI-04-07-00280)
Exclusions and Reinstatements Occurring in the Month of May 2008
06-12-08
OIG Reports More Than $2 Billion in Recoveries From Fighting Fraud, Waste, and Abuse for First-Half FY 2008: Press Release
Semiannual Report for FY 2008 (October-March) (PDF)
06-11-08
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Florida and Georgia for July 1, 2005, Through June 30, 2006 (A-04-08-03034)
Review of Medicaid Overpayments at First Atlantic Nursing Facilities in Maine for Calendar Years 2004 Through 2006 (A-01-07-00009)
Review of Medicaid Services Provided on the Day of Admission to an Inpatient Hospital or During an Inpatient Stay in New York State (A-02-04-01006)
06-06-08
Review of Expenses and Revenues Presented in Congressional Testimony by East Jefferson General Hospital (A-06-08-00009)
Review of Head Start Board of Directors, Inc., for the Period September 1, 2006, Through October 23, 2007 (A-01-07-02505)
Review of Quality Improvement Organization in Texas (A-06-06-00072)
Follow-Up Audit of the Medicaid Drug Rebate Program In Wyoming (A-07-08-03106)
06-05-08
Availability of Medicare Part D Drugs to Dual-Eligible Nursing Home Residents (PDF) (OEI-02-06-00190)
Role of Nursing Homes and Long Term Care Pharmacies in Assisting Dual-Eligible Residents With Selecting Part D Plans (PDF) (OEI-02-06-00191)
Review of Federal Medicaid Claims Made for Beneficiaries in the Family Planning Benefit Program in New York State (A-02-07-01001)
Follow-Up Audit of the Medicaid Drug Rebate Program in New Mexico (A-06-07-00071)
06-04-08
Walgreen Co. Corporate Integrity Agreement (PDF)
06-03-08
External Quality Reviews in Medicaid Managed Care (PDF) (OEI-01-06-00510)

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May

05-30-08
Compendium of Unimplemented Office of Inspector General Recommendations: FY 2008 (PDF)
Review of New Jersey Family Planning Claims for the Period July 1, 1997, Through March 31, 2002 (A-02-05-01016)
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Georgia and Florida for July 1, 2005, Through June 30, 2006 (A-04-07-03033)
05-23-08
Medtronic Spine, LLC Corporate Integrity Agreement (PDF)
05-21-08
Philadelphia County's Title IV-E Claims Based on Contractual Per Diem Rates of $300 or Less for Foster Care Services From October 1997 Through September 2002 (A-03-07-00560)
Follow-Up Audit of the Medicaid Drug Rebate Program in Tennessee (A-04-07-07026)
Review of Nursing and Allied Health Education Payments to St. John's Riverside Hospital for Calendar Year 2004 (A-02-06-01022)
05-20-08
Performance Data for the Senior Medicare Patrol Projects: April 2008 Performance Report (PDF) (OEI-02-08-00120)
Review of High-Dollar Payments for Medicare Part B Claims Processed by National Government Services for New Jersey Providers for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01044)
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Arizona and California for July 1, 2005, Through June 30, 2006 - Arizona Health Care Cost Containment System) (A-05-07-00057
Review Of Skilled Services At Heartland Health Care Center Of Bedford, Texas (A-06-07-00045)
05-19-08
Review of Indiana Medicaid Disproportionate Share Hospital Eligibility for July 1, 2000, Through June 30, 2003 (A-05-06-00045)
Review of Expenses and Revenues Presented in Congressional Testimony by Touro Infirmary (A-06-08-00012)
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Two States During August 2003 (A-05-06-00057)
Review of Pension Costs Claimed for Medicare Reimbursement by The Regence Group for Fiscal Years 1997 Through 2006 (A-07-08-00257)
Recent Criminal Enforcement Actions
05-16-08
Review of Pension Segmentation Requirements at The Regence Group, a Terminated Medicare Contractor, for the Period of January 1, 1997, to January 1, 2006 (A-07-07-00242)
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in the District of Columbia and Maryland for July 1, 2005 Through June 30, 2006 - The District of Columbia Department of Health (A-03-07-00214)
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Maryland and the District of Columbia for July 1, 2005 Through June 30, 2006 - Maryland Department of Health and Mental Hygiene (A-03-07-00215)
Follow-Up Audit of the Medicaid Drug Rebate Program in Idaho (A-09-07-00064)
05-15-08
Testimony of Lewis Morris, Chief Counsel to the Inspector General, before the U.S. House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations, on Nursing Home Quality Issues (PDF)
05-13-08
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
Exclusions and Reinstatements Occurring in the Month of April 2008
05-09-08
Advisory Opinion 08-06 (PDF) (concerning a laboratory's proposal to provide services consisting of the labeling of test tubes and specimen collection containers at no cost to dialysis facilities)
Duplicate Medicaid and Medicare Home Health Payments: Medical Supplies and Therapeutic Services (PDF) (OEI-07-06-00640)
Review of High-Dollar Payments for Medicare Part B Claims Processed By National Government Services for New York Providers for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01043)
05-06-08
Comparison of Third-Quarter 2007 Average Sales Prices to Average Manufacturer Prices: Impact on Medicare Reimbursement for First-Quarter 2008 (PDF) (OEI-03-08-00130)
Review of the Centers for Medicare & Medicaid Services Grant Closeout Procedures (A-02-06-02001)
Review of Duke University Medical Center's Reported Fiscal Year 2006 Wage Data (A-01-07-00511)
Review of Excessive Payments for Carrier Services Processed by TrailBlazer Health Enterprises for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00056)
05-02-08
Review of High-Dollar Payments for Medicare Part A Outpatient Claims Processed by TriSpan Health Services for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00100)
Nursing Home Enforcement: Processing Denials of Medicare Payment (PDF) (OEI-06-03-00390)

