What's New
December
- 12-16-2020
- Opioids in Medicaid: Concerns About Opioid Use Among Beneficiaries in Six Appalachian States OEI-05-19-00410
- Medicare Home Health Agency Provider Compliance Audit: Total Patient Care Home Health, LLC A-06-16-05005
- HHS Operating Division Needs to Improve Controls Over Key Application to Protect Sensitive Data A-18-19-06002
- 12-15-2020
- Updated: Work Plan
- 12-14-2020
- Incidence of Adverse Events in Indian Health Service Hospitals OEI-06-17-00530
- Instances of IHS Labor and Delivery Care Not Following National Clinical Guidelines or Best Practices OEI-06-19-00190
- Although CDC Implemented Corrective Actions To Improve Oversight of the President's Emergency Plan for AIDS Relief Recipients, Some Internal Control Weaknesses Remained A-04-18-01010
- Risk Assessment Puerto Rico Medicaid Program A-02-20-01011
- Updated COVID-19 FAQs
- 12-11-2020
- New York Improved Its Monitoring of Its Personal Care Services Program But Still Made Improper Medicaid Payments of More Than $54 Million A-02-19-01016
- 12-10-2020
- Updated COVID-19 FAQs
- LEIE Database Updated with November 2020 Exclusions and Reinstatements
- Few Patients Received High Amounts of Opioids from IHS-Run Pharmacies OEI-05-18-00470
- The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2019 in Accordance With Federal Requirements A-04-20-04077
- 12-09-2020
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated Provider Self-Disclosure Settlements
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 12-08-2020
- New York Provided Projects for Assistance in Transition From Homelessness Grant Services to Ineligible Individuals and Did Not Contribute Any Required Non-Federal Funds A-02-19-02006
- 12-04-2020
- Updated: Corporate Integrity Agreements
- 12-03-2020
- Updated COVID-19 Fraud Alert
- 12-02-2020
- 2020 Fall Semiannual Report to Congress
- Press Release: HHS-OIG’s Work Could Save Taxpayers Billions of Dollars, New Report Says
- Nebraska Claimed Almost All Medicaid Payments for Targeted Case Management Services in Accordance With Federal Requirements but Claimed Some Unallowable Duplicate Payments A-07-19-03239
November
- 11-27-2020
- Florida Received Unallowable Medicaid Reimbursement for School-Based Services A-04-18-07075
- 11-24-2020
- U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, With Areas That Require Improvement A-17-20-54000
- 11-23-2020
- Opioid Treatment Programs Reported Challenges Encountered During the COVID-19 Pandemic and Actions Taken To Address Them A-09-20-01001
- Medicare Hospice Provider Compliance Audit: Hospice Compassus, Inc., of Payson, Arizona. A-02-16-01023
- Updated COVID-19 Fraud Alert
- 11-20-2020
- Final Rule: Medicare and State Health Care Programs: Fraud and Abuse; Revisions to Safe Harbors under the Anti-Kickback Statute, and Civil Monetary Penalty Rules Regarding Beneficiary Inducements
- Medicare Home Health Agency Provider Compliance Audit: The Palace at Home A-04-17-07067
- Updated: Corporate Integrity Agreements
- 11-19-2020
- Ohio Made Capitation Payments to Managed Care Organizations for Medicaid Beneficiaries With Concurrent Eligibility in Another State A-05-19-00023
- Medicare Hospital Provider Compliance Audit: Edward W. Sparrow Hospital A-05-18-00045
- 11-18-2020
- Cahaba Government Benefits Administrators, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals A-07-19-00577
- Cahaba Safeguard Administrators, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals A-07-19-00578
- Hospitals Did Not Comply With Medicare Requirements for Reporting Cardiac Device Credits A-01-18-00502
- 11-17-2020
- 2020 Top Management and Performance Challenges Facing HHS
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2020 OEI-03-21-00050
- 11-16-2020
- Updated: Work Plan
- Special Fraud Alert: Speaker Programs
- In Selected States, 67 of 100 Health Centers Did Not Use Their HRSA Access Increases in Mental Health and Substance Abuse Services Grant Funding in Accordance With Federal Requirements A-02-19-02001
- Updated: Corporate Integrity Agreements
- 11-12-2020
- Ohio Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries A-05-18-00027
- Updated: Corporate Integrity Agreements
- 11-10-2020
- Advocating for the Nation's Elder Population: Operation CARE
- Updated: Corporate Integrity Agreements
- LEIE Database Updated with October 2020 Exclusions and Reinstatements
- 11-09-2020
- Office of Refugee Resettlement Ensured That Selected Care Providers Were Prepared To Respond to the COVID-19 Pandemic A-04-20-02031
- 11-06-2020
- Cahaba Government Benefits Administrators, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals A-07-19-00575
- Cahaba Safeguard Administrators, LLC, Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals A-07-19-00576
- CMS Did Not Ensure That Medicare Hospital Payments for Claims That Included Medical Device Credits Were Reduced in Accordance With Federal Regulations, Resulting in as Much as $35 Million in Overpayments A-07-19-00560
- 11-03-2020
- Updated: Corporate Integrity Agreements
- 11-02-2020
- Medicare Home Health Agency Provider Compliance Audit: Visiting Nurse Association of Central Jersey Home Care and Hospice, Inc. A-02-17-01025
- Updated: Corporate Integrity Agreements
- 10-30-2020
- Minnesota Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations A-05-17-00018
- Medicare Hospital Provider Compliance Audit: St Francis Hospital A-05-18-00048
- 10-27-2020
- Updated: Corporate Integrity Agreements
- 10-26-2020
- Updated: Work Plan
- Massachusetts Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs A-06-18-04001
- Updated: Corporate Integrity Agreements
- 10-23-2020
- Medicare Home Health Agency Provider Compliance Audit: Gem City Home Care, LLC A-05-18-00011
- 10-16-2020
- Cedars-Sinai Medical Center: Audit of Medicare Payments for Bariatric Surgeries A-09-18-03010
- 10-15-2020
- Updated: Work Plan
- 10-13-2020
- Medicare Improperly Paid Physicians for More Than Five Spinal Facet-Joint Injection Sessions During a Rolling 12-Month Period A-09-20-03003
- 10-09-2020
- Update on Oversight of Opioid Prescribing and Monitoring of Opioid Use: States Have Taken Action To Address the Opioid Epidemic A-09-20-01000
- Updated: Fraud Risk Indicator
- 10-08-2020
- LEIE Database Updated with September 2020 Exclusions and Reinstatements
- Remarks: 2020 Health Care Fraud Takedown
- 10-07-2020
- Updated: Corporate Integrity Agreements
- 10-06-2020
- HHS Made Some Progress Toward Compliance With the Geospatial Data Act A-18-20-11500
- Colorado Improperly Claimed Millions in Enhanced Federal Medicaid Reimbursement for New Adult Group Beneficiaries Because of a Data Processing Error A-07-17-02807
- Medicare Critical Care Services Provider Compliance Audit: Clinical Practices of the University of Pennsylvania A-03-18-00003
- 10-05-2020
- Speech: Connecting the Dots: An OIG Update, by Christi A. Grimm, Principal Deputy Inspector General
- 10-02-2020
- Risk Assessment of Food and Drug Administration's Purchase Card Program A-04-19-06234
- Medicare Hospital Provider Compliance Audit: Alta Bates Summit Medical Center A-04-19-08071
- Updated: Corporate Integrity Agreements
- 10-01-2020
- Updated: Work Plan
- National Snapshot of State Agency Approaches to Child Care During the COVID-19 Pandemic A-07-20-06092
- Youth For Tomorrow - New Life Center, Inc., an Administration for Children and Families Grantee, Did Not Comply With All Applicable Federal Policies and Requirements A-03-16-00250
- 09-30-2020
- 2020 National Health Care Fraud Takedown
- 09-29-2020
- FDA's Risk Evaluation and Mitigation Strategies: Uncertain Effectiveness in Addressing the Opioid Crisis OEI-01-17-00510
- North Carolina Made Capitation Payments to Managed Care Entities After Beneficiaries' Deaths A-04-16-00112
- 09-28-2020
- Healthcare Dive Op-Ed by Christi A. Grimm: Medicare Advantage should not 'game the system' but prioritize patient care, honest billing
- Updated: Corporate Integrity Agreements
- 09-25-2020
- States Continued To Fall Short in Meeting Required Timeframes for Investigating Nursing Home Complaints: 2016-2018 OEI-01-19-00421
- 09-24-2020
- Updated: Corporate Integrity Agreements
- Connecticut Did Not Meet Federal and State Requirements for Claiming Medicaid School-Based Child Health Services for Hartford Public Schools A-01-19-00003
- CMS's Monitoring Activities for Ensuring That Medicare Accountable Care Organizations Report Complete and Accurate Data on Quality Measures Were Generally Effective, but There Were Weaknesses That Could Be Improved A-09-18-03033
- 09-23-2020
- Advisory Opinion 20-05 (regarding a pharmaceutical manufacturer's proposal to provide cost-sharing assistance directly to Medicare beneficiaries who are prescribed either of two formulations of its drug)
- CMS Should Pursue Strategies To Increase the Number of At Risk Beneficiaries Acquiring Naloxone Through Medicaid OEI-BL-18-00360
- Arkansas Medicaid Fraud Control Unit: 2019 Onsite Inspection OEI-12-19-00450
- Oregon's Oversight Did Not Ensure That Four Coordinated-Care Organizations Complied With Selected Medicaid Requirements Related to Access to Care and Quality of Care A-09-18-03035
- Updated: Corporate Integrity Agreements
- 09-22-2020
- North Carolina Should Improve Its Oversight of Selected Nursing Homes' Compliance With Federal Requirements for Life Safety and Emergency Preparedness A-04-19-08070
- Vermont Did Not Always Invoice Rebates to Manufacturers for Physician-Administered Drugs A-07-19-06086
- 09-21-2020
- Updated: Work Plan
- Updated: Corporate Integrity Agreements
- Illinois Should Improve Its Oversight of Selected Nursing Homes' Compliance With Federal Requirements for Life Safety and Emergency Preparedness A-05-18-00037
- Incorrect Acute Stroke Diagnosis Codes Submitted by Traditional Medicare Providers Resulted in Millions of Dollars in Increased Payments to Medicare Advantage Organizations A-07-17-01176
- 09-18-2020
- Updated: Corporate Integrity Agreements
- Medicare-Allowed Charges for Noninvasive Ventilators Are Substantially Higher Than Payment Rates of Select Non-Medicare Payers A-05-20-00008
- Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Nonqualified Plans Costs Through Its Incurred Cost Proposals A-07-20-00590
- 09-17-2020
- Southwest Key Programs Failed To Protect Federal Funds Intended for the Care and Placement of Unaccompanied Alien Children A-06-17-07004
- Indiana Did Not Ensure That Medicaid Payments Were Made Properly for Some Claims Identified as Having Third-Party Coverage A-05-18-00046
- Medicare Home Health Agency Provider Compliance Audit: Mercy Health Visiting Nurse Services A-05-18-00035
- 09-16-2020
- Maine Did Not Always Invoice Rebates to Manufacturers for Physician-Administered Drugs A-07-18-06079
- Group Health Incorporated Overstated Its Allowable Medicare Supplemental Executive Retirement Plan Costs for Calendar Years 2009 Through 2016 A-07-19-00582
- Group Health Incorporated Claimed Some Unallowable Medicare Postretirement Benefit Costs for Calendar Years 2009 Through 2016 A-07-19-00583
- 09-15-2020
- Updated: Work Plan
- Group Health Incorporated Overstated Its EmblemHealth Services Company, LLC, Employees' Retirement Plan Medicare Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Pension Assets as of December 31, 2015 A-07-19-00579
