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Jump to 2016: December, November, October, September, August, July, June, May, April, March, February, January

January

01-23-2017: Excluded and Unlicensed New Jersey Dentist Who Assumed Identity of Another Dentist Agrees to Settlement of $1.1 Million and 50-Year Exclusion to Resolve Civil Monetary Penalty Case; Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2015 (A-18-16-30300); Updated Corporate Integrity Agreement List: 1 CIA Added
01-19-2017: Independent Attestation Review: Indian Health Service Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00351); Independent Attestation Review: National Institutes of Health Fiscal Year 2016 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00352); Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00353); Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00354); Independent Attestation Review: Centers for Disease Control and Prevention Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00355)
01-18-2017: FY 2016 Health Care Fraud and Abuse Control Program Report; Video Series Eye on Oversight: Exclusions; California Improperly Claimed Federal Medicaid Reimbursement for Certain Nonemergency Services (A-09-15-02020); Northside Medical Center Incorrectly Billed Medicare Inpatient Claims with Severe Malnutrition (A-03-15-00012); A Southern California Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-09-15-02015); Updated Civil Monetary Penalties and Affirmative Exclusions
01-13-2017: Updated Provider Self-Disclosure Settlements
01-12-2017: Louisiana Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program (A-06-15-00019); Delaware Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-03-15-00202)
01-11-2017: Final Rule: Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Exclusion Authorities
01-10-2017: Podcast: December 2016 OIG Monthly Update
01-09-2017: Colorado Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-14-06050); Medicare Compliance Review of NorthShore University HealthSystem for 2013 and 2014 (A-05-15-00044); Updated Corporate Integrity Agreement List: 1 CIA Added
01-06-2017: LEIE Database Updated with December 2016 Exclusions and Reinstatements; Updated Corporate Integrity Agreement List: CIAs Added & Closed
01-05-2017: High-Price Drugs Are Increasing Federal Payments for Medicare Part D Catastrophic Coverage (OEI-02-16-00270); Virginia Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-03-15-00201); Medicare Compliance Review of Abbott Northwestern Hospital for 2013 and 2014 (A-05-15-00043)
01-03-2017: Updated Corporate Integrity Agreement List: 5 CIAs Added

December

12-30-2016: The Ohio State University Monitored Subrecipients and Claimed Allowable National Institutes of Health Grant Costs (A-05-16-00039); Medicare Compliance Review of University of Mississippi Medical Center for 2013 and 2014 (A-04-15-00105); Audit of Costs Normally Treated as Administrative and Clerical Costs but Charged Directly to HHS Awards at the University of Louisville (A-04-13-01022); Review of South Carolina's Medicaid Managed Care Program Potential Savings With Minimum Medical Loss Ratio (A-04-16-06191); Medicare Compliance Review of North Mississippi Medical Center for 2013 and 2014 (A-04-15-00106)
12-29-2016: New Jersey Claimed Medicaid Adult Mental Health Partial Care Services That Were Not in Compliance With Federal and State Requirements (A-02-13-01029); Colorado Did Not Correctly Expend Establishment Grant Funds for Establishing a Health Insurance Marketplace (A-07-14-02801)
12-23-2016: Case Review of Inpatient Rehabilitation Hospital Patients Not Suited for Intensive Therapy (OEI-06-16-00360)
12-21-2016: Early Implementation Review: CMS's Management of the Quality Payment Program (OEI-12-16-00400)
12-20-2016: Advisory Opinion 16-13 (regarding: (i) a proposal to waive cost-sharing obligations incurred by individuals for health care services required for participation in a government-funded clinical research study (the "Proposed Arrangement"); and (ii) the payment of a stipend to study participants for the time and effort required to participate in study visits)
12-19-2016: Vulnerabilities Remain Under Medicare's 2-Midnight Hospital Policy (OEI-02-15-00020)
12-15-2016: Oregon State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00200); Housing Works, Inc., Did Not Always Comply With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-02-15-02001); Updated Civil Monetary Penalties and Affirmative Exclusions
12-14-2016: 2016 Year in Review: Watch the Video and Listen to the Podcast
12-13-2016: California Did Not Bill Manufacturers for Rebates for Physician-Administered Drugs Dispensed to Enrollees of Some Medicaid Managed-Care Organizations (A-09-15-02035); Audit of Medicaid Capitation Payments for Deceased Beneficiaries in Florida (A-04-15-06182)
12-12-2016: LEIE Database Updated with November 2016 Exclusions and Reinstatements
12-08-2016: Updated Provider Self-Disclosure Settlements
12-07-2016: Policy Statement Regarding Gifts of Nominal Value To Medicare and Medicaid Beneficiaries; Updated Corporate Integrity Agreement List: 5 CIAs Closed; CAPTURED: Martinez Ruiz
12-06-2016: Final Rule: Medicare and State Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Civil Monetary Penalty Rules; Final Rule: Medicare and State Health Care Programs: Fraud and Abuse; Revisions to the Safe Harbors Under the Anti-Kickback Statute and Civil Monetary Penalty Rules Regarding Beneficiary Inducements; Medicare Market Shares of Mail Order Diabetes Test Strips From April to June 2016 (OEI-04-16-00470); Updated Civil Monetary Penalties and Affirmative Exclusions
12-05-2016: Podcast: November 2016 OIG Monthly Update; Advisory Opinion 16-12 (regarding a laboratory's proposal to provide services consisting of the labeling of test tubes and specimen collection containers at no cost to dialysis facilities); Review of Massachusetts Medicaid Managed Care Program Potential Savings with Minimum Medical Loss Ratio (A-01-15-00505); Hospitals Did Not Always Comply With Medicare Requirements for Reporting Cochlear Devices Replaced Without Cost (A-01-15-00508); Visiting Nurse Service of New York Budgeted Costs That Were Not Appropriate and Claimed Some Unallowable Hurricane Sandy Disaster Relief Act Funds (A-02-14-02012)
12-01-2016: Updated Civil Monetary Penalties and Affirmative Exclusions