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April

04-29-08
Follow-Up Audit of the Medicaid Drug Rebate Program in North Dakota (A-07-08-03105)
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in California and Arizona for July 1, 2005, Through June 30, 2006 - California Department of Health Care Services (A-05-07-00058)
Review of Pension Costs Claimed for Medicare Reimbursement by Empire Blue Cross Blue Shield for Fiscal Years 1999 Through 2006 (A-07-07-00254)
Follow-Up Audit of the Medicaid Drug Rebate Program in Hawaii (A-09-07-00081)
04-28-08
Review of Kansas's Medicaid Payments for the Child Welfare Services Program for the Period July 1, 2000, Through June 30, 2003 (A-07-06-03079)
Review of Quality Improvement Organization in Maryland (A-03-06-01650)
Review of the Qualified Pension Plan at Empire Blue Cross Blue Shield for the Period January 1, 1999, Through December 31, 2006 (A-07-07-00253)
Review of High-Dollar Payments for Medicare Part A Claims Processed by TriSpan Health Services for the Period January 1, 2003, through December 31, 2003 (A-06-07-00083)
Review of the Medicaid Drug Rebate Program In Minnesota (A-05-08-00010)
04-24-08
Follow-up Review of the Medicaid Drug Rebate Program in Florida (A-04-07-07022)
Follow-Up Audit of the Medicaid Drug Rebate Program in Nebraska (A-07-07-03097)
Review of Excessive Payments for Inpatient Services Processed by TrailBlazer Health Enterprises for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00055)
04-23-08
New OIG Privacy Act System of Records: Litigation Files: Federal Register Notice (PDF)
04-18-08
Follow-Up Audit of the Medicaid Drug Rebate Program in Washington State (A-09-07-00062)
Review of Undistributable Child Support Collections in Orange County, California, From October 1, 1998, Through March 31, 2006 (A-09-06-00040)
04-17-08
Recent Criminal Enforcement Actions
Follow-up Review of the Medicaid Drug Rebate Program in Kentucky (A-05-08-00015)
Follow-Up Audit of the Medicaid Drug Rebate Program in Iowa (A-07-07-03094)
Follow-up Review of the Medicaid Drug Rebate Program in Wisconsin (A-05-08-00012)
04-16-08
Draft Supplemental Compliance Guidance for Nursing Facilities: Federal Register Notice (PDF)
04-15-08
An Open Letter to Health Care Providers: April 15, 2008 (PDF)
OIG Refines Self-Disclosure Protocol: Press Release (PDF)
04-11-08
Exclusions and Reinstatements Occurring in the Month of March 2008
04-09-08
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
04-04-08
New OIG Privacy Act System of Records: Administrative Files: Federal Register Notice (PDF)
Long Term Care Hospitals Short-Stay Outliers (PDF) (OEI-01-07-00290)
Review of Quality Improvement Organization in New York State (A-02-06-01023)
04-02-08
Hospice Beneficiaries' Use of Respite Care (PDF) (OEI-02-06-00222)
Audit of Medicare Part A Administrative Costs for the Period October 1, 2003, Through September 30, 2005, United Government Services (A-05-07-00059)
Follow-Up Audit of the Medicaid Drug Rebate Program in Oregon (A-09-07-00052)