- Group Health Incorporated Overstated Its Local 153 Pension Plan Medicare Segment Assets and Understated Medicare's Share of the Medicare Segment Pension Assets as of August 31, 2016 A-07-19-00580
- Group Health Incorporated Did Not Claim Some Allowable Medicare Pension Costs for Calendar Years 2009 Through 2016 A-07-19-00581
- Some Manufacturers Reported Inaccurate Drug Product Data to CMS OEI-03-19-00200
- 09-14-2020
- The National Institutes of Health Should Improve Its Stewardship and Accountability Over Hardware and Software Assets A-18-19-06004
- 09-11-2020
- Baylor Scott & White—College Station: Audit of Outpatient Outlier Payments A-06-18-04003
- 09-10-2020
- LEIE Database Updated with August 2020 Exclusions and Reinstatements
- Billions in Estimated Medicare Advantage Payments From Diagnoses Reported Only on Health Risk Assessments Raise Concerns OEI-03-17-00471
- Updated: Provider Self-Disclosure Settlements
- 09-09-2020
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Audit of Medicare Part D Pharmacy Fees: Horizon Blue Cross Blue Shield, Inc. A-03-18-00007
- 09-04-2020
- Hawaii's Monitoring Generally Ensured Child Care Provider Compliance With State Criminal Background Check Requirements A-09-19-01000
- National Background Check Program for Long Term Care Providers: Assessment of State Programs Concluded in 2019 OEI-07-20-00180
- 09-03-2020
- Updated COVID-19 FAQs
- Colorado Claimed Unsupported and Incorrect Federal Medicaid Reimbursement for Beneficiaries Enrolled in the New Adult Group A-07-19-02822
- Medicare Hospital Provider Compliance Audit: Flagstaff Medical Center A-07-18-05112
- 09-02-2020
- Tribal Health Programs: Concerns About Background Verifications for Staff Working With Indian Children A-01-20-01500
- CMS Generally Met Requirements for the DMEPOS Competitive Bidding Program Round 1 Recompete A-05-16-00051
- 09-01-2020
- Indiana's Monitoring Did Not Ensure Child Care Provider Compliance With State Criminal Background Check Requirements at 17 of 30 Providers Reviewed A-05-19-00012
- Michigan Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations A-05-17-00017
- Illinois Claimed Unallowable Telemedicine Payments A-05-18-00028
- Indiana Paid $3.5 Million for Medicaid Nonemergency Medical Transport Claims That Did Not Comply With Federal and State Requirements A-05-18-00043
- 08-31-2020
- Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria Fiscal Year 2021 Inspectors General Coordinated PEPFAR Oversight Plan U.S. Department of Health and Human Services, Office of Inspector General A-04-20-01017
- 08-28-2020
- Updated: Work Plan
- Texas Relied on Impermissible Provider-Related Donations To Fund the State Share of the Medicaid Delivery System Reform Incentive Payment Program A-06-17-09002
- 08-27-2020
- Medicare Contractors Were Not Consistent in How They Reviewed Extrapolated Overpayments in the Provider Appeals Process A-05-18-00024
- 08-26-2020
- Updated: Work Plan
- CMS's Encounter Data Lack Essential Information That Medicare Advantage Organizations Have the Ability to Collect OEI-03-19-00430
- 08-25-2020
- Indiana Properly Reported Adjustments Related to the Drug Rebate Program A-05-19-00028
- 08-24-2020
- Updated: Corporate Integrity Agreements
- 08-21-2020
- Rhode Island's Monitoring Did Not Ensure Child Care Provider Compliance With State Criminal Background Check Requirements at 18 of 30 Providers Reviewed A-01-18-02505
- Updated: Corporate Integrity Agreements
- 08-20-2020
- Updated: Fraud Risk Indicator
- New Jersey Did Not Ensure That Incidents of Potential Abuse or Neglect of Medicaid Beneficiaries Residing in Nursing Facilities Were Always Properly Investigated and Reported A-02-18-01006
- 08-18-2020
- Nebraska Claimed Unallowable School-Based Administrative Costs Because of Improper Coding of Random Moment Timestudy Responses A-07-19-03234
- Medicare Home Health Agency Provider Compliance Audit: Mission Home Health of San Diego, Inc. A-09-18-03008
- 08-17-2020
- Updated: Work Plan
- Opioid Use in Medicare Part D Continued To Decline in 2019, but Vigilance Is Needed as COVID-19 Raises New Concerns OEI-02-20-00320
- Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2018 Average Sales Prices OEI-03-20-00130
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the First Quarter of 2020 OEI-03-20-00060
- 08-14-2020
- Medicare Laboratory Test Expenditures Increased in 2018, Despite New Rate Reductions (OEI-09-19-00100)
- 08-12-2020
- Visionquest Industries, Inc.: Audit of Medicare Payments for Orthotic Braces A-09-19-03010
- Medicare Home Health Agency Provider Compliance Audit: Condado Home Care Program, Inc. A-02-17-01022
- 08-11-2020
- OIG's Top Unimplemented Recommendations: Solutions To Reduce Fraud, Waste, and Abuse in HHS Programs
- 08-10-2020
- Desoto Home Health Care, Inc.: Audit of Medicare Payments for Orthotic Braces A-09-19-03021
- 08-07-2020
- Inadequate Edits and Oversight Caused Medicare To Overpay More Than $267 Million for Hospital Inpatient Claims With Post-Acute-Care Transfers to Home Health Services A-04-18-04067
- 08-06-2020
- LEIE Database Updated with July 2020 Exclusions and Reinstatements
- Some Nursing Homes' Reported Staffing Levels in 2018 Raise Concerns; Consumer Transparency Could Be Increased OEI-04-18-00450
- Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2019 A-18-20-11300
- Updated: Corporate Integrity Agreements
- 08-05-2020
- Updated: Provider Self-Disclosure Settlements
- Updated: Corporate Integrity Agreements
- 08-04-2020
- Updated COVID-19 FAQs
- 08-03-2020
- Emergency Response Toolkits: Key Insights and Lessons Learned
- 07-31-2020
- North Carolina Did Not Ensure That Nursing Facilities Always Reported Allegations of Potential Abuse and Neglect of Medicaid Beneficiaries and Did Not Always Prioritize Allegations Timely A-04-17-04063
- 07-30-2020
- Kansas Did Not Ensure That Group Homes for Children in Foster Care Complied With All State Health and Safety Requirements A-07-19-06087
- Factsheet: Ohio's Oversight of Opioid Prescribing and Monitoring of Opioid Use A-05-19-00036
- UPDATED: FAQs–Application of OIG's Administrative Enforcement Authorities to Arrangements Directly Connected to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency
- 07-29-2020
- The New York State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries' Deaths A-04-19-06223
- 07-28-2020
- New Jersey's Monitoring Did Not Ensure Child Care Provider Compliance With State Criminal Background Check Requirements at 9 of 30 Providers Reviewed A-02-19-02004
- 07-27-2020
- Updated: Work Plan
- Updated Corporate Integrity Agreements
- 07-24-2020
- Utah's Monitoring Process Generally Ensured Child Care Provider Compliance With State Criminal Background Check Requirements A-07-19-06085
- On-Site Psychological Services, P.C.: Audit of Medicare Payments for Psychotherapy Services A-02-19-01012
- Alaska Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs A-09-19-02001
- Advisory Opinion 20-04 (regarding a charitable organization's proposal to purchase or receive donations of unpaid medical debt owed by qualifying patients from certain types of health care providers and then forgive that debt)
- Updated Corporate Integrity Agreements
- 07-23-2020
- CMS Could Have Saved $192 Million by Targeting Home Health Claims for Review With Visits Slightly Above the Threshold That Triggers a Higher Medicare Payment A-09-18-03031
- HRSA's Monitoring Did Not Always Ensure Health Centers' Compliance With Federal Requirements for HRSA's Access Increases In Mental Health and Substance Abuse Services Supplemental Grant Funding A-02-18-02010
- 07-22-2020
- FY 2019 Health Care Fraud and Abuse Control Program Report
- 07-16-2020
- CMS Did Not Administer and Manage Strategic Communications Services Contracts in Accordance With Federal Requirements A-12-19-20003
- Ohio Did Not Ensure the Accuracy and Completeness of Psychotropic and Opioid Medication Information Recorded in Its Child Welfare Information System for Children in Foster Care A-05-18-00007
- 07-15-2020
- Updated: Work Plan
- Hospitals Overbilled Medicare $1 Billion by Incorrectly Assigning Severe Malnutrition Diagnosis Codes to Inpatient Hospital Claims A-03-17-00010
- Updated Corporate Integrity Agreements
- 07-14-2020
- Medicaid Data Can Be Used To Identify Instances of Potential Child Abuse or Neglect A-01-19-00001
- 07-13-2020
- Texas Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities A-06-17-04003
- Updated Corporate Integrity Agreements
- 07-10-2020
- LEIE Database Updated with June 2020 Exclusions and Reinstatements
- Sharon Baptist Head Start Claimed Unallowable Rent and Failed To Return Embezzled Funds A-02-17-02003
- 07-09-2020
- Updated Corporate Integrity Agreements
- 07-08-2020
- Freedom Orthotics, Inc.: Audit of Medicare Payments for Orthotic Braces A-09-19-03012
- Loophole in Drug Payment Rule Continues To Cost Medicare and Beneficiaries Hundreds of Millions of Dollars OEI-BL-20-00100
- Updated: Fraud Risk Indicator
- Updated: Provider Self-Disclosure Settlements
- 07-07-2020
- 2019 Performance Data for the Senior Medicare Patrol Projects OEI-02-20-00150
- Updated Corporate Integrity Agreements
- 07-02-2020
- Updated Corporate Integrity Agreements
- Updated: Work Plan
- 07-01-2020
- Advisory Opinion 20-03 (regarding an arrangement under which a discount medical plan organization ("DMPO") pays chiropractors and chiropractic clinics a fee for each new DMPO member referred by the chiropractor or chiropractic clinic)
- 06-30-2020
- Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2020 OEI-05-20-00190
- 06-26-2020
- Hawaii Medicaid Fraud Control Unit: 2019 Onsite Review OEI-06-19-00110
- Updated: Fraud Risk Indicator
- 06-23-2020
- Updated: Work Plan
- 06-19-2020
- Updated Corporate Integrity Agreements
- 06-18-2020
- Unaccompanied Alien Children Program Care Provider Facilities Do Not Include All Required Security Measures in Their Checklists OEI-05-19-00210
- The Office of Refugee Resettlement's Incident Reporting System Is Not Effectively Capturing Data To Assist Its Efforts To Ensure the Safety of Minors in HHS Custody OEI-09-18-00430
- Press Release: HHS-OIG: Significant Incidents Involving Unaccompanied Children Not Effectively Captured in Reporting System; Facility Physical Security Inspection Checklists Need Improvement
- View a timeline detailing OIG's national review of the UAC Program
- 06-15-2020
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated: Work Plan
- 06-10-2020
- LEIE Database Updated with May 2020 Exclusions and Reinstatements
- Updated Provider Self-Disclosure Settlements
- 06-09-2020
- Updated Corporate Integrity Agreements
- 06-08-2020
- Texas Telemedicine Services Were Provided in Accordance with State Requirements A-06-18-05001
- Medicare Hospital Provider Compliance Audit: The Ohio State University Hospital A-05-18-00042
- 06-05-2020
- HHS Should Address Gaps in Incident Response Capabilities Across the Department A-18-17-04002
- 06-04-2020
- Updated Corporate Integrity Agreements
- 06-03-2020