November

11-30-2016: Fall Semiannual Report to Congress
11-28-2016: The Minnesota Marketplace Misallocated Federal Funds and Claimed Unallowable Costs (A-05-14-00045)
11-23-2016: North Carolina Improperly Claimed Federal Reimbursement for Some Medicaid Nonemergency Transportation Services (A-04-15-04037)
11-22-2016: Indiana Did Not Always Make Correct Medicaid Claim Adjustments (A-05-15-00022); New York Misallocated Costs to Establishment Grants for a Health Insurance Marketplace (A-02-14-02017)
11-21-2016: Podcast: The HHS OIG Hotline
11-18-2016: Updated Corporate Integrity Agreement List: 1 CIA Added
11-17-2016: Top Management & Performance Challenges Facing HHS
11-16-2016: Updated Civil Monetary Penalties and Affirmative Exclusions
11-15-2016: New Jersey OB/GYN Settles Fraudulent Billing Allegations, Agrees to 20-Year Exclusion from Medicare, Medicaid; Video Series Eye on Oversight: Challenges in Indian Health Service Hospitals
11-14-2016: Updated Stipulated Penalties and Exclusion for Material Breach
11-10-2016: FY 2017 Office of Inspector General Work Plan; Public Summary Report: New York Implemented Security Controls Over Its Health Insurance Exchange Web Site and Database but Could Improve Security Controls (A-02-15-03001)
11-09-2016: New York Claimed Medicaid Reimbursement for Unallowable Dental Services Billed by a Dentist Based in New York City (A-02-13-01032); A Northern California Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-09-14-02040)
11-08-2016: Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
11-07-2016: LEIE Database Updated with October 2016 Exclusions and Reinstatements; Podcast: October 2016 OIG Monthly Update; TrustSolutions, LLC, Claimed Unallowable Medicare Pension Costs for 2007 Through 2009 (A-07-16-00487)
11-04-2016: Report on the DATA Act Readiness Review Audit of the Department of Health and Human Services (A-17-16-02018)
11-03-2016: Advisory Opinion 16-11 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay); Updated Corporate Integrity Agreement List: 3 CIAs Added
11-02-2016: Updated Corporate Integrity Agreement List: 5 CIAs Closed; Wisconsin Physicians Service Insurance Corporation Did Not Properly Settle Indiana Medicare Disproportionate Share Hospital Cost Report Payments (A-07-15-04219); North Dakota Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services (A-07-16-03210); Virginia Medicaid Electronic Health Record Payments (A-03-14-00404)
11-01-2016: Podcast: Chiropractic Audit - Over $350 million in unallowable payments

October

10-24-2016: Updated Corporate Integrity Agreement List: 1 CIA Added; Captured: Adrian Basanta, OIG Most Wanted Fugitive; Arizona Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-09-16-02013); State Agencies Claimed Unallowable and Unsupported Medicaid Reimbursements for Services Under the Home and Community-Based Services Waiver Program (A-07-16-03212); New York Made Some Incorrect Medicaid Electronic Health Record Incentive Payments (A-02-14-01020)
10-20-2016: Updated Corporate Integrity Agreement List: 4 CIAs Added
10-19-2016: Hundreds of Millions in Medicare Payments for Chiropractic Services Did Not Comply With Medicare Requirements (A-09-14-02033); Michigan Improperly Received Medicaid Reimbursement for School-Based Health Services (A-05-13-00056); Virginia Did Not Always Make Correct Medicaid Claim Adjustments (A-03-14-00204)
10-18-2016: Video Series Eye on Oversight: Vulnerabilities in Personal Care Services; Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
10-17-2016: State Use of Express Lane Eligibility for Medicaid and CHIP Enrollment (OEI-06-15-00410); Medicaid Enrollment Using the Express Lane Eligibility Option Did Not Always Meet Federal Requirements (A-04-15-08043); Children's Health Insurance Program Enrollment Using the Express Lane Eligibility Option Did Not Always Meet Federal Requirements (A-04-15-08045)
10-14-2016: Fighting fraud, waste, and abuse for 40 years
10-13-2016: North Carolina Claimed Millions in Unallowable School-Based Medicaid Administrative Costs (A-04-15-00101)
10-12-2016: Public Summary Report: The State of Colorado Did Not Meet Federal Information System Security Requirements for Safeguarding Its Medicaid Systems and Data (A-07-15-00463)
10-11-2016: Advisory Opinion 16-10 (regarding a local health care district's proposal to cooperate with another district to jointly fund the cost of a transportation coordinator to educate patients about local transportation options and subsidize certain forms of transportation for patients with financial need); Noridian Healthcare Solutions, LLC, Did Not Claim Allowable Medicare Pension Costs or Postretirement Benefit Costs for Fiscal Years 2006 Through 2008 (A-07-16-00481); Medicare Compliance Review of Bergan Mercy Medical Center for 2013 and 2014 (A-07-15-05084); Sleep Health Center Billed Medicare for Some Unallowable Sleep Study Services (A-04-14-07053); Public Summary Report: Information Technology Control Weaknesses Found at the Minnesota Health Insurance Exchange (A-06-15-00035)
10-07-2016: Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care (OEI-06-14-00011); Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care (OEI-06-14-00010); Medicare's Policies and Procedures Identified Almost All Improper Claims Submitted for Deceased Individuals and Recouped Almost All Improper Payments Made for These Claims for January 2013 Through October 2015 (A-07-16-05089); Medicare Improperly Paid Providers Millions of Dollars for Incarcerated Beneficiaries Who Received Services During 2013 and 2014 (A-07-15-01158)
10-06-2016: LEIE Database Updated with September 2016 Exclusions and Reinstatements; Podcast: September 2016 OIG Monthly Update; Not All Internal Controls Implemented by CDC Were Effective in Ensuring That World Trade Center Health Program Pharmacy and Medical Claims Were Paid According to Federal Requirements (A-02-14-02008)
10-05-2016: Updated Civil Monetary Penalties and Affirmative Exclusions
10-04-2016: Investigative Advisory on Medicaid Fraud and Patient Harm Involving Personal Care Services; Updated Corporate Integrity Agreement List: 4 CIAs Closed
10-03-2016: Early Alert: Incorporating Medical Device-Specific Information on Claim Forms (A-01-16-00510); Podcast: OIG's Most Wanted Fugitives; Medicare Payments for Clinical Diagnostic Laboratory Tests in 2015: Year 2 of Baseline Data (OEI-09-16-00040); Changing How Medicare Pays for Clinical Diagnostic Laboratory Tests: An Update on CMS's Progress (OEI-09-16-00100); Updated Civil Monetary Penalties and Affirmative Exclusions