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March

03-27-08
Review of Rhode Island's Medicaid Nonemergency Transportation Costs for March 1, 2004, Through May 31, 2005 (A-01-06-00007)
Review of Excessive Payments for Outpatient Services Processed by National Government Services in Michigan and Wisconsin for Calendar Years 2004 and 2005 (A-05-07-00066)
Review of Kansas's Medicaid Payments for the Family Preservation Program for the Period July 1, 2000, Through June 30, 2003 (A-07-06-03076)
03-26-08
Issuance of Advisory Opinions by OIG: Interim Final Rule (PDF)
03-25-08
Recent Criminal Enforcement Actions
Administrative Enforcement Actions
Review of Administrative and Clerical Costs at the University of California, San Francisco, for the Period July 1, 2004, Through June 30, 2006 (A-09-07-00073)
Review of California's Medicaid Management Information System Expenditures for the Period July 1, 2003, Through June 30, 2005 (A-09-06-00032)
03-19-08
CVS Caremark Corp. Corporate Integrity Agreement (PDF)
03-13-08
Division of Unaccompanied Children's Services: Efforts To Serve Children (PDF) (OEI-07-06-00290)
Review of Quality Improvement Organization in Ohio for August 1, 2002, Through July 31, 2005 (A-05-06-00043)
Review of Quality Improvement Organization in Washington (A-09-06-00039)
03-12-08
Follow-up Audit of the Medicaid Drug Rebate Program in Pennsylvania (A-03-08-00201)
Follow-Up Audit of the Medicaid Drug Rebate Program in California (A-09-07-00084)
Review of Postretirement Benefit Costs Claimed for Blue Cross Blue Shield of South Carolina for Fiscal Years 2000 Through 2004 (A-07-07-00230)
Review of St. Peter's University Hospital's Reported Fiscal Year 2005 Wage Data (A-02-07-01047)
03-10-08
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
03-07-08
Office of the Secretary; Statement of Organization, Functions, and Delegations of Authority: Federal Register Notice (PDF)
Medical Assistance Provided by the District of Columbia to Hurricane Katrina Evacuees (A-03-07-00202)
Review of High-Dollar Payments for Medicare Part B Claims Processed by Triple-S, Inc., for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01041)
Review of Excessive Payments for Outpatient Claims Processed by National Government Services for Calendar Years 2003 Through 2005: California Providers (A-09-07-00059)
03-05-08
Exclusions and Reinstatements Occurring in the Month of February 2008
03-04-08
Proposed Revisions to Existing Privacy Act Systems of Records: Federal Register Notice (PDF)
Recent Criminal Enforcement Actions
03-03-08
Los Angeles County Suppliers' Compliance With Medicare Standards: Results From Unannounced Visits (PDF) (OEI-09-07-00550)
OIG Report Finds Continued Lack of Medical Supplier Compliance with Medicare Requirements: Press Release