- The National Cancer Institute Needs To Strengthen Procedures in Its Pre-Award Process To Assess Risk for Higher Risk Applicants A-03-19-03004
- New Jersey Did Not Ensure That Its Managed Care Organizations Adequately Assessed and Covered Medicaid Beneficiaries' Needs for Long-Term Services and Supports A-02-17-01018
- 06-01-2020
- Spring 2020 Semiannual Report to Congress
- 05-28-2020
- Updated Corporate Integrity Agreements
- 05-27-2020
- The National Eye Institute Generally Had Adequate Procedures To Assess an Applicant's Risk During the Pre-Award Process A-05-19-00017
- 05-26-2020
- COVID-19 Response Strategic Plan
- Opening Statement for Christi Grimm, Principal Deputy Inspector General, Office of Inspector General, U.S. House Committee on Oversight and Reform: Oversight Related to Coronavirus Response Efforts
- 05-22-2020
- Updated: Work Plan
- Updated Corporate Integrity Agreements
- 05-14-2020
- UPDATED: FAQs–Application of OIG's Administrative Enforcement Authorities to Arrangements Directly Connected to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency
- 05-13-2020
- Updated Corporate Integrity Agreements
- 05-12-2020
- 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 2019 A-17-20-52000
- 05-08-2020
- LEIE Database Updated with April 2020 Exclusions and Reinstatements
- UPDATED: FAQs–Application of OIG's Administrative Enforcement Authorities to Arrangements Directly Connected to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency
- HHS Operating Division Needs to Improve Security Controls to More Effectively Prevent Cyberattacks A-18-18-08400
- 05-07-2020
- HHS OIG Toolkits for Calculating Opioid Levels and Identifying Patients At Risk of Misuse or Overdose
- Medicare Part D Beneficiaries at Serious Risk of Opioid Misuse or Overdose: A Closer Look OEI-02-19-00130
- Updated Provider Self-Disclosure Settlements
- 05-06-2020
- Updated Corporate Integrity Agreements
- 05-05-2020
- Illinois' Monitoring Did Not Ensure Childcare Provider Compliance With State Criminal Background Check Requirements at 12 of 30 Providers Reviewed A-05-19-00016
- Medicare Made $11.7 Million in Overpayments for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient Stays A-01-17-00508
- 05-04-2020
- Selected Health Care Coalitions Increased Involvement in Whole Community Preparedness But Face Developmental Challenges Following New Requirements in 2017 OEI-04-18-00080
- 05-01-2020
- North Carolina Received $30 Million in Excess Federal Funds Related to Improperly Claimed Health Home Expenditures A-04-18-00120
- UPDATED: FAQs–Application of OIG's Administrative Enforcement Authorities to Arrangements Directly Connected to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency
- 04-30-2020
- Updated Corporate Integrity Agreements
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 04-28-2020
- Updated: Work Plan
- 04-24-2020
- UPDATED: FAQs–Application of OIG's Administrative Enforcement Authorities to Arrangements Directly Connected to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency
- 04-23-2020
- UPDATED: FAQs–Application of OIG's Administrative Enforcement Authorities to Arrangements Directly Connected to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency
- 04-22-2020
- Grand Desert Psychiatric Services: Audit of Medicare Payments for Psychotherapy Services A-09-19-03018
- Recommendation Followup: Michigan Did Not Report and Refund the Full Federal Share of Medicaid Overpayments A-05-18-00022
- 04-21-2020
- Grants, Contracts, and Other Agreements: Fraud and Abuse; Information Blocking; Office of Inspector General's Civil Money Penalty Rules
- Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs A-07-20-00589
- Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Medicare Pension Costs A-07-20-00588
- Companion Data Services, LLC, Overstated Its Medicare Segment Pension Assets as of January 1, 2017 A-07-20-00587
- Palmetto Government Benefits Administrator, LLC, Overstated Its Medicare Segment Pension Assets as of January 1, 2017 A-07-20-00586
- HHS Operating Division Needs to Improve Information Technology Continuity Planning A-18-18-04005
- 04-20-2020
- Cape Cod Child Development Program Did Not Meet Its Head Start Non-Federal Share Obligations A-01-19-02500
- Updated Corporate Integrity Agreements
- 04-17-2020
- Updated Corporate Integrity Agreements
- 04-15-2020
- Mississippi Needs To Improve Oversight of Its Child Care Payment Program A-07-18-04111
- 96 Percent of South Carolina's Medicaid Fee-for-Service Telemedicine Payments Were Insufficiently Documented or Otherwise Unallowable A-04-18-00122
- Updated Corporate Integrity Agreements
- Updated: Work Plan
- 04-14-2020
- Medicare Home Health Agency Provider Compliance Audit: Residential Home Health A-05-16-00063
- Updated Corporate Integrity Agreements
- 04-13-2020
- An Estimated 87 Percent of Inpatient Psychiatric Facility Claims With Outlier Payments Did Not Meet Medicare's Medical Necessity or Documentation Requirements A-01-16-00508
- Most Indian Health Service Purchased/Referred Care Program Claims Were Not Reviewed, Approved, and Paid in Accordance With Federal Requirements
- 04-10-2020
- LEIE Database Updated with March 2020 Exclusions and Reinstatements
- 04-09-2020
- New York Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations A-02-18-01016
- Iowa Inadequately Monitored Its Medicaid Health Home Providers, Resulting in Tens of Millions in Improperly Claimed Reimbursement A-07-18-04109
- Updated Fraud Risk Indicator
- 04-07-2020
- Updated Corporate Integrity Agreements
- Updated Provider Self-Disclosure Settlements
- Updated CIA Reportable Events
- Updated: Work Plan
- 04-06-2020
- Hospital Experiences Responding to the COVID-19 Pandemic: Results of a National Pulse Survey March 23-27, 2020 OEI-06-20-00300
- The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2018 in Accordance With Federal Requirements A-04-19-04072
- Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2019 A-18-19-11200
- New Hampshire's Monitoring Did Not Ensure Childcare Provider Compliance With State Criminal Background Check Requirements at 21 of 30 Providers Reviewed A-01-18-02504
- 04-03-2020
- OIG Policy Statement Regarding Application of Certain Administrative Enforcement Authorities Due to Declaration of Coronavirus Disease 2019 (COVID-19) Outbreak in the United States as a National Emergency
- FAQs–Application of OIG's Administrative Enforcement Authorities to Arrangements Directly Connected to the Coronavirus Disease 2019 (COVID-19) Public Health Emergency
- NIH Has Acted To Protect Confidential Information Handled by Peer Reviewers, But It Could Do More OEI-05-19-00240
- 04-01-2020
- States Could Do More To Prevent Terminated Providers From Serving Medicaid Beneficiaries OEI-03-19-00070
- Twenty-Three States Reported Allowing Unenrolled Providers To Serve Medicaid Beneficiaries OEI-05-19-00060
- 03-31-2020
- New York's Oversight of Medicaid Managed Care Organizations Did Not Ensure Providers Complied With Health and Safety Requirements at 18 of 20 Adult Day Care Facilities Reviewed A-02-18-01027
- Medicare Hospital Provider Compliance Audit: Forbes Hospital A-03-18-00005
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated CIA Reportable Events
- 03-30-2020
- OIG Strategic Plan 2020–2025
- Message from leadership on minimizing burdens on providers
- Iowa Did Not Comply With Federal and State Requirements for Major Incidents Involving Medicaid Members With Developmental Disabilities A-07-18-06081
- 03-27-2020
- At A Glance: Medicaid Fraud Control Units Fiscal Year 2019 Annual Report
- Medicare Dialysis Services Provider Compliance Review: Bio-Medical Applications of Arecibo, Inc. A-02-17-01016
- Risk Assessment of HHS Grant Closeout Procedures A-04-19-08072
- Updated Corporate Integrity Agreements
- 03-26-2020
- Most of the Non-Newly Eligible Beneficiaries for Whom Colorado Made Medicaid Payments Met Federal and State Requirements, but Documentation Supporting That All Eligibility Requirements Were Verified Properly Was Not Always in Place A-07-18-02812
- Office of Counsel inquiries should be directed to officeofcounsel@oig.hhs.gov
- 03-24-2020
- FAQ: Waiving Telehealth Cost-Sharing During COVID-19 Outbreak
- Florida Made Almost $4 Million in Unallowable Capitation Payments for Beneficiaries Assigned Multiple Medicaid ID Numbers A-04-18-07080
- Updated Corporate Integrity Agreements
- 03-23-2020
- Fraud Alert: COVID-19 Scams
- Montana Medicaid Fraud Control Unit: 2019 Onsite Inspection OEI-12-19-00170
- Updated: Work Plan
- 03-20-2020
- Updated Corporate Integrity Agreements
- 03-19-2020
- CMS Could Take Actions To Help States Comply With Federal Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions A-09-18-02004
- 03-18-2020
- States' Use of Grant Funding for a Targeted Response to the Opioid Crisis OEI-BL-18-00460
- 03-17-2020
- Waiving Telehealth Cost-Sharing During COVID-19 Outbreak
- Missouri Should Improve Its Oversight of Selected Nursing Homes' Compliance With Federal Requirements for Life Safety and Emergency Preparedness A-07-18-03230
- 03-16-2020
- The National Institutes of Health Has Controls to Mitigate the Risk That Grantees Receive Duplicate Grant Funding A-02-19-02002
- Updated Corporate Integrity Agreements
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated: Work Plan
- 03-11-2020
- Updated Corporate Integrity Agreements
- 03-10-2020
- LEIE Database Updated with February 2020 Exclusions and Reinstatements
- Factsheet: Kentucky's Oversight of Opioid Prescribing and Monitoring of Opioid Use A-04-19-02022
- SAMHSA's Oversight of Accreditation Bodies for Opioid Treatment Programs Did Not Comply With Some Federal Requirements A-09-18-01007
- Key Medicare Tools To Safeguard Against Pharmacy Fraud and Inappropriate Billing Do Not Apply to Part D OEI-02-15-00440
- Florida Should Improve Its Oversight of Selected Nursing Homes' Compliance With Federal Requirements for Life Safety and Emergency Preparedness A-04-18-08065
- 03-09-2020
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2019 OEI-03-20-00040
- 03-05-2020
- Communication and Management Challenges Impeded HHS's Response to the Zero-Tolerance Policy OEI-BL-18-00510
- Press Release: HHS OIG: Communication and Management Challenges Impeded HHS's Response to Zero-Tolerance Policy
- 03-04-2020
- Medicare Hospital Provider Compliance Audit: Saint Francis Health Center A-07-17-05102
- Updated Provider Self-Disclosure Settlements
- 03-03-2020
- New Mexico's Monitoring of Childcare Providers Generally Ensured Provider Compliance With State Criminal Background Check Requirements at 30 Childcare Providers Reviewed A-06-19-07001
- The Centers for Medicare & Medicaid Services Did Not Identify and Report Potential Antideficiency Act Violations for 12 Contracts Used To Establish the Federal Marketplace Under the Affordable Care Act A-03-16-03001
- Updated Corporate Integrity Agreements
- 03-02-2020
- CHI St. Vincent Infirmary: Audit of Outpatient Outlier Payments A-06-16-01002
- National Institutes of Health Had Information Technology Control Weaknesses Surrounding Its Electronic Health Record System A-18-19-06003
- 02-27-2020