September

09-30-2016: Medicare Improperly Paid Millions of Dollars for Unlawfully Present Beneficiaries for 2013 and 2014 (A-07-15-01159); Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs for Fiscal Years 2005 Through 2011 (A-07-16-00483); CGS Administrators, LLC's Postretirement Benefit Costs for Fiscal Year 2011 Were Reasonable and Allowable (A-07-16-00484); Blue Cross Blue Shield of South Carolina Overstated Its Allocable Medicare Postretirement Benefit Costs for Calendar Years 2006 Through 2011 (A-07-16-00485); Maryland State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00140)
09-29-2016: Notice: The Simple Extensible Sampling Tool Challenge Requirements and Registration; HHS Has Made Progress in Properly Classifying Documents; However, New Issues Should be Addressed (OEI-07-16-00080); North Carolina State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00070); California Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-09-16-02004); Illinois Claimed Some Improper Federal Medicaid Reimbursement for Inpatient Hospital Services Related to Treating Provider-Preventable Conditions (A-05-15-00033)
09-28-2016: Testimony of Abhijit Dixit, Special Agent, Office of Investigations, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Ways and Means: Subcommittee on Oversight: "Health Care Fraud Investigations"
09-27-2016: CAPTURED FUGITIVE: Joel Fuentes; Vermont Did Not Properly Allocate Millions to Establishment Grants for a Health Insurance Marketplace (A-01-15-02500)
09-26-2016: Office of Counsel Legal Internship Programs; Video: OIG-HHS Testifies on OIG's Oversight of the Affordable Care Act
09-23-2016: Escalating Medicare Billing for Ventilators Raises Concerns (OEI-12-15-00370); Advisory Opinion 16-09 (regarding a proposal to install a computerized point-of-care vaccine storage and dispensing system in physicians' offices for the physicians' use); Most Wanted Fugitive: Luis Emelio Deleon
09-22-2016: Washington State Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-09-16-02015); Idaho Claimed Federal Medicaid Reimbursement for Inpatient Hospital Services Related to Treating Provider-Preventable Conditions (A-09-15-02013); Medicare Compliance Review of North Carolina Baptist Hospital for Claims Paid From January 1, 2013, Through August 31, 2014 A-04-15-04036)
09-21-2016: Ohio Did Not Always Make Correct Medicaid Claim Adjustments (A-05-14-00017); Updated Civil Monetary Penalties and Affirmative Exclusions
09-20-2016: HHS's Office of Inspector General Levies Largest Penalty Under a Corporate Integrity Agreement Against Nation's Biggest Provider of Post-Acute Care; Washington State Claimed Federal Medicaid Reimbursement for Inpatient Hospital Services Related to Treating Provider-Preventable Conditions (A-09-14-02012)
09-19-2016: Video Series Eye on Oversight: Provider Self-Disclosure Protocol; North American Health Care, Inc. Added to Corporate Integrity Agreements; Proposed Rule: State Medicaid Fraud Control Units
09-16-2016: Ohio Made Incorrect Medicaid Electronic Health Record Incentive Payments (A-05-13-00043); Oklahoma Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-06-15-00032)
09-15-2016: Hospices Should Improve Their Election Statements and Certifications of Terminal Illness (OEI-02-10-00492); West Virginia Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-03-14-00406); A Kansas Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Physical Therapy Services (A-07-14-01146); Kansas Correctly Invoiced Rebates to Manufacturers for Most Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-07-15-06060)
09-14-2016: Testimony of Gloria Jarmon, Deputy Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations and Subcommittee on Health: "The Affordable Care Act on Shaky Ground: Outlook and Oversight"; South Dakota State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00170); Medicaid Fraud Control Units Fiscal Year 2015 Annual Report (OEI-07-16-00050); Updated Civil Monetary Penalties and Affirmative Exclusions
09-12-2016: Updated: State False Claims Act Webpage
09-08-2016: LEIE Database Updated with August 2016 Exclusions and Reinstatements; Updated Corporate Integrity Agreement List: 2 CIAs Closed; Updated Provider Self-Disclosure Settlements
09-07-2016: CMS Should Address Medicare's Flawed Payment System for DME Infusion Drugs Report (OEI-12-16-00340); Superstorm Sandy Block Grants: Funds Benefited States' Reconstruction and Social Service Efforts, Though ACF's Guidance Could be Improved (OEI-09-15-00200)
09-06-2016: Updated Corporate Integrity Agreement List: 2 CIAs Added; Podcast: August 2016 OIG Monthly Update
09-02-2016: Updated Corporate Integrity Agreement List: 1 CIA Added