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February

02-28-08
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Missouri and Kansas for July 1, 2005, Through June 30, 2006 - Missouri Department of Social Services (A-07-07-04078)
Medical Assistance Provided by Delaware to Hurricane Katrina Evacuees (A-03-07-00201)
Review of Medicaid Outpatient Drug Expenditures in Colorado for the Period October 1, 2002, Through September 30, 2004 (A-07-07-04113)
Audit of Medicare Administrative Costs Claimed by Blue Cross Blue Shield of Arizona for the Period October 1, 2004, Through September 30, 2006 (A-09-07-00072)
02-27-08
Testimony of Gregory Demske, Assistant Inspector General for Legal Affairs, before the U.S. Senate Special Committee on Aging Examining the Relationship between the Medical Device Industry and Physicians (PDF)
02-22-08
Advisory Opinion 08-05 (PDF) (concerning a pharmaceutical company's proposal to place in certain physicians' offices electronic kiosks that offer patients free disease state screening questionnaires)
Review of Undistributable Child Support Collections in New Jersey From October 1, 1998, Through March 31, 2006 (A-02-06-02005)
Review of New Jersey's Medicaid School-Based Rates (A-02-04-01017)
Follow-Up Audit of the Medicaid Drug Rebate Program in Oklahoma (A-06-07-00069)
Follow-Up Audit of the Medicaid Drug Rebate Program in Missouri (A-07-07-03096)
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Kansas and Missouri for July 1, 2005, Through June 30, 2006 (A-07-07-04079)
02-20-08
FY 2007 HHS Top Management and Performance Challenges
Review of High-Dollar Payments for Medicare Part B Claims Processed by HealthNow New York, Inc., for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01042)
Follow up Audit of the Medicaid Drug Rebate Program in Virginia (A-03-07-00218)
02-13-08
Payments for Outpatient Hospital, Laboratory, and Radiology Services Made on Behalf of Beneficiaries in Skilled Nursing Facility Stays Covered Under Medicare Part A (A-01-06-00503)
Review of Medicare Payments to iCare Medical Supply for Home Blood-Glucose Test Strip and Lancet Supplies (A-09-05-00063)
02-12-08
Advisory Opinion 08-04 (PDF) (concerning a proposal to offer a free trial prescription program to hemophilia A patients who are Federal health care program beneficiaries)
Health Care Fraud and Abuse Control Program FY 2006 Annual Report (PDF)
02-08-08
Statement of Organization, Functions, and Delegations of Authority: Federal Register Notice (PDF)
Advisory Opinion 08-03 (PDF) (concerning a proposed arrangement by which a health care system would provide prompt pay discounts to Federal health care program beneficiaries and other insured patients in connection with both inpatient and outpatient care)
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Indiana and Illinois for July 1, 2005, Through June 30, 2006 - Indiana Family and Social Services Administration (A-05-06-00070)
Review of Retiree Drug Subsidy Plan Sponsor Blue Cross Blue Shield of Massachusetts, Inc., for Plan Year Ended December 31, 2006) (A-01-07-00603)
Review of Kansas's Medicaid Payments for Targeted Case Management for the Period July 1, 2000, Through June 30, 2003 (A-07-06-03074)
Review of UMass Memorial Medical Center's Reported Fiscal Year 2006 Wage Data (A-01-07-00509)
02-07-08
Merck & Co., Inc. Corporate Integrity Agreement
02-06-08
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
Exclusions and Reinstatements Occurring in the month of January 2008
02-05-08
Advisory Opinion 08-02 (PDF) (concerning a marketing and research company's proposal to encourage physicians and other health care professionals to complete online surveys by offering them the opportunity to designate a public charity to which the company or one of its clients would make a monetary charitable contribution)
Review of New Jersey Medicaid Contingency Fee Contract Payments for the Period April 1, 1996, Through June 30, 2001 (A-02-06-01006)
Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Illinois and Indiana for July 1, 2005, Through June 30, 2006 - Illinois Department of Healthcare and Family Services (A-05-06-00069)
Review of Undistributable Child Support Collections in Florida From October 1, 1998, Through December 31, 2005 (A-04-06-03508)
Review of Undistributable Child Support Collections in Maryland From October 1, 1998, Through December 31, 2005 (A-03-06-00565)
02-01-08
Advisory Opinion 08-01 (PDF) (concerning a non-profit corporation's program that arranges for pharmaceutical manufacturer patient assistance programs to provide donated drugs to free clinics and Federally qualified health centers (FQHCs) for use by financially-needy patients who do not have any form of outpatient prescription drug insurance coverage)