- Testimony of Suzanne Murrin, Deputy Inspector General, Office of Evaluation and Inspections, Office of Inspector General, U.S. House Committee on Appropriations, Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies: Oversight of the Food and Drug Administration
- 02-26-2020
- Ownership—But Not Physical Movement—of Selected Drugs Can Be Traced Through the Supply Chain OEI-05-17-00460
- New York Made Unallowable Payments Totaling More Than $10 Million for Managed Care Beneficiaries Assigned Multiple Medicaid Identification Numbers A-02-18-01020
- New York Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs A-02-18-01011
- 02-24-2020
- OCIG Job Posting: Senior Counsel for Exclusions
(Washington, DC) - Deadline 02/28/2020 - 02-21-2020
- Updated Corporate Integrity Agreements
- 02-20-2020
- Michigan Made Capitation Payments to Managed Care Entities After Beneficiaries' Deaths A-05-17-00048
- 02-18-2020
- Opportunities for Williamson and Burnet Counties Had Ineffective Accounting Controls and Used Unapproved or Questionable Cost Allocation Methods A-06-18-02002
- Updated: Work Plan
- 02-14-2020
- The Majority of Providers Reviewed Used Medicare Part D Eligibility Verification Transactions for Potentially Inappropriate Purposes A-05-17-00020
- Georgia's Monitoring of Childcare Providers Ensured Provider Compliance With State Criminal Background Check Requirements A-04-19-03580
- 02-13-2020
- The Indiana State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries' Deaths A-05-19-00007
- Wateree Community Actions, Inc., Made Improvements but Still Requires Monitoring A-04-19-08069
- New York Followed Its Approved Methodology for Claiming Enhanced Medicaid Reimbursement Under the Community First Choice Option A-02-17-01015
- 02-12-2020
- The Federal Marketplace Properly Determined Individuals' Eligibility for Enrollment in Qualified Health Plans but Improperly Determined That an Estimated 3 Percent of Individuals Were Eligible for Insurance Affordability Programs A-09-18-01000
- 02-10-2020
- FY 2021 Congressional Budget Justification
- LEIE Database Updated with January 2020 Exclusions and Reinstatements
- Life Safety and Emergency Preparedness Deficiencies Found at 18 of 20 Texas Nursing Homes A-06-19-08001
- Job Opening: Associate Counsel for Exclusions (Washington, DC)
- 02-06-2020
- New York Claimed Tens of Millions of Dollars for Opioid Treatment Program Services That Did Not Comply With Medicaid Requirements Intended To Ensure the Quality of Care Provided to Beneficiaries A-02-17-01021
- Updated Provider Self-Disclosure Settlements
- 02-04-2020
- Missouri Medicaid Fraud Control Unit: 2018 Onsite Inspection OEI-12-18-00490
- 02-03-2020
- Geographic Disparities Affect Access to Buprenorphine Services for Opioid Use Disorder OEI-12-17-00240
- 01-30-2020
- More Than One-Third of New Jersey's Federal Medicaid Reimbursement for Providing Community-Based Treatment Services Was Unallowable A-02-17-01020
- 01-29-2020
- Medicare Market Shares of Diabetes Test Strips From April Through June 2019 OEI-04-19-00481
- 01-27-2020
- The National Institutes of Health Submitted OIG Clearance Documents for Just Over One-Half of Its Audit Recommendations, and the Remaining 225 Recommendations Were Unresolved as of September 30, 2016 A-07-19-03236
- CMS's Implementation of a 2014 Policy Change Resulted in Improvements in the Reporting of Coverage Gap Discounts Under Medicare Part D A-07-16-06067
- Tennessee's Monitoring Ensured Compliance With Criminal Background Check Requirements at 28 of the 30 Childcare Providers Reviewed A-04-19-02023
- 01-24-2020
- Advisory Opinion 20-02 (regarding financial assistance for travel, lodging, and other expenses provided by a pharmaceutical manufacturer to certain patients prescribed the manufacturer's drug)
- 01-23-2020
- Updated Corporate Integrity Agreements
- 01-22-2020
- Pennsylvania Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities A-03-17-00202
- Updated Corporate Integrity Agreements
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 01-17-2020
- Florida's Refugee Medical Assistance Payments Were Generally Allowable A-04-18-02010
- Novitas Solutions, Inc. Needs Enhanced Guidance and Provider Education Related to Phlebotomy Travel Allowances A-06-17-04002
- Letter to Office of Management and Budget Director to Meet Requirements of Government Charge Card Abuse Prevention Act of 2012 Regarding Agency Progress Implementing Recommendations on Charge-Card-Related Findings A-04-19-06232
- 01-16-2020
- CMS's Controls Over Assigning Medicare Beneficiary Identifiers and Mailing New Medicare Cards Were Generally Effective but Could Be Improved in Some Areas A-09-19-03003
- 01-15-2020
- Updated Corporate Integrity Agreements
- Updated: Work Plan
- 01-14-2020
- New York Improperly Claimed Medicaid Reimbursement for Some Bridges to Health Waiver Program Services That Were Not in Accordance With an Approved Plan of Care and Did Not Meet Documentation Requirements A-02-18-01003
- 01-13-2020
- Advisory Opinion 20-01 (regarding a hospital's provision of discounted training to a specified fire department's personnel at the hospital's facility)
- 01-10-2020
- LEIE Database Updated with December 2019 Exclusions and Reinstatements
- Updated Provider Self-Disclosure Settlements
- 01-06-2020
- Updated Corporate Integrity Agreements
- 01-03-2020
- Updated Corporate Integrity Agreements
- 12-23-2019
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 12-20-2019
- Indian Health Service Has Strengthened Patient Protection Policies but Must Fully Integrate Them Into Practice and Organizational Culture OEI-06-19-00330
- 12-18-2019
- Video: Healthcare Fraud: What You Need To Know
- 12-17-2019
- Advisory Opinion 19-06 (regarding a supermarket's proposal to expand its current loyalty program to allow customers to earn rewards points on out-of-pocket costs paid in connection with pharmacy purchases)
- 12-16-2019
- Eye on Oversight: 2019 Year in Review
- CMS Made an Estimated $93.6 Million in Incorrect Medicare Electronic Health Record Incentive Payments to Acute-Care Hospitals, or Less Than 1 Percent of $10.8 Billion in Total Incentive Payments A-09-18-03020
- California Made Progress Toward Achieving Program Goals for Enhancing Its Prescription Drug Monitoring Program A-09-18-01006
- Medicare Home Health Agency Provider Compliance Audit: Palos Community Hospital Home Health Agency A-05-17-00022
- Updated: Work Plan
- 12-13-2019
- Medicare Hospital Provider Compliance Audit: Texas Health Presbyterian Hospital Dallas A-04-18-08068
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 12-12-2019
- Billions in Estimated Medicare Advantage Payments From Chart Reviews Raise Concerns OEI-03-17-00470
- Updated Corporate Integrity Agreements
- 12-10-2019
- LEIE Database Updated with November 2019 Exclusions and Reinstatements
- 12-06-2019
- Medicare Hospital Provider Compliance Audit: St. Vincent Hospital A-05-18-00040
- 12-04-2019
- Factsheet: Alabama's Oversight of Opioid Prescribing and Monitoring of Opioid Use A-04-19-00125
- Pathways for Children Needs To Strengthen Documentation Requirements A-01-18-02503
- Updated Corporate Integrity Agreements
- 12-03-2019
- Medicare Hospital Provider Compliance Audit: Northwest Medical Center A-04-18-08064
- Medicare Hospital Provider Compliance Audit: Carolinas Hospital A-04-18-08063
- 12-02-2019
- Fall 2019 Semiannual Report to Congress
- OIG Fiscal Year 2019 Semiannual Report Reveals Taxpayers Could See Nearly $5.9 Billion Returned to Government
- 11-27-2019
- Hospitals Received Millions in Excessive Outlier Payments Because CMS Limits the Reconciliation Process A-05-16-00060
- 11-26-2019
- Noridian Healthcare Solutions, LLC, Did Not Claim Allowable Medicare Nonqualified Costs A-07-19-00574
- Noridian Healthcare Solutions, LLC, Did Not Claim Allowable Medicare Nonqualified Costs Through Its Incurred Cost Proposals A-07-19-00573
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 11-25-2019
- Cahaba Safeguard Administrators, LLC, Properly Updated the Medicare Segment Pension Assets as of January 1, 2017 A-07-19-00571
- Cahaba Government Benefits Administrators, LLC, Overstated Its Medicare Segment Pension Assets as of January 1, 2017 A-07-19-00570
- 11-22-2019
- Highlands of Little Rock West Markham Holdings, LLC: Audit of Documentation of Therapy Resource Utilization Groups A-06-18-08003
- Updated Corporate Integrity Agreements
- 11-21-2019
- Registered Nurses Did Not Always Visit Medicare Beneficiaries' Homes At Least Once Every 14 Days To Assess The Quality of Care and Services Provided by Hospice Aides A-09-18-03022
- 11-19-2019
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2019 (OEI-03-20-00070)
- 11-18-2019
- 2019 Top Management & Performance Challenges Facing HHS
- 11-15-2019
- Updated Corporate Integrity Agreements
- Updated: Work Plan
- 11-14-2019
- Eye on Oversight - The New HHS OIG Hotline
- Statement for the Record: Office of Inspector General, U.S. Department of Health and Human Services: U.S. House Committee on Ways and Means: Caring for Aging Americans
- New Jersey Improperly Claimed Tens of Millions for Medicaid School-Based Administrative Costs Based on Random Moment Sampling That Did Not Meet Federal Requirements A-02-17-01006
- California Should Improve Its Oversight of Selected Nursing Homes' Compliance With Federal Requirements for Life Safety and Emergency Preparedness A-09-18-02009
- The University of Minnesota Complied With Federal Requirements To Perform Risk Assessments and Monitor Subrecipients A-05-18-00015
- 11-12-2019
- Medicare Made Hundreds of Thousands of Dollars in Overpayments for Chronic Care Management Services A-07-17-05101
- Updated Corporate Integrity Agreements
- 11-08-2019
- Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs A-07-19-00569
- Noridian Healthcare Solutions, LLC, Did Not Claim Some Allowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals A-07-19-00568
- Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Postretirement Benefit Assets A-07-19-00567
- Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals A-07-18-00550
- Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Pension Costs A-07-18-00548
- Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Pension Assets A-07-18-00547
- Updated Corporate Integrity Agreements
- 11-06-2019
- Medicare Improperly Paid Acute-Care Hospitals $54.4 Million for Inpatient Claims Subject to the Post-Acute-Care Transfer Policy A-09-19-03007
- Updated CIA Reportable Events
- Updated Provider Self-Disclosure Settlements
- 11-05-2019
- Audit of Medicare Part D Pharmacy Fees: Geisinger Health Systems, Inc. A-03-18-00006
- 11-04-2019
- LEIE Database Updated with October 2019 Exclusions and Reinstatements
- Medicare Allowable Amounts for Certain Orthotic Devices Are Not Comparable With Payments Made by Select Non-Medicare Payers A-05-17-00033
- Medicare Improperly Paid Suppliers an Estimated $92.5 Million for Inhalation Drugs A-09-18-03018
- Medicare Home Health Agency Provider Compliance Review: Angels Care Home Health A-07-16-05093
- 10-31-2019
- Tennessee Made Unallowable Capitation Payments for Beneficiaries Assigned Multiple Medicaid Identification Numbers A-04-18-07079
- Texas Did Not Ensure That Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions (A-06-16-01001)
- 10-30-2019