August

08-31-2016: New Jersey Made Incorrect Medicaid Electronic Health Record Incentive Payments (A-02-14-01009); Washington State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00010); Head Start Grant Recompetition: Early Implementation Results Suggest Opportunities for Improvement (OEI-12-14-00650)
08-30-2016: Updated Corporate Integrity Agreement List: 5 CIAs Added; New Exclusions Waiver: Ghabag, Faraj Alhadi, M.D.
08-23-2016: Updated Civil Monetary Penalties and Affirmative Exclusions
08-22-2016: 2016 OIG Guidance on IRO Independence and Objectivity
08-19-2016: Medicare Compliance Review of Home Health VNA for 2011 and 2012 (A-01-13-00518); State Governments May Unduly Benefit Financially From Publicly Owned but Privately Operated Entities (A-06-16-08005); Pennsylvania Made Correct Medicaid Electronic Health Record Incentive Payments to Hospitals (A-03-15-00403)
08-18-2016: The Department Of Health And Human Services Security Management Practices For Computer Systems With Access To Personally Identifiable Information (A-18-16-30150); Louisiana Made Incorrect Herceptin Payments to Medicaid Providers (A-06-15-00037); Texas Did Not Always Comply With Federal Requirements and Its Cost Allocation Plan When It Claimed Medicaid Administrative Costs (A-06-15-00038); New York Improperly Claimed Federal Medicaid Reimbursement for the Drug Herceptin Over a 3-Year Period (A-02-15-01013)
08-17-2016: Public Summary Report: Wireless Penetration Test of Centers for Medicare & Medicaid Services' Data Centers (A-18-15-30400); A Michigan Chiropractor Received Unallowable Medicare Payments for Chiropractic Services (A-07-14-01148); Texas Did Not Always Calculate Physician Supplemental Payments Made to the University of Texas Health Institutions in Accordance With Federal and State Requirements (A-06-11-00004)
08-15-2016: Video Series Eye on Oversight: Critical Incidents in Group Homes; Colorado Received Millions in Unallowable Bonus Payments (A-04-15-08039)
08-11-2016: Podcast: What is OIG's work in Indian Country?; Medicare Compliance Review of New York-Presbyterian Hospital for 2011 and 2012 (A-02-13-01027)
08-10-2016: MACs Continue to Use Different Methods to Determine Drug Coverage (OEI-03-13-00450); Virginia State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00290)
08-09-2016: LEIE Database Updated with July 2016 Exclusions and Reinstatements; Conversions of Startup Loans Into Surplus Notes by Consumer Operated and Oriented Plans Were Allowable but Not Always Effective (A-05-16-00019); Cornerstone Hospital of Austin Incorrectly Billed Medicare Inpatient Claims with Kwashiorkor (A-03-15-00009)
08-08-2016: Job Openings: Associate Counsel - Two Positions (Application Deadline: August 12); Arizona Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-09-15-02036)
08-03-2016: Podcast: July 2016 OIG Monthly Update; Updated Civil Monetary Penalties and Affirmative Exclusions; Updated Provider Self-Disclosure Settlements
08-02-2016: Updated Corporate Integrity Agreement List: 4 CIAs Closed
08-01-2016: Updated Corporate Integrity Agreement List: 1 CIA Added

