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August

08-12-2009
Exclusions and Reinstatements Occurring in the Month of July 2009
08-10-2009
Advisory Opinion 09-11 (PDF)
(concerning the provision of free blood pressure screenings to walk-in visitors at a hospital)
08-07-2009
Monthly Recovery Act Report: July
Medicaid Fraud Control Unit Annual Report: FY 2008 (PDF)
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
08-05-2009
Prevalence and Qualifications of Nonphysicians Who Performed Medicare Physician Services (PDF) (OEI-09-06-00430)
Inappropriate Medicare Payments for Pressure Reducing Support Surfaces (PDF) (OEI-02-07-00420)
Review of Pension Costs Claimed for Medicare Reimbursement by Triple-S, Inc., for Fiscal Years 1988 Through 2006 (A-07-08-00268)
Review of the Qualified Pension Plan at Triple-S, Inc., for the Period January 1, 1986, Through January 1, 2007 (A-07-08-00266)
Review of High-Dollar Payments for Texas Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2005 (A-06-08-00069)
Superfund Financial Activities at the National Institute of Environmental Health Sciences for Fiscal Year 2008 (A-04-09-01062)
08-03-2009
Review of the Calculation of Additional Medicaid Funding Awarded Under the American Recovery and Reinvestment Act (A-09-09-00080)