- Testimony of Brian P. Ritchie, Assistant Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services: U.S. Senate Committee on Finance, Subcommittee on Health Care: Medicaid: Compliance with Eligibility Requirements
- 10-28-2019
- U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, With Areas That Require Improvement A-17-19-54000
- Rhode Island Hospital Submitted Some Inaccurate Wage Data A-01-17-00509
- The Centers for Medicare & Medicaid Services Could Improve Its Processes for Evaluating and Reporting Payment Recovery Savings Associated With the Fraud Prevention System A-01-15-00510
- 10-25-2019
- Updated Corporate Integrity Agreements
- 10-24-2019
- Testimony of Gary Cantrell, Deputy Inspector General for Investigations, Office of Investigations, Office of Inspector General, U.S. Department of Health and Human Services: U.S. Senate Committee on Finance: OIG's Efforts to Address the Prescribing and Treatment Dimensions of the Opioid Crisis
- 10-23-2019
- Sunshine ACO, LLC, Generally Reported Complete and Accurate Data on Quality Measures Through the CMS Web Portal, but There Were a Few Reporting Deficiencies That Did Not Affect the Overall Quality Performance Score (A-09-18-03019)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-22-2019
- Trends in Nursing Home Complaints (2016-2018)
- 10-21-2019
- New York State Claimed Federal Reimbursement for Unallowable Childcare Subsidies Paid to New York City (A-02-17-02010)
- 10-15-2019
- Updated Fraud Risk Indicator
- Updated: Work Plan
- 10-10-2019
- LEIE Database Updated with September 2019 Exclusions and Reinstatements
- Updated CIA Reportable Events
- Updated Provider Self-Disclosure Settlements
- 10-09-2019
- Revisions to the Safe Harbors Under the Anti-Kickback Statute and Civil Monetary Penalty Rules Regarding Beneficiary Inducements
- Wisconsin Physicians Service Needs Enhanced Guidance and Provider Education Related to Phlebotomy Travel Allowances (A-06-17-04005)
- Updated Corporate Integrity Agreements
- Updated State False Claims Act Review Letters
- 10-08-2019
- Updated Corporate Integrity Agreements
- 10-04-2019
- The Next Door Foundation Claimed Unallowable Indirect Costs and Did Not Document the Funding Source of Program Expenditures in Accordance With Federal Requirements (A-05-18-00008)
- 10-03-2019
- The Minnesota State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries' Deaths (A-05-17-00049)
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-02-2019
- California Needs To Improve Oversight of Community-Based Adult Services Providers' Compliance With Health and Safety and Administrative Requirements (A-09-18-02002)
- 10-01-2019
- National Government Services, Inc., Did Not Claim Some Medicare Postretirement Benefit Plan Costs Through Its Incurred Cost Proposals (A-07-19-00566)
- National Government Services, Inc., Claimed Some Unallowable Medicare Nonqualified Plans Costs Through Its Incurred Cost Proposals (A-07-19-00572)
- Updated Corporate Integrity Agreements
- Spring and Summer Internship Applications
- 09-30-2019
- National Government Services, Inc., Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals (A-07-19-00564)
- National Government Services, Inc., Claimed Some Unallowable Medicare Supplemental Executive Retirement Plan Costs Through Its Incurred Cost Proposals (A-07-19-00565)
- 09-27-2019
- Nationwide Genetic Testing Fraud
- NIH Has Made Strides in Reviewing Financial Conflicts of Interest in Extramural Research, But Could Do More (OEI-03-19-00150)
- Vetting Peer Reviewers at NIH's Center for Scientific Review: Strengths and Limitations (OEI-01-19-00160)
- Patient Safety Organizations: Hospital Participation, Value, and Challenges (OEI-01-17-00420)
- The National Institutes of Health Has Limited Policies, Procedures, and Controls in Place for Helping To Ensure That Institutions Report All Sources of Research Support, Financial Interests, and Affiliations (A-03-19-03003)
- Updated Corporate Integrity Agreements
- 09-26-2019
- Department of Health and Human Services Had Email Requirements for Political Appointees, but Office of the Secretary Lacked Effective Monitoring and Enforcement (A-18-18-11050)
- The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2017 in Accordance With Federal Requirements (A-04-19-04071)
- National Government Services, Inc., Claimed Some Unallowable Medicare Nonqualified Plans Costs Through Its Final Administrative Cost Proposals (A-07-19-00563)
- National Government Services, Inc., Claimed Some Unallowable Supplemental Executive Retirement Plan Costs Through Its Final Administrative Cost Proposals (A-07-18-00551)
- 09-24-2019
- CMS Paid Over $277 Million in Unallowable CHIPRA Bonus Payments Based on Incorrect Enrollment Data (A-04-17-08061)
- 09-23-2019
- Ohio Made Medicaid Capitation Payments That Were Duplicative or Were Improper Based on Beneficiary Eligibility Status or Demographics (A-05-16-00061)
- Opioid Use in Medicare Part D in Missouri (OEI-02-19-00391)
- Arrested Deadbeat: Charles Hefner
- 09-20-2019
- Reasonable Assumptions in Manufacturer Reporting of AMPs and Best Prices (OEI-12-17-00130)
- 09-19-2019
- Testimony of Ann Maxwell, Assistant Inspector General, Office of Inspector General, Office of Evaluation and Inspections, U.S. Department of Health and Human Services: U.S. House Committee on Energy & Commerce: HHS-OIG Oversight of the Unaccompanied Alien Children Program
- Some Medicare Part D Beneficiaries Face Avoidable Extra Steps That Can Delay or Prevent Access to Prescribed Drugs (OEI-09-16-00411)
- Texas Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-06-17-04001)
- 09-18-2019
- Testimony of Ann Maxwell, Assistant Inspector General, Office of Inspector General, Office of Evaluation and Inspections, U.S. Department of Health and Human Services: U.S. House Committee on Appropriations: HHS-OIG Oversight of the Unaccompanied Alien Children Program
- Medicare's Oversight of Ambulatory Surgery Centers (OEI-01-15-00400)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated CIA Reportable Events
- 09-16-2019
- Provider Shortages and Limited Availability of Behavioral Health Services in New Mexico's Medicaid Managed Care (OEI-02-17-00490)
- Medicare Incorrectly Paid Providers for Emergency Ambulance Transports From Hospitals to Skilled Nursing Facilities (A-09-18-03030)
- Updated: Work Plan
- 09-13-2019
- Rebates for Brand Name Drugs in Part D Substantially Reduced the Growth in Spending from 2011 to 2015 (OEI-03-19-00010)
- Updated Provider Self-Disclosure Settlements
- Updated Grantee Self-Disclosure Protocol
- 09-12-2019
- Vermont's Office of Child Support Needs Better Oversight Over Its Administrative Costs Claimed (A-01-18-02501)
- 09-11-2019
- Advisory Opinion 19-05 (regarding a proposed purchase of real estate from a limited liability company owned, in part, by an excluded individual)
- 09-10-2019
- The Centers for Medicare & Medicaid Services Could Use Comprehensive Error Rate Testing Data To Identify High-Risk Home Health Agencies (A-05-17-00035)
- Advisory Opinion 19-04 (regarding a technology company's proposal to make visible to Federal health care program beneficiaries: (i) its online healthcare directory for searching and booking medical appointments, where healthcare professionals pay, or would pay, per-click or per-booking fees to be listed in the directory; and (ii) sponsored advertisements on its online healthcare directory and third-party websites, where healthcare professionals pay, or would pay, per-impression or per-click fees for such sponsored advertisements (the "Proposed Arrangement"))
- 09-06-2019
- LEIE Database Updated with August 2019 Exclusions and Reinstatements
- 09-05-2019
- Twin Palms Received Unallowable Medicare Payments for Chiropractic Services (A-04-16-07065)
- West Florida ACO, LLC, Generally Reported Complete and Accurate Data on Quality Measures Through the CMS Web Portal, but There Were a Few Reporting Deficiencies That Did Not Affect the Overall Quality Performance Score (A-09-18-03003)
- Oceanside Medical Group Received Unallowable Medicare Payments for Psychotherapy Services (A-09-18-03004)
- Updated Corporate Integrity Agreements
- 09-04-2019
- Care Provider Facilities Described Challenges Addressing Mental Health Needs of Children in HHS Custody (OEI-09-18-00431)
- Unaccompanied Alien Children Care Provider Facilities Generally Conducted Required Background Checks but Faced Challenges in Hiring, Screening, and Retaining Employees (A-12-19-20001)
- Featured Topics: Unaccompanied Children
- Media Materials: Unaccompanied Children
- Colorado Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries (A-07-16-04228)
- Florida Medicaid Paid Hundreds of Millions in Unallowable Payments to Jackson Memorial Hospital Under Its Low Income Pool Program (A-04-17-04058)
- 09-03-2019
- New Jersey Did Not Bill Manufacturers for Tens of Millions of Dollars in Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-02-16-01011)
- Illinois Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries' Deaths (A-05-18-00026)
- 08-29-2019
- Organizational Challenges to Improving Quality of Care in Indian Health Service Hospitals (OEI-06-16-00390)
- Mederi Caretenders Home Health Billed for Home Health Services That Did Not Comply With Medicare Billing Requirements (A-07-16-05092)
- 08-28-2019
- Utah Medicaid Fraud Control Unit: 2018 Onsite Review (OEI-09-18-00170)
- All Six States Reviewed Had Partially Implemented New Criminal Background Check Requirements for Childcare Providers, and Five of the States Anticipate Full Implementation by Fiscal Year 2020 (A-05-19-00015)
- 08-27-2019
- Medicare Part D Is Still Paying Millions for Drugs Already Paid for Under the Part A Hospice Benefit (A-06-17-08004)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 08-26-2019
- National Background Check Program for Long Term Care Providers: Assessment of State Programs Concluded in 2017 and 2018 (OEI-07-18-00290)
- 08-23-2019
- New York Incorrectly Claimed Enhanced Federal Medicaid Reimbursement for Some Beneficiaries (A-02-15-01023)
- New York Should Improve Its Oversight of Selected Nursing Homes' Compliance With Federal Requirements for Life Safety and Emergency Preparedness (A-02-17-01027)
- The Administration for Children and Families Should Improve the Oversight of Tribal Grantees' Low-Income Home Energy Assistance Programs (A-07-17-04105)
- Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2018 (A-18-19-11300)
- 08-22-2019
- Idaho Medicaid Fraud Control Unit: 2018 Onsite Inspection (OEI-12-18-00320)
- The Food and Drug Administration Did Not Submit Clearance Documents for Any Audit Recommendations During Fiscal Years 2015 and 2016 but Has Since Made Significant Progress (A-07-18-03231)
- 08-20-2019
- National Review of Opioid Prescribing in Medicaid Is Not Yet Possible (OEI-05-18-00480)
- Southwest Key Did Not Have Adequate Controls in Place To Secure Personally Identifiable Information Under the Unaccompanied Alien Children Program (A-18-18-06001)
- Southwest Key Programs Did Not Always Comply With Health and Safety Requirements For The Unaccompanied Alien Children Program (A-06-17-07005)