July

07-27-2016: First Coast Service Options, Inc., Did Not Claim Some Medicare Supplemental Executive Retirement Plan Costs for Fiscal Years 2006 Through 2009 (A-07-16-00472); Medicare Compliance Review of Excellent Home Care Services, LLC (A-02-14-01005); Cornerstone Hospital of Southwest Louisiana Incorrectly Billed Medicare Inpatient Claims with Kwashiorkor (A-03-15-00008); Advisory Opinion 16-08 (regarding an arrangement in which a hospice would make a supplemental payment to the nursing facilities in which the hospice's dually eligible patients reside when the nursing facilities-instead of the hospice-receive payment for their patients' room and board expenses)
07-25-2016: Hospitals Largely Reported Addressing Requirements for EHR Contingency Plans (OEI-01-14-00570); Dominican Hospital Reported Overstated Wage Data, Resulting in Medicare Overpayments (A-09-14-02032)
07-22-2016: Modification of Advisory Opinion 10-12 (modifies Advisory Opinion 10-12, which concerned a nonprofit, tax-exempt, charitable corporation's proposal to provide financially needy patients with grants to defray their cost-sharing obligations, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs)
07-21-2016: Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries (OEI-06-14-00110); FDA is Issuing More Postmarketing Requirements, but Challenges with Oversight Persist (OEI-01-14-00390)
07-18-2016: Attorney Opening (Deadline to Apply: August 12, 2016)
07-15-2016: Medicare Compliance Review of Houston Methodist Hospital for 2012 and 2013 (A-06-14-00074)
07-14-2016: Massachusetts Did Not Comply With Federal and State Requirements for Critical Incidents Involving Developmentally Disabled Medicaid Beneficiaries (A-01-14-00008); Alabama Did Not Comply With Federal and State Requirements for Claiming Medicaid Certified Public Expenditures for Federal Fiscal Year 2010 (A-06-15-00004); Alabama Claimed Millions in Unallowable School-Based Medicaid Administrative Costs (A-04-13-00094); Updated Corporate Integrity Agreement List: 2 CIAs added
07-13-2016: More Effort is Needed to Protect the Integrity of the Child Care and Development Fund Block Grant Program (OEI-03-16-00150)
07-12-2016: Updated Provider Self-Disclosure Settlements; Medicare Compliance Review of Christian Hospital for 2012 and 2013 (A-07-15-05075); Medicare Compliance Review of University of Tennessee Medical Center (A-04-15-03081); A Florida Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-04-15-07054); Medical Access Uganda Limited Generally Managed the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-15-04040)
07-08-2016: LEIE Database Updated with June 2016 Exclusions and Reinstatements; New Jersey Did Not Adequately Oversee Its Medicaid Nonemergency Medical Transportation Brokerage Program (A-02-14-01001)
07-07-2016: Updated Corporate Integrity Agreement List: Closed CIAs
07-06-2016: Updated Washington State False Claims Act Review
07-05-2016: Podcast: June 2016 OIG Monthly Update
07-01-2016: Massachusetts State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00390); Deadbeat Sentenced: Raymond Payne

June

06-30-2016: Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2016 (OEI-05-16-00090); Updated Civil Monetary Penalties and Affirmative Exclusions
06-29-2016: International Institute of Sleep, Inc., Billed Medicare for Unallowable Sleep Study Services (A-04-14-07052); A South Texas Physical Therapist Claimed Unallowable Medicare Part B Reimbursement for Outpatient Physical Therapy Services (A-06-14-00064); Bloomberg BNA Interviews OIG Assistant Inspector General and Chief Data Officer
06-27-2016: Advisory Opinion 16-07 (regarding a savings card program under which individuals who have prescription drug coverage under Medicare Part D receive discounts on a drug that is statutorily excluded from coverage)
06-23-2016: New York Overpaid Certain Medicaid Mental Health Services Providers (A-02-13-01021); Medicare Compliance Review of Vanderbilt University Medical Center for 2013 and 2014 (A-04-15-08042)
06-22-2016: Nationwide Analysis of Common Characteristics in OIG Home Health Fraud Cases (OEI-05-16-00031); High Part D Spending on Opioids and Substantial Growth in Compounded Drugs Raise Concerns (OEI-02-16-00290); Alert: Improper Arrangements and Conduct Involving Home Health Agencies and Physicians
06-20-2016: Video Series Eye on Oversight: Home Health Fraud; Pennsylvania State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI 07-15-00360)
06-16-2016: CMS Is Taking Steps To Improve Oversight of Provider-Based Facilities, But Vulnerabilities Remain Report (OEI-04-12-00380); West Carroll Care Center Did Not Always Follow Care Plans for Residents Who Were Later Hospitalized With Potentially Avoidable Urinary Tract Infections (A-06-14-00073); Medicare Improperly Paid Hospitals for Beneficiaries Who Had Not Received 96 or More Consecutive Hours of Mechanical Ventilation (A-09-14-02041)
06-14-2016: Hospicio La Paz, Inc. Added to Corporate Integrity Agreements; Centers for Disease Control and Prevention's Property System Data Were Neither Accurate Nor Complete (A-04-14-03546)
06-13-2016: Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
06-10-2016: LEIE Database Updated with May 2016 Exclusions and Reinstatements; New Jersey Did Not Suspend Medicaid Payments to Some Providers With Credible Allegations of Fraud in Accordance With the Affordable Care Act (A-02-13-01046); Medicare Compliance Review of Sea View Health Care Services, Inc. (A-02-14-01027); Precision Health, Inc., Improperly Claimed Medicare Part B Reimbursement for Portable X-ray Services (A-02-13-01038)
06-09-2016: Early Alert: The Food and Drug Administration Does Not Have an Efficient and Effective Food Recall Initiation Process (A-01-15-01500)
06-08-2016: State Efforts to Exclude 340B Drugs from Medicaid Managed Care Rebates (OEI-05-14-00430); Public Summary Report: Washington State Implemented Security Controls Over the Web Site and Database for Its Health Insurance Exchange but Could Improve Protection of Personally Identifiable Information (A-09-15-03005); Medicare Contractors' Payments to Providers for Hospital Outpatient Dental Services in Jurisdictions E and F Generally Did Not Comply With Medicare Requirements (A-06-15-00036)
06-07-2016: Fiscal Year 2016 HHS OIG Mid-Year Work Plan; Podcast: What Role Does Data Play in Fighting Healthcare Fraud, Waste and Abuse?; Observations From Our Review of CMS's Administration of the First Performance Year of the Pioneer Accountable Care Organization Payment Model (A-01-13-00509)
06-06-2016: Washington State Claimed Unallowable Federal Medicaid Reimbursement for Some Dental Services (A-09-13-02041); Performance Data for the Senior Medicare Patrol Projects: June 2016 Performance Report (OEI-02-16-00190); Florida State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00340)
06-03-2016: Podcast: May 2016 OIG Monthly Update; Updated Civil Monetary Penalties and Affirmative Exclusions