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January

01-31-08
Driving for Quality in Long-Term Care: A Board of Directors Dashboard -- Government-Industry Roundtable (PDF)
OIG and HCCA Issue Government-Industry Roundtable Report on Driving For Quality in Long-Term Care: Press Release (PDF)
01-24-08
Federal Register Notice: Solicitation of Information and Recommendations for Revising the Compliance Program Guidance for Nursing Facilities (PDF)
01-23-08
Review of Section 1915(c) Mental Retardation or Related Condition Waiver Services at Dungarvin Minnesota From July 1, 2004, Through June 30, 2005 (A-05-07-00023)
Review of Severance and Termination Costs Claimed by CareFirst Blue Cross/Blue Shield of Maryland for the Period October 2005 Through December 2006 (A-03-07-00022)
Review of Medicaid Outpatient Drug Expenditures in Montana for the Period October 1, 2001, Through September 30, 2004 (A-07-07-04103)
Summary Report on State, Local, Private, and Commercial Laboratories’ Compliance With Select Agent Regulations (A-04-06-01033)
01-18-08
Follow-up Audit of the Medicaid Drug Rebate Program in the District of Columbia (A-03-07-00216)
Review of High-Dollar Payments for Medicare Part B Claims Processed by Group Health Incorporated for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01045)
Recent Sampling of Criminal Enforcement Actions
01-17-08
National Institutes of Health: Conflicts of Interest in Extramural Research (PDF) (OEI-03-06-00460)
01-16-08
Procurements Made by the National Institutes of Health for the Department of Defense (A-03-07-03000)
Review of Hurricane Katrina Uncompensated Care Costs Claimed by Mississippi for the University of Mississippi Medical Center (A-04-07-06004)
Medicare Prescription Drug Subsidy Payments For Dually Eligible Beneficiaries In New Hampshire (A-01-07-00600)
01-14-08
Advisory Opinion 07-21 (PDF)
(concerning an arrangement in which a hospital has agreed to share with a group of cardiac surgeons a percentage of the hospital’s cost savings arising from the surgeons’ implementation of a number of cost reduction measures in certain surgical procedures)
Advisory Opinion 07-22 (PDF)
(concerning an arrangement in which a hospital has agreed to share with a group of anesthesiologists a percentage of the hospital’s cost savings arising from the anesthesiologists’ implementation of a number of cost reduction measures related to anesthesia services provided during cardiac surgical procedures)
Review of Postretirement Benefit Costs Claimed for TrailBlazer Health Enterprises for Medicare Reimbursement by Blue Cross Blue Shield of South Carolina for Fiscal Years 2000 Through 2004 (A-07-07-00229)
Review of High-Dollar Payments for Oklahoma Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00088)
Review of High-Dollar Payments for New Mexico Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00087)
Review of High-Dollar Payments for Missouri Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00086)
Review of High-Dollar Payments for Louisiana Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00085)
Review of High-Dollar Payments for Medicare Part A Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00057)
01-10-08
Review of the Relationship Between Medicare Part D Payments to Local, Community Pharmacies and the Pharmacies’ Drug Acquisition Costs (A-06-07-00107)
Physician-Owned Specialty Hospitals’ Ability To Manage Medical Emergencies (OEI-02-06-00310) (PDF)
01-08-08
Exclusions and Reinstatements Occurring in the month of December 2007
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
01-03-08
Advisory Opinion 07-20 (PDF) (concerning an investment by a physician in an imaging center in a medically underserved area devastated by Hurricane Katrina)
Advisory Opinion 07-19 (PDF) (concerning an arrangement whereby a radiology group practice prepares written reports of its interpretations of radiology tests for a critical access hospital without charge to the hospital)
Advisory Opinion 07-18 (PDF) (concerning the management by a health care industry consultancy of a charitable organization’s arrangements to subsidize patient cost-sharing and premium obligations)
Follow-Up Audit of the Medicaid Drug Rebate Program in Kansas (A-07-08-03102)
Review of State Children's Health Insurance Program Payments in Puerto Rico (A-02-04-01019)
Review of High-Dollar Payments for Oklahoma Medicare Part A Claims Processed by Chisholm Administrative Services for the Period January 1, 2003 Through December 31, 2003 (A-06-07-00090)
Review of Texas Physical Therapist's Medicare Claims for Therapy Services Provided During 2002 (A-06-07-00061)
Review of Undistributable Child Support Collections in Georgia From October 1, 1998, Through December 31, 2005 (A-04-06-03506)

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