- Connecticut Claimed Unallowable Federal Reimbursement for Medicaid Physician-Administered Drugs That Were Not Invoiced to Manufacturers for Rebates (A-07-18-06078)
- The Health Resources and Services Administration Resolved All of Its Audit Recommendations, With Over 99 Percent Resolved in Accordance With Federal Timeliness Requirements (A-07-19-03235)
- 08-19-2019
- Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2017 Average Sales Prices (OEI-03-19-00260)
- 08-16-2019
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 08-15-2019
- Updated: Work Plan
- Many Medicaid-Enrolled Children Who Were Treated for ADHD Did Not Receive Recommended Followup Care (OEI-07-17-00170)
- HHS Did Not Always Efficiently Plan and Coordinate Its International Ebola Response Efforts (A-04-16-03567)
- Pennsylvania Did Not Ensure That Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions (A-03-16-00205)
- 08-14-2019
- The Administration for Community Living Failed To Conduct Any of the Required Onsite Compliance Reviews of Independent Living Programs (A-05-18-00034)
- 08-13-2019
- States' Payment Rates Under the Child Care and Development Fund Program Could Limit Access to Child Care Providers (OEI-03-15-00170)
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the First Quarter of 2019 (OEI-03-19-00050)
- Georgia Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries' Deaths (A-04-15-06183)
- New York Achieved Program Goals For Enhancing Its Prescription Drug Monitoring Program (A-02-18-02001)
- 08-09-2019
- Updated Corporate Integrity Agreements
- Updated Provider Self-Disclosure Settlements
- 08-08-2019
- LEIE Database Updated with July 2019 Exclusions and Reinstatements
- 08-06-2019
- Updated Corporate Integrity Agreements
- 07-31-2019
- Group Health Incorporated Understated Its EmblemHealth Services Company, LLC, Employees' Retirement Plan Medicare Segment Pension Assets as of January 1, 2015 (A-07-19-00561)
- Group Health Incorporated Overstated Its Local 153 Pension Plan Medicare Segment Pension Assets as of January 1, 2015 (A-07-19-00562)
- Group Health Incorporated Understated Its Cash Balance Pension Plan Medicare Segment Pension Assets as of January 1, 2011 (A-07-19-00557)
- 07-30-2019
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 07-29-2019
- Updated Corporate Integrity Agreements
- Updated Stipulated Penalties and Exclusion for Material Breach
- 07-26-2019
- Oversight of Opioid Prescribing and Monitoring of Opioid Use: States Have Taken Action To Address the Opioid Epidemic (A-09-18-01005)
- Kansas Medicaid Fraud Control Unit: 2018 Onsite Inspection (OEI-12-18-00210)
- 07-24-2019
- The Substance Abuse and Mental Health Services Administration Resolved Approximately One-Third of Its Audit Recommendations, None in Accordance With Federal Timeframe Requirements (A-07-19-03233)
- ACOs' Strategies for Transitioning to Value-Based Care: Lessons From the Medicare Shared Savings Program (OEI-02-15-00451)
- 07-23-2019
- Testimony of Megan H. Tinker, Senior Advisor for Legal Affairs, Office of Counsel to the Inspector General, Office of Inspector General, U.S. Department of Health and Human Services: United States Senate Committee on Finance: Promoting Elder Justice: A Call for Reform
- A Resource Guide for Using Diagnosis Codes in Health Insurance Claims To Help Identify Unreported Abuse or Neglect (A-01-19-00502)
- 07-22-2019
- Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: OIG's Top Recommendations
- Case Study: Indian Health Service Management of Rosebud Hospital Emergency Department Closure and Reopening (OEI-06-17-00270)
- IHS Needs To Improve Oversight of Its Hospitals' Opioid Prescribing and Dispensing Practices and Consider Centralizing Its Information Technology Functions (A-18-17-11400)
- New York Did Not Correctly Determine Medicaid Eligibility for Some Non-Newly Eligible Beneficiaries (A-02-16-01005)
- 07-19-2019
- Updated Corporate Integrity Agreements
- 07-16-2019
- 99 of 100 California Department of Social Services Refugee Cash Assistance Payments Received Were Allowable (A-04-18-02017)
- Kentucky Did Not Comply With Federal Waiver and State Requirements at 14 of 20 Adult Day Health Care Facilities Reviewed (A-04-18-00123)
- Updated Corporate Integrity Agreements
- 07-15-2019
- Problems Remain for Ensuring That All High Risk Medicaid Providers Undergo Criminal Background Checks (OEI-05-18-00070)
- Eye on Oversight: Medicaid Provider Enrollment Screening
- Updated: Work Plan
- 07-12-2019
- Testimony of Ann Maxwell, Assistant Inspector General, Office of Inspector General, Office of Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services: U.S. House Committee on Oversight and Reform: HHS-OIG Oversight of the Unaccompanied Alien Children Program
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 07-11-2019
- Updated Corporate Integrity Agreements
- HHS OIG Grant Self-Disclosure Program Guidance
- Updated Grantee Self-Disclosure Protocol
- 07-10-2019
- LEIE Database Updated with June 2019 Exclusions and Reinstatements
- Opioid Use Decreased in Medicare Part D, While Medication-Assisted Treatment Increased (OEI-02-19-00390)
- New York's Claims for Medicaid Nursing Home Transition and Diversion Waiver Program Services Generally Complied With Federal and State Requirements but Had Reimbursement Errors That Resulted in a Minimal Amount of Overpayments (A-02-17-01005)
- New York Claimed Federal Reimbursement for Some Payments to Health Home Providers That Did Not Meet Medicaid Requirements (A-02-17-01004)
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated Corporate Integrity Agreements
- 07-09-2019
- Hospice Deficiencies Pose Risks to Medicare Beneficiaries (OEI-02-17-00020)
- Safeguards Must Be Strengthened To Protect Medicare Hospice Beneficiaries From Harm (OEI-02-17-00021)
- 2019: Vulnerabilities in Hospice Care
- 07-05-2019
- Medicare Part D Rebates for Prescriptions Filled at 340B Contract Pharmacies (A-03-16-00002)
- Updated Fraud Risk Indicator
- 07-03-2019
- Updated Provider Self-Disclosure Settlements
- 07-02-2019
- Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2019 (OEI-05-19-00220)
- The Food and Drug Administration Generally Complied With Federal Requirements for the Preparation and Receipt of Select Agent Shipments (A-03-16-00354)
- Recommendation Followup: Delaware Is Reporting Medicaid Overpayments In Compliance With Federal Requirements (A-03-17-00203)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 07-01-2019
- The Florida Department of Children and Families Made Some Unallowable Refugee Cash Assistance Payments (A-04-18-02011)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-28-2019
- Illinois Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-05-18-00030)
- Updated Corporate Integrity Agreements
- 06-21-2019
- The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2016 in Accordance With Federal Requirements (A-04-18-04065)
- Updated Corporate Integrity Agreements
- 06-20-2019
- Updated Corporate Integrity Agreements
- 06-19-2019
- Testimony of Vicki L. Robinson, Senior Counselor for Policy, Office of Inspector General, U.S. Department of Health and Human Services: U.S. Senate Special Committee on Aging: The Complex Web of Prescription Drug Prices, Part III: Examining Agency Efforts to Further Competition and Increase Affordability
- Medicare Could Have Saved Millions of Dollars in Payments for Three-Dimensional Conformal Radiation Therapy Planning Services (A-09-18-03026)
- 06-18-2019
- Updated Corporate Integrity Agreements
- 06-17-2019
- Updated: Work Plan
- Princeton Place Did Not Always Comply With Care Plans for Residents Who Were Diagnosed With Urinary Tract Infections (A-06-17-02002)
- The Therapy Resource Utilization Groups at Epworth Villa Retirement Community's Skilled Nursing Facility Were Properly Supported (A-06-18-08002)
- 06-14-2019
- The National Institutes of Health Could Improve Its Monitoring To Ensure That an Awardee of the All of Us Research Program Had Adequate Cybersecurity Controls To Protect Participants' Sensitive Data Audit (A-18-17-09304)
- Updated Corporate Integrity Agreement List
- Job Opening: Medicare/Medicaid Attorney Deadline to Apply: June 28, 2019
- 06-13-2019
- Alaska Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities (A-09-17-02006)
- 06-12-2019
- Video: Eye on Oversight: Abuse & Neglect of Medicare Beneficiaries
- Media Materials: Abuse and Neglect of Medicare Beneficiaries
- CMS Could Use Medicare Data To Identify Instances of Potential Abuse or Neglect (A-01-17-00513)
- Incidents of Potential Abuse and Neglect at Skilled Nursing Facilities Were Not Always Reported and Investigated (A-01-16-00509)
- Medicare Payments to Providers for Polysomnography Services Did Not Always Meet Medicare Billing Requirements (A-04-17-07069)
- Most Hospitals Obtain Compounded Drugs From Outsourcing Facilities, Which Must Meet FDA Quality Standards (OEI-01-17-00090)
- 06-11-2019
- New York May Not Have Complied With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-02-16-01022)
- The University of Kentucky Made Progress Toward Achieving Program Goals for Enhancing Its Prescription Drug Monitoring Program (A-04-18-02012)
- Updated Provider Self-Disclosure Settlements
- 06-07-2019
- Nevada Medicaid Fraud Control Unit: 2018 Onsite Inspection (OEI-06-18-00190)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-06-2019
- Great Lakes Home Health Services, Inc., Billed for Home Health Services That Did Not Comply With Medicare Coverage and Payment Requirements (A-05-16-00057)
- 06-05-2019
- Testimony of Leslie W. Hollie, Chief of Investigative Operations, Office of Inspector General, U.S. Department of Health and Human Services: U.S. Senate Committee on Finance: Foreign Threats to Taxpayer-Funded Medical Research: Oversight Opportunities and Policy Solutions
- Job Openings: Experienced Health Care Attorneys (Associate and Senior Counsel Positions) Deadline to Apply: July 12, 2019
- St. Joseph's Hospital and Medical Center Submitted Some Inaccurate Wage Data (A-01-17-00510)
- LEIE Database Updated with May 2019 Exclusions and Reinstatements
- 06-03-2019
- Fraud Alert: Genetic Testing Scam
- Spring Semiannual Report to Congress
- 05-31-2019
- FY18 Health Care Fraud and Abuse Control (HCFAC) Program
- 05-29-2019
- 2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)
- 05-24-2019
- Metropolitan Jewish Home Care, Inc., Billed for Home Health Services That Did Not Comply with Medicare Requirements (A-02-16-01001)
- Massachusetts Did Not Ensure Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions (A-01-17-00003)
- Excella HomeCare Billed for Home Health Services That Did Not Comply With Medicare Coverage and Payment Requirements (A-01-16-00500)
- 05-23-2019
- EHS Home Health Care Service, Inc., Billed for Home Health Services That Did Not Comply With Medicare Coverage and Payment Requirements (A-05-16-00055)
- New Jersey Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-02-16-01012)
- 05-22-2019
- Using Health IT for Care Coordination: Insights from Six Medicare Accountable Care Organizations (OEI-01-16-00180)
- 05-21-2019
- Four States Did Not Comply With Federal Waiver and State Requirements in Overseeing Adult Day Care Centers and Foster Care Homes (A-05-19-00005)
- 05-15-2019