May

05-31-2016: Semiannual Report to Congress Spring 2016; Utah Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-14-06057); Indiana Made Incorrect Medicaid Payments to Providers for Full Vials of Herceptin (A-05-15-00035)
05-27-2016: New York Implemented Effective Internal Controls Over Hurricane Sandy Social Services Block Grant Funds and Appropriately Budgeted and Claimed Allowable Costs (A-02-14-02009); Columbia University Claimed Allowable Hurricane Sandy Disaster Relief Act Funds (A-02-15-02007)
05-26-2016: Podcast: Licensure Data in Round 2 of the Durable Medical Equipment Competitive Bidding Program; Incomplete and Inaccurate Licensure Data Allowed Some Suppliers in Round 2 of the Durable Medical Equipment Competitive Bidding Program That Did Not Have Required Licenses (A-05-13-00047); The Centers for Disease Control and Prevention Did Not Award President's Emergency Plan for AIDS Relief Funds for 2013 in Compliance With Applicable HHS Policies (A-04-14-04021)
05-25-2016: Connecticut Did Not Comply With Federal and State Requirements for Critical Incidents Involving Developmentally Disabled Medicaid Beneficiaries (A-01-14-00002); Updated Corporate Integrity Agreement List: 1 CIA Alias Added
05-24-2016: Testimony of Ann Maxwell, Assistant Inspector General, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Medicare and Medicaid Program Integrity: Combatting Improper Payments and Ineligible Providers"; Medicaid: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure (OEI-04-11-00590); Medicare: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure (OEI-04-11-00591); Medicaid Enhanced Provider Enrollment Screenings Have Not Been Fully Implemented (OEI-05-13-00520)
05-23-2016: Medicare Compliance Review of Huntsville Hospital for 2013 and 2014 (A-04-15-00107); Medicare Compliance Review of Wesley Medical Center for 2012 and 2013 (A-07-15-05074); New York Made Correct Medicaid Claim Adjustments (A-02-14-01006)
05-20-2016: CIGNA Government Services, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs for Fiscal Years 2004 Through 2012 (A-07-15-00464)
05-16-2016: Daniel R. Levinson's Keynote Address at the 2016 HCCA Compliance Institute; Medicare Compliance Review of Lafayette General Medical Center for Claims Paid During 2013 and 2014 (A-06-15-00022); Captured: Maikel Chamizo Gomez, OIG Most Wanted Fugitive
05-13-2016: Updated Civil Monetary Penalties and Affirmative Exclusions
05-12-2016: U.S. Department of Health and Human Services Met Many Requirements of the Improper Payments Information Act of 2002 but Did Not Fully Comply for Fiscal Year 2015 (A-17-16-52000); Modification of OIG Advisory Opinion 10-07 (modifies OIG Advisory Opinion 10-07 which concerned a nonprofit, tax-exempt, charitable organization's proposal to provide assistance with cost-sharing obligations to financially needy individuals, including Medicare and Medicaid beneficiaries, diagnosed with certain specified diseases, and its first modification at Modification of OIG Advisory Opinion 10-07 to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.); Updated Corporate Integrity Agreement List: 2 CIAs Added
05-11-2016: Video Series Eye on Oversight: Kickbacks to Physicians
05-10-2016: Medicare Benefit Integrity Contractors' Activities in 2012 and 2013: A Data Compendium (OEI-03-13-00620); Updated Civil Monetary Penalties and Affirmative Exclusions; Updated Nevada State False Claims Act Review
05-09-2016: Advisory Opinion 16-06 (regarding your proposal for an entity to purchase the remaining five percent ownership interest in a group purchasing organization)
05-06-2016: LEIE Database Updated with April 2016 Exclusions and Reinstatements; California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Drugs Provided in Los Angeles County (A-09-15-02017); Updated Provider Self-Disclosure Settlements
05-04-2016: Updated Corporate Integrity Agreement List: 2 CIAs Closed
05-03-2016: Advisory Opinion 16-05 (regarding the use of a “preferred hospital” network as part of Medicare Supplemental Health Insurance (“Medigap”) policies, whereby [name redacted] would indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
05-02-2016: Podcast: April 2016 OIG Monthly Update; Review of Tufts Medical Center Claims That Included Medical Device Replacements (A-01-15-00503); Cornerstone Hospital of Bossier City Incorrectly Billed Medicare Inpatient Claims with Kwashiorkor (A-03-15-00006)