July

07-31-2009
Advisory Opinion 09-10 (PDF)
(concerning the proposed use of a "preferred hospital" network as part of a Medicare Supplemental Health Insurance ["Medigap"] policy)
Review of New Jersey's Compliance With the "Reimbursement of State Costs for Provision of Part D Drugs" Medicare Demonstration Project Requirements (A-02-08-01007)
Review of Massachusetts' Title IV-E Foster Care Payments for Children 19 Years or Older for the Period October 1, 2005, Through September 30, 2008 (A-01-08-02502)
07-29-2009
Testimony of Lewis Morris, Chief Counsel to the Inspector General (PDF), before the United States Senate Special Committee on Aging on Commercial Sponsorship of Continuing Medical Education
Advisory Opinion 09-09 (PDF)
(concerning a proposed joint venture involving ownership of an ambulatory surgery center by a hospital and physicians)
07-28-2009
Advisory Opinion 09-08 (PDF)
(concerning a proposed institutional patient assistance program that would make certain drug products available to people without prescription drug coverage through the provision of replacement stock to certain participating disproportionate share hospitals)
Part B Services During Non-Part A Nursing Home Stays: Durable Medical Equipment (PDF) (OEI-06-07-00100)
Review of the Missouri Department of Social Services Claim for Title IV-E Training Costs for Salaries and Benefits for Initial Inservice Training for July 1, 2002, Through June 30, 2006 (A-07-09-03119)
Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2005 (A-06-08-00065)
Review of Medicare Outpatient Payments for Oxaliplatin in Kentucky (A-04-09-06100)
07-23-2009
Review of Medicaid Credit Balances at Sunny Vista Living Center (A-07-09-02756)
Review of Medicaid Credit Balances at Boulder Manor Nursing Home (A-07-09-02755)
Review of Medicaid Credit Balances at Colorado State Veterans Home at Fitzsimons (A-07-09-02751)
Payments for Epogen Administered at Fresenius Medical Care—Artificial Kidney Center of Suffolk, Suffolk, Virginia (A-03-07-00027)
07-22-2009
Criminal and Civil Enforcement Actions: June
Civil Monetary Penalty Enforcement Actions
Accuracy of Drug Categorizations for Medicaid Rebates (PDF) (OEI-03-08-00300)
Payments for Epogen Administered at Fresenius Medical Care - Brandywine, Wilmington, Delaware (A-03-07-00034)
Payments for Epogen Administered at Fresenius Medical Care - Northeast, District of Columbia (A-03-07-00035)
Payments for Epogen Administered at Fresenius Medical Care - Anacostia, District of Columbia (A-03-07-00036)
Audit of Cooperativa de Seguros de Vida de Puerto Rico's Unfunded Pension Costs for 1986 to 2007 (A-07-09-00318)
07-20-2009
Review of Southeast Louisiana Hospital’s Hurricane-Related Uncompensated Care Claims (A-06-08-00023)
Review of Pension Costs Claimed for Medicare Reimbursement by Cooperativa de Seguros de Vida de Puerto Rico, for Fiscal Years 1988 Through 1995 (A-07-09-00317)
Review of Postretirement Benefit Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Kansas for Fiscal Years 2005 Through 2008 (A-07-09-00316)
Review of the Pension Segmentation Requirements for the Qualified Pension Plan at Cooperativa de Seguros de Vida de Puerto Rico, for the Period January 1, 1996, to January 1, 2007 (A-07-08-00271)
Review of Pension Costs Claimed for Medicare Reimbursement by Cooperativa de Seguros de Vida de Puerto Rico, for Fiscal Years 1996 Through 2006 (A-07-08-00272)
07-14-2009
Review of Vermont’s Pandemic Influenza Expenditures for the Period August 31, 2005, Through June 30, 2008 (A-01-08-01500)
Ochsner Health Plan of Louisiana’s Adjusted Community Rate Proposal Modifications for Contract Year 2004 (A-06-06-00093)
Review of North Carolina’s Accounts Receivable System for Medicaid Provider Overpayments (A-04-06-07009)
Review of Oxaliplatin Billing at Kootenai Medical Center for Calendar Year 2005 (A-09-09-00059)
Review of Oxaliplatin Billing at University of California San Diego Medical Center for Calendar Years 2004 and 2005 (A-09-09-00057)
Miscoded Claims for Power Wheelchairs in the Medicare Program (PDF) (OEI-04-07-00403)
07-13-2009
OIG Office of Counsel Employment Vacancies
Nursing Home Executive Agrees to Permanent Exclusion in Settlement with OIG: Press Release (PDF)
Payments for Epogen Administered at Fresenius Medical Care—Wynnewood, Wynnewood, Pennsylvania (A-03-07-00029)
Review of Disproportionate Share Hospital Payments Made by Pennsylvania to State-Operated Institutions for Mental Diseases (A-03-08-00202)
Review of Medicaid Credit Balances at Pioneers Memorial Healthcare District as of December 31, 2008 (A-09-09-00054)
Payments for Epogen Administered at Lancaster General Hospital Dialysis Center, Lancaster, Pennsylvania (A-03-07-00030)
Review of Oxaliplatin Billing at Southwestern Regional Medical Center for Calendar Year 2004 (A-06-08-00087)
Collaborative Effort to Identify Overlapping Claims for Dual-Eligible Beneficiaries Receiving Medicare Part A and Medicaid Long-Term-Care Services in Texas (A-06-08-00053)
Review of High-Dollar Payments for Arkansas Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 Through December 31, 2006 (A-06-08-00038)
Review of the Texas Department of State Health Services’ Compliance with the Ryan White CARE Act Payer-of-Last-Resort Requirement for the Period April 1, 2003 Through March 31, 2006 (A-06-08-00022)
Review of Dallas County Health & Human Services Department’s Bioterrorism and Emergency Preparedness Program (A-06-08-00088)
07-10-2009
Exclusions and Reinstatements Occurring in the Month of June 2009
Medicare Part B Billing for Ultrasound (PDF) (OEI-01-08-00100)
Variation in the Clinical Laboratory Fee Schedule (PDF) (OEI-05-08-00400)
Review of Place-of-Service Coding for Physician Services Processed by Medicare Part B Carriers During Calendar Years 2005 and 2006 (A-01-08-00528)
Review of High-Dollar Payments for Inpatient Services Processed by Wisconsin Physicians Service for Calendar Years 2004 Through 2006–Hospitals With Fewer Than Five High-Dollar Payments (A-05-08-00061)
Review of High-Dollar Payments for Louisiana Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 Through December 31, 2005(A-06-08-00037)
Review of Palmetto GBA, LLC Medicare Payments to Providers Terminated From January 1, 2003, Through January 31, 2007 (A-05-09-00012)
Review of Retiree Drug Subsidy Plan Sponsor Commonwealth of Pennsylvania for Plan Year Ended December 31, 2006 (A-03-08-00013)
Review of Medicaid Outpatient Drug Expenditures in Texas for the Period October 1, 2003, Through September 30, 2005 (A-06-07-00092)
07-09-2009
Monthly Recovery Act Report: June
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
07-08-2009
Accuracy of Part D Plans' Drug Prices on the Medicare Prescription Drug Plan Finder (PDF) (OEI-03-07-00600)
Report on External Quality Control Review of the Office of Audit Services: Fiscal Year 2008 (PDF)

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