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2018 (OEI-03-19-00040)
- Video: Joanne Chiedi's Remarks at the 2019 HCCA Compliance Institute
- Updated: Work Plan
- 05-13-2019
- 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 2018 (A-17-19-52000)
- 05-10-2019
- California Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries� Deaths (A-04-18-06220)
- Updated Corporate Integrity Agreement List
- 05-09-2019
- LEIE Database Updated with April 2019 Exclusions and Reinstatements
- 05-07-2019
- Updated Corporate Integrity Agreement List
- 05-06-2019
- One Percent of Drugs With Medicaid Reimbursement Were Not FDA-Approved (OEI-03-17-00120)
- Updated Provider Self-Disclosure Settlements
- 05-03-2019
- Medicaid Could Save Hundreds of Millions by Excluding Authorized Generic Drug Transactions to Secondary Manufacturers from Brand Name Drugs� Average Manufacturer Price Calculations (A-06-18-04002)
- 05-02-2019
- Some Diagnosis Codes That Essence Healthcare, Inc., Submitted to CMS Did Not Comply With Federal Requirements (A-07-17-01170)
- Trends in Deficiencies at Nursing Homes Show That Improvements Are Needed To Ensure the Health and Safety of Residents (A-09-18-02010)
- Updated Corporate Integrity Agreement List
- 05-01-2019
- The Children's Village, Inc., an Administration for Children and Families Grantee, Did Not Always Comply with Applicable Federal and State Policies and Requirements (A-02-16-02013)
- 04-30-2019
- The Centers for Disease Control and Prevention's South Africa Office Generally Implemented Our Prior Audit Recommendation (A-04-18-01009)
- 04-26-2019
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 04-25-2019
- National Background Check Program for Long Term Care Providers: Assessment of State Programs Concluded Between 2013 and 2016 (OEI-07-16-00160)
- Updated Corporate Integrity Agreement List
- 04-19-2019
- Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2018 (A-18-18-11200)
- 04-18-2019
- Washington State Made Progress Toward Achieving Program Goals for Enhancing Its Prescription Drug Monitoring Program (A-09-18-01001)
- 04-17-2019
- Concerns About Opioid Use in Medicare Part D in the Appalachian Region (OEI-02-18-00224)
- 2019 Appalachian Region Opioid Takedown
- 04-15-2019
- Updated: Work Plan
- 04-11-2019
- Factsheet: Texas' Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-06-18-04000)
- Indiana Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-05-17-00038)
- Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria—Fiscal Year 2019 Inspectors General Coordinated Oversight Plan
- 04-10-2019
- LEIE Database Updated with March 2019 Exclusions and Reinstatements
- 04-09-2019
- Fraud Alert: Nationwide Brace Scam
- Media Materials: Nationwide Brace Scam
- 04-08-2019
- Highlights from Principal Deputy IG Joanne Chiedi's 2019 HCCA Compliance Institute Remarks
- The Passamaquoddy Tribe's Pleasant Point Health Center Needs To Improve Its Medical-Referral Process (A-01-17-01503)
- Updated Fraud Risk Indicator
- Updated Stipulated Penalties and Exclusion for Material Breach
- 04-05-2019
- Although the Administration for Community Living Resolved Nearly All Audit Recommendations, It Did Not Always Do So in Accordance With Federal Timeframe Requirements (A-07-18-03232)
- 04-04-2019
- Updated Corporate Integrity Agreement List
- Updated Provider Self-Disclosure Settlements
- Grantee Self-Disclosure Settlements
- 04-02-2019
- The Substance Abuse and Mental Health Services Administration Followed Grant Regulations and Program-Specific Requirements When Awarding State Targeted Response to the Opioid Crisis Grants (A-03-17-03302)
- 03-28-2019
- New Jersey Did Not Provide Adequate Oversight of Its Medicaid Delivery System Reform Incentive Payment Program (A-02-17-01007)
- 03-27-2019
- New York Did Not Provide Adequate Stewardship of Substance Abuse Prevention and Treatment Block Grant Funds (A-02-17-02009)
- Weill Cornell Medicine Monitored Subrecipients and Claimed Allowable National Institutes of Health Award Costs (A-02-17-02006)
- 03-25-2019
- Medicaid Fraud Control Units Fiscal Year 2018 Annual Report (OEI-09-19-00230)
- Medicare Market Shares of Non-Mail Order Diabetes Test Strips From April Through June 2018 (OEI-04-18-00441)
- Recommendation Followup: Vulnerabilities Continue To Exist in the HHS Small Business Innovation Research Program (OEI-04-18-00230)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-22-2019
- Final Rule: Revisions to State Medicaid Fraud Control Unit Rules
- 03-20-2019
- Updated Corporate Integrity Agreement List
- 03-19-2019
- Updated Stipulated Penalties and Exclusion for Material Breach
- 03-18-2019
- FY 2020 Congressional Budget Justification
- 03-15-2019
- Updated: Work Plan
- 03-13-2019
- Summary Report for Office of Inspector General Penetration Testing of Eight HHS Operating Division Networks (A-18-18-08500)
- 03-12-2019
- Factsheet: West Virginia's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-03-18-03302)
- Michigan Disbursed Only Part of Its Civil Money Penalty Collections, Limiting Resources To Protect or Improve Care for Nursing Facility Residents (A-05-17-00019)
- 03-11-2019
- LEIE Database Updated with February 2019 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
- 03-08-2019
- Missouri Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services (A-07-17-03219)
- New Mexico Did Not Always Appropriately Refund the Federal Share of Recoveries from Managed Care Organizations (A-06-18-09001)
- Updated Provider Self-Disclosure Settlements
- 03-07-2019
- Advisory Opinion 19-03 (regarding a program offered by a medical center that provides free, in-home follow-up care to eligible individuals with congestive heart failure (the "Current Arrangement") and the proposed expansion of this program to include certain individuals with chronic obstructive pulmonary disease)
- 03-01-2019
- Factsheet: New Hampshire's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-01-18-01501)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 02-28-2019
- Although the Centers for Disease Control and Prevention Resolved Nearly All Audit Recommendations, It Did Not Always Do So in Accordance With Federal Timeframe Requirements (A-07-17-03226)
- 02-21-2019
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 02-20-2019
- CMS Improperly Paid Millions of Dollars for Skilled Nursing Facility Services When the Medicare 3-Day Inpatient Hospital Stay Requirement Was Not Met (A-05-16-00043)
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2018 (OEI-03-19-00030)
- Updated Corporate Integrity Agreement List
- 02-19-2019
- Factsheet: Nevada's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-09-18-01004)
- TrustSolutions, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals (A-07-18-00540)
- CDC Reimbursed Contractors for Some Unallowable World Trade Center Health Program Administrative Costs (A-02-16-02012)
- Updated Corporate Integrity Agreement List
- 02-15-2019
- Updated: Work Plan
- Job Opening: Health Information Technology Attorney (Term Appointment), Deadline: March 13, 2019
- 02-14-2019
- Lincoln Hall Boys' Haven, an Administration for Children and Families Grantee, Did Not Always Comply With Applicable Federal and State Policies and Requirements (A-02-16-02007)
- 02-13-2019
- Most Wanted Fugitive Juan Gil Alejo Sentenced to Prison
- Opportunities Exist for the National Institutes of Health To Strengthen Controls in Place To Permit and Monitor Access to Its Sensitive Data (A-18-18-09350)
- Factsheet: Utah's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-07-18-05115)
- Factsheet: Tennessee's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-04-18-00124)
- Medicare Compliance Review of Community Hospital (A-05-17-00026)
- 02-11-2019
- CMS Guidance to State Survey Agencies on Verifying Correction of Deficiencies Needs To Be Improved To Help Ensure the Health and Safety of Nursing Home Residents (A-09-18-02000)
- Medicare Paid Twice for Ambulance Services Subject to Skilled Nursing Facility Consolidated Billing Requirements (A-01-17-00506)
- 02-07-2019
- Testimony of Ann Maxwell, Assistant Inspector General for Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services: U.S. House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations: Examining the Failures of the Trump Administration's Inhumane Family Separation Policy
- Factsheet: Nebraska's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-07-18-06080)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated Provider Self-Disclosure Settlements
- 02-06-2019
- Updated Corporate Integrity Agreement List
- 02-05-2019
- LEIE Database Updated with January 2019 Exclusions and Reinstatements
- Letter to Office of Management and Budget Director to Meet Requirements of Government Charge Card Abuse Prevention Act of 2012 Regarding Agency Progress Implementing Recommendations on Charge-Card-Related Findings (A-04-18-06225)
- Updated State False Claims Act Review Letters
- 02-01-2019
- Updated Fraud Risk Indicator
- 01-29-2019
- Advisory Opinion 19-02 (regarding a pharmaceutical manufacturer's proposal to loan, on a temporary basis, a limited- functionality smartphone to financially needy patients who do not have the technology necessary to receive adherence data from a sensor embedded in prescribed antipsychotic medication)
- 01-25-2019
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 01-24-2019
- Updated Corporate Integrity Agreement List
- 01-22-2019
- Kelley Medical Equipment and Supply, LLC, Received Unallowable Medicare Payments for Orthotic Braces (A-09-17-03030)
- 01-18-2019
- Although the Centers for Medicare & Medicaid Services Has Made Progress, It Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements (A-07-18-03228)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 01-17-2019
- Separated Children Placed in Office of Refugee Resettlement Care (OEI-BL-18-00511)
- Featured Topic: Unacommpanied Children
- Media Materials: Unaccompanied Children
- News Release: HHS OIG: Many Children Separated from Parents, Guardians Before Ms. L. v. Ice Court Order and Some Separations Continue
- 01-16-2019
- Updated: Work Plan
- Updated Corporate Integrity Agreement List
- 01-15-2019
- Updated Corporate Integrity Agreement List
- 01-14-2019
- Advisory Opinion 19-01 (regarding a charitable pediatric clinic's arrangement under which the clinic waives cost-sharing amounts in certain circumstances)
- Virginia Received Millions in Unallowable Bonus Payments (A-04-17-08060)
- Rhode Island Did Not Ensure Its Managed Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions (A-01-17-00004)
- New York Has Not Fully Implemented New Criminal Background Check Requirements for Childcare Providers (A-02-17-02011)
- 01-11-2019
- UPDATED: The Tornillo Influx Care Facility: Concerns About Staff Background Checks and Number of Clinicians on Staff
- 01-10-2019
- LEIE Database Updated with December 2018 Exclusions and Reinstatements
- Medicare Market Shares of Mail Order Diabetes Test Strips From April Through June 2018 (OEI-04-18-00440)
- 01-09-2019
- Pathways for Children Generally Complied With Health and Safety Requirements (A-01-18-02502)
- 01-08-2019
- Updated Provider Self-Disclosure Settlements