April

04-28-2016: Podcast: Enhanced Enrollment Screening of Medicare Providers: Early Implementation Results; Enhanced Enrollment Screening of Medicare Providers: Early Implementation Results (OEI-03-13-00050); A Florida Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-04-15-07055)
04-25-2016: Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2014 (A-18-15-30200); Updated Corporate Integrity Agreement List: 3 CIAs Added
04-21-2016: Palmetto Government Benefits Administrator, LLC, and TrailBlazer Health Enterprises, LLC, Understated Their Medicare Segments' Pension Assets as of January 1, 2005 (A-07-16-00476); Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2003 and 2004 (A-07-16-00477); TrailBlazer Health Enterprises, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2003 and 2004 (A-07-16-00478)
04-19-2016: Advisory Opinion 16-04 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby three insurance companies would indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for their policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
04-18-2016: Updated Criteria for Implementing Permissive Exclusion Authority Under Section 1128(b)(7) of the Social Security Act; Inconsistencies in State Implementation of Correct Coding Edits May Allow Improper Medicaid Payments (OEI-09-14-00440)
04-15-2016: Some of New York's Claims for Medicaid Long-Term Home Health Care Program Waiver Services were Unallowable (A-02-13-01030); Medicare Contractor Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction H Generally Did Not Comply With Medicare Requirements (A-06-15-00014); Medicare Compliance Review of DePaul Health Center for 2012 and 2013 (A-07-15-05072); The National Institute of Environmental Health Sciences Generally Administered Its Superfund Appropriations During Fiscal Year 2014 in Accordance With Federal Requirements (A-04-15-04035)
04-14-2016: The Medicaid Program Could Have Achieved Savings if Oregon Had Applied Medical Loss Ratio Standards Similar to Those Established by the Affordable Care Act (A-09-15-02033); The Ohio Association of Foodbanks Generally Complied With the Navigator Requirements Related to the Affordable Care Act (A-05-15-00013)
04-12-2016: April 2016 Compendium of Unimplemented Recommendations
04-11-2016: Video Series Eye on Oversight: Dangerous Drugs – Opioids; LEIE Database Updated with March 2016 Exclusions and Reinstatements; Updated Corporate Integrity Agreement List: 1 added; 4 closed
04-08-2016: Bayview Nursing and Rehabilitation Center Claimed Allowable Hurricane Sandy Disaster Relief Act Funds (A-02-15-02010); Medicare Compliance Review of Saint Louis University Hospital for 2011 and 2012 (A-07-14-05066); First Coast Service Options’ Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction N Generally Did Not Comply With Medicare Requirements (A-06-15-00013)
04-07-2016: Updated Provider Self-Disclosure Settlements; North Carolina Did Not Always Make Correct Medicaid Claim Adjustments (A-04-14-00100); Wyoming Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-15-06063); South Carolina Generally Claimed Costs on Behalf of Wateree Community Actions, Inc., That Were in Accordance With the Grants and Applicable Federal Regulations, but Wateree Mismanaged Federal Funds (A-04-14-04026)
04-06-2016: Termination of OIG Advisory Opinion No. 06-09 (terminates OIG Advisory Opinion No. 06-09, which concerned a nonprofit, tax-exempt, charitable organization's proposals to subsidize Medicare Part D premium and cost-sharing obligations owed by financially needy patients with end-stage renal disease and chronic kidney disease.); Updated CMP Background Page and CMP and Affirmative Exclusions
04-04-2016: Captured: Robert Allen Lopez, OIG Most Wanted Fugitive; Podcast: March 2016 OIG Monthly Update; Oklahoma State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-06-14-00630); Opportunities for Program Improvements Related to States' Withdrawals of Federal Medicaid Funds (A-06-14-00068)
04-01-2016: Captured Fugitives: Jorge Portillo and Tomas De Armas

March

03-31-2016: Podcast: Hospices Inappropriately Billed Medicare Over $250 Million for General Inpatient Care; Hospices Inappropriately Billed Medicare Over $250 Million for General Inpatient Care (OEI-02-10-00491); Group Health Incorporated Claimed Unallowable Medicare Pension Costs for Plan Years 2007 and 2008 (A-07-16-00475); California Improperly Claimed Enhanced Federal Reimbursement for Selected Claim Lines for Medicaid Family Planning Drugs and Supplies in Los Angeles and Orange Counties (A-09-15-02014)
03-30-2016: Updated Civil Monetary Penalties and Affirmative Exclusions
03-25-2016: Some Florida Childcare Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-04-14-08033); Some Florida Family Childcare Homes Did Not Always Comply With State Health and Safety Requirements (A-04-14-08034); Link2Health Solutions, Inc., Budgeted Costs That Were Not Appropriate and Claimed Some Unallowable Hurricane Sandy Disaster Relief Act Funds (A-02-14-02013)
03-24-2016: Updated Corporate Integrity Agreement List: Respironics, Inc.; Wisconsin Physicians Service's Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction 5 and Jurisdiction 8 Generally Did Not Comply With Medicare Requirements (A-06-15-00034); Missouri Claimed Unallowable Medicaid Payments for Individualized Supported Living Habilitation Services (A-07-14-03202); A Texas Physical Therapist Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services (A-06-14-00065)
03-23-2016: Expenses Incurred by the Rocky Boy Health Board Were Not Always Allowable or Adequately Supported (A-07-15-04221); The Medicare Contractors for Jurisdiction E Overpaid Claims for Replaced Cardiac Medical Devices When Hospitals Had Not Reported Manufacturer Credits (A-09-15-02029)
03-18-2016: Advisory Opinion 16-03 regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies; Updated Corporate Integrity Agreement List: Nacogdoches Memorial Hospital
03-17-2016: Testimony of Erin Bliss, Assistant Inspector General, Office of Inspector General, U.S. Department of Health and Human Services before the Senate Finance Committee: "HealthCare.gov: A Review of Operations and Enrollment"; Statement of Organization, Functions, and Delegations of Authority; Oregon Properly Verified Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-09-16-02007)
03-16-2016: Most Wanted Fugitive: Conrado Dizon Lopez, Jr.
03-15-2016: Medicare Compliance Review of Billings Clinic Hospital for 2012 and 2013 (A-07-15-05071); Updated Civil Monetary Penalties and Affirmative Exclusions
03-11-2016: Podcast: HealthCare.gov: CMS Management of the Federal Marketplace
03-10-2016: Not All of the Vermont Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-01-14-02507); Medicare Compliance Review of Freeman Hospital for 2011 and 2012 (A-07-14-05064)
03-09-2016: LEIE Database Updated with February 2016 Exclusions and Reinstatements; New Exclusions Waiver: Antoon, Patrick M.D.; Maryland Claimed Unallowable Costs for Medicaid Communicable Disease Care Services (A-03-14-00150); Updated Civil Monetary Penalties and Affirmative Exclusions
03-07-2016: Video Series Eye on Oversight: Child Care Safety Lapses; Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2015 (A-18-15-30300); Texas Inappropriately Received Medicaid Medical Assistance Funding for Some Costs (A-06-15-00054); Updated Corporate Integrity Agreement List: 4 CIAs Closed
03-04-2016: Podcast: February 2016 OIG Monthly Update
03-03-2016: Texas Inappropriately Claimed Medicaid Balancing Incentive Payments Program and Family Planning Funding (A-06-14-00059); Updated Civil Monetary Penalties and Affirmative Exclusions; Updated Provider Self-Disclosure Settlements
03-01-2016: Updated Corporate Integrity Agreement List: 1 CIA Added; Advisory Opinion 16-02 regarding a state academic medical center that in certain circumstances offers pregnant women: (1) transportation aid to and from the campus hospital for delivery; and (2) short-term lodging near the campus hospital

February

02-26-2016

FY 2015 Health Care Fraud and Abuse Control Program Report

South Dakota Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-15-06059)

Some of New Jersey's Claims for Medicaid Global Options for Long-Term Care Waiver Services Were Unallowable (A-02-14-01008)

Updated Stipulated Penalties and Exclusion for Material Breach

02-24-2016

Testimony of Ann Maxwell, Assistant Inspector General, Office of Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services before the Senate Special Committee on Aging

02-23-2016

HealthCare.gov: Case Study of CMS Management of the Federal Marketplace (OEI-06-14-00350)

Not All of the District of Columbia Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-03-14-03301)

02-22-2016

Medicare Compliance Review of Hennepin County Medical Center for 2012 and 2013 (A-05-14-00048)

Medicare Compliance Review of Greenville Memorial Hospital (A-04-15-03082)

Updated Civil Monetary Penalties and Affirmative Exclusions

Updated Corporate Integrity Agreement Enforcement

02-19-2016

Updated Corporate Integrity Agreement List: 1 CIA Added

HPM Foundation, Inc., Did Not Always Comply With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-02-14-02022)

Danbury Hospital Reported Overstated Wage Data Resulting in Medicare Overpayments (A-01-14-00506)

Public Summary Report: South Carolina Did Not Meet Federal Information System Security Requirements for Safeguarding Medicaid Management Information System Data and Supporting Systems (A-04-13-05049)

02-18-2016

Video: HHS OIG testifies on the Federal Medical Assistance Percentage

Nevada Misallocated Costs for Establishing a Health Insurance Marketplace to Its Establishment Grants (A-09-14-01007)

California State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-09-15-00070)

02-17-2016

Medicaid Fraud Control Units Statistical Data for Fiscal Year 2015

Public Summary Report: Connect for Health Colorado Generally Protected Personally Identifiable Information on Its Health Insurance Exchange Web Sites and Databases but Could Continue To Improve Information Security Controls (A-07-15-00454)

02-16-2016

Not All of the Minnesota Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-05-14-00043)

Updated Corporate Integrity Agreement List: 4 CIAs Added

02-12-2016

Review of Medicare Payments for Laboratory Tests Billed With an AY Modifier by Total Renal Laboratories, Inc. (A-01-14-00505)

Review of Medicare Payments for Laboratory Tests Billed With an AY Modifier by DVA Laboratory Services, Inc. (A-01-14-00508)

Health Research, Inc., Budgeted Costs That Were Appropriate and Claimed Allowable Hurricane Sandy Disaster Relief Act Funds Under Grant Number 1U01TP000567 (A-02-15-02006)

02-11-2016

CAPTURED FUGITIVE: Manuel Rodriguez Garcia

02-10-2016

Testimony of John Hagg, Director of Medicaid Audits, Office of Audit Services, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Health

LEIE Database Updated with January 2016 Exclusions and Reinstatements

Medicare Did Not Pay Selected Inpatient Claims for Bone Marrow and Stem Cell Transplant Procedures in Accordance With Medicare Requirements (A-09-14-02037)

02-09-2016