- 01-07-2019
- Most Wanted Fugitive: Betros Garabet
- A Queens Chiropractor Received Improper Medicare Payments for Chiropractic Services (A-02-15-01003)
- Updated Corporate Integrity Agreement List
- 01-03-2019
- Pacific Medical, Inc., Received Some Unallowable Medicare Payments for Orthotic Braces (A-09-17-03027)
- Dialysis Services Provided by Atlantis Health Care Group of Puerto Rico, Inc., Did Not Comply With Medicare Requirements Intended To Ensure the Quality of Care Provided to Medicare Beneficiaries (A-02-16-01009)
-
December
- 12-27-2018
- First Coast Service Options, Inc., Paid Providers for Hyperbaric Oxygen Therapy Services That Did Not Comply With Medicare Requirements (A-04-16-06196)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 12-21-2018
- Midwood Ambulance & Oxygen Service, Inc., Billed for Nonemergency Ambulance Transport Services That Did Not Comply With Medicare Requirements (A-02-16-01021)
- Louisiana Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-06-16-02003)
- 12-20-2018
- The Administration for Children and Families Has Controls and Strategies To Mitigate Hurricane Preparedness and Response Risk (A-04-18-02013)
- Wisconsin Did Not Report and Refund the Full Federal Share of Medicaid-Related Settlements and a Judgment (A-05-17-00041)
- The Health Resources and Services Administration Has Controls and Strategies To Mitigate Hurricane Preparedness and Response Risk (A-04-18-02015)
- 12-19-2018
- Updated Corporate Integrity Agreement List
- 12-17-2018
- Eye on Oversight: 2018 Year in Review
- Updated: Work Plan
- Factsheet: Washington State's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-09-18-02001)
- Texas Claimed Community First Choice Fee-for-Service Expenditures Appropriately (A-06-17-08002)
- Payments Made by National Government Services, Inc., to Hospitals for Certain Advanced Radiation Therapy Services Did Not Fully Comply With Medicare Requirements (A-02-16-01007)
- 12-13-2018
- California Made Medicaid Payments on Behalf of Non-Newly Eligible Beneficiaries Who Did Not Meet Federal and State Requirements (A-09-17-02002)
- 12-12-2018
- The National Institutes of Health Generally Complied With Federal Requirements for the Preparation and Receipt of Select Agent Shipments (A-03-15-00354)
- 12-11-2018
- BCFS Health and Human Services Did Not Always Comply With Federal and State Requirements Related to the Health and Safety of Unaccompanied Alien Children (A-06-17-07007)
- Vulnerabilities Exist in State Agencies' Use of Random Moment Sampling To Allocate Costs for Medicaid School-Based Administrative and Health Services Expenditures (A-07-18-04107)
- The Centers for Medicare & Medicaid Services Had Not Recovered More Than a Billion Dollars in Medicaid Overpayments Identified by OIG Audits (A-05-17-00013)
- 12-10-2018
- OIG Most Wanted Fugitive: Ashot Sanamian
- LEIE Database Updated with November 2018 Exclusions and Reinstatements
- Job Opening: Affirmative Litigation Attorney
- 12-06-2018
- The Penobscot Indian Nation Did Not Meet All Federal and Tribal Health and Safety Requirements (A-01-17-01502)
- Updated Corporate Integrity Agreement List
- Updated Provider Self-Disclosure Settlements
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 12-04-2018
- Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries (OEI-06-14-00530)
- Podcast: Adverse Events in Long-Term-Care Hospitals
- Medicare Improperly Paid Suppliers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provided to Beneficiaries During Inpatient Stays (A-09-17-03035)
- Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2017 (A-18-18-11300)
- Corporación Salud Asegurada por Nuestra Organización Solidaria, Inc., a Health Resources and Services Administration Grantee, Generally Complied With Federal Grant Requirements (A-02-17-02004)
November
- 11-30-2018
- Fall 2018 Semiannual Report to Congress
- HHS OIG: A Good Investment
- CMS's Enhanced Controls Did Not Always Prevent Terminated Drug Utilization in Medicare Part D (A-07-16-06068)
- New York May Have Improperly Claimed Medicaid Reimbursement for Certain Dental Services (A-02-16-01020)
- 11-28-2018
- Updated Corporate Integrity Agreement List
- 11-27-2018
- The Tornillo Influx Care Facility: Concerns About Staff Background Checks and Number of Clinicians on Staff (A-12-19-20000)
- Significant Vulnerabilities Exist in the Hospital Wage Index System for Medicare Payments (A-01-17-00500)
- Summary of Security Vulnerabilities Identified at Two Arizona Managed Care Organizations and Inconsistent Treatment of Medicaid Data Security at the State Agency and Managed Care Organizations (A-18-17-09302)
- 11-26-2018
- Northwestern University Did Not Always Comply With Federal Requirements To Perform Risk Assessments of Subrecipients, but Claimed Allowable Costs (A-05-17-00016)
- Updated Corporate Integrity Agreement List
- 11-20-2018
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2018 (OEI-03-19-00020)
- 11-16-2018
- 2018 Top Management and Performance Challenges
- Advisory Opinion 18-14 (regarding a drug company's proposal to provide free product to hospitals for the hospitals to use exclusively to treat inpatients who have been diagnosed with one particular condition)
- 11-15-2018
- Updated: Work Plan
- National Government Services, Inc., Understated Its Plan A Medicare Segment Pension Assets (A-07-18-00541)
- National Government Services, Inc., Claimed Some Unallowable Medicare Pension Costs (A-07-18-00543)
- National Government Services, Inc., Did Not Claim Some Allowable Medicare Postretirement Benefit Costs (A-07-18-00552)
- 11-14-2018
- Payments Made by Novitas Solutions, Inc., to Hospitals for Certain Advanced Radiation Therapy Services Did Not Fully Comply With Medicare Requirements (A-02-16-01006)
- Although Hospital Tax Programs in Seven States Complied With Hold-Harmless Requirements, the Tax Burden on Hospitals Was Significantly Mitigated (A-03-16-00202)
- 11-13-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 11-09-2018
- LEIE Database Updated with October 2018 Exclusions and Reinstatements
- The Centers for Disease Control and Prevention Has Controls and Strategies To Mitigate Hurricane Preparedness and Response Risk (A-04-18-02014)
- Updated: Provider Self-Disclosure Settlements
- 11-08-2018
- Updated Corporate Integrity Agreement List
- 11-07-2018
- Wanted: Oscar Larach-Zablah
- 11-06-2018
- Advisory Opinion 18-13 (regarding proposed donations from a charitable trust and an individual donor to a medical research institute)
- Updated Corporate Integrity Agreement List
- Providers added to High Risk - Heightened Scrutiny list
- 11-05-2018
- The Centers for Disease Control and Prevention's Namibia Office Implemented Our Prior Audit Recommendations (A-04-18-01008)
- CMS Did Not Always Ensure Hospitals Complied With Medicare Reimbursement Requirements for Graduate Medical Education (A-02-17-01017)
- New York Claimed Federal Reimbursement for Some Assertive Community Treatment Services That Did Not Meet Medicaid Requirements (A-02-17-01008)
- 11-01-2018
- The Food and Drug Administration's Policies and Procedures Should Better Address Postmarket Cybersecurity Risk to Medical Devices (A-18-16-30530)
October
- 10-31-2018
- Pennsylvania Generally Complied With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-03-15-03300)
- Updated Stipulated Penalties and Exclusion for Material Breach
- 10-29-2018
- Advisory Opinion 18-12 regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract indirectly with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 off the next renewal premium to policyholders who use a network hospital for an inpatient stay (the "Proposed Arrangement")
- U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, With Key Areas That Require Improvement (A-17-18-54000)
- Professional Clinical Laboratory, Inc., Generally Did Not Comply With Medicare Requirements For Billing Phlebotomy Travel Allowances (A-06-16-02002)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-26-2018
- Updated Corporate Integrity Agreement List
- 10-25-2018
- Justice Department's Criminal Division Creates Appalachian Regional Prescription Opioid Strike Force to Focus on Illegal Opioid Prescriptions
- Wisconsin Did not Comply With Federal Waiver and State Requirements at all 20 Adult Day Care Centers Reviewed (A-05-17-00030)
- 10-24-2018
- Medicare Compliance Review of Mobile Infirmary Medical Center (A-04-17-08057)
- 10-19-2018
- United Government Services, LLC, Properly Updated the Medicare Segment Pension Assets as of January 1, 2015 (A-07-18-00538)
- TrustSolutions, LLC, Properly Updated the Medicare Segment Pension Assets as of December 31, 2012 (A-07-18-00539)
- National Government Services, Inc., Properly Updated the Plan B Medicare Segment Pension Assets as of January 1, 2015 (A-07-18-00542)
- Hospitals Reported Improved Preparedness for Emerging Infectious Diseases After the Ebola Outbreak (OEI-06-15-00230)
- 10-18-2018
- Advisory Opinion 18-11 (regarding a health plan's proposal to pay its contracted providers and clinics to increase the amount of Early and Periodic Screening, Diagnostic, and Treatment services that they provide to the health plan's enrolled Medicaid beneficiaries)
- States Follow a Common Framework in Responding to Breaches of Medicaid Data (OEI-09-16-00210)
- 10-17-2018
- Florence Crittenton Services of Orange County, Inc., Did Not Always Claim Expenditures in Accordance With Federal Requirements (A-09-17-01002)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-16-2018
- Ohio Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries' Deaths
- 10-15-2018
- Updated: Work Plan
- Updated Corporate Integrity Agreement List
- 10-11-2018
- LEIE Database Updated with September 2018 Exclusions and Reinstatements
- 10-10-2018
- Updated: Provider Self-Disclosure Settlements and CIA Reportable Events
- 10-09-2018
- Protecting Against Cybersecurity Threats
- 10-04-2018
- Wisconsin Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries� Deaths (A-05-17-00006)
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-02-2018
- Many Inpatient Rehabilitation Facility Stays Did Not Meet Medicare Coverage and Documentation Requirements (A-01-15-00500)
- Updated Corporate Integrity Agreement List
- 10-01-2018
- Most Wanted Deadbeat: David Adams owes over $4.2 million in child support
- 09-28-2018
- Heartland Human Care Services, Inc., Generally Met Safety Standards, but Claimed Unallowable Rental Costs (A-05-16-00038)
- 09-27-2018
- Fraud Risk Indicator
- Medicare Advantage Appeal Outcomes and Audit Findings Raise Concerns About Service and Payment Denials (OEI-09-16-00410)
- Updated Corporate Integrity Agreement List
- 09-26-2018
- The Indian Health Service Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements (A-07-17-03227)
- Nevada Implemented Some New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-09-17-01003)
- Etheredge Chiropractic Received Unallowable Medicare Payments for Chiropractic Services (A-04-16-07064)
- 09-25-2018
- Eye on Oversight: Emergency Response
- Statistical Sampling: A Toolkit for MFCUs
- New Hampshire Medicaid Fraud Control Unit: 2017 Onsite Review (OEI-09-17-00200)
- New York Medicaid Fraud Control Unit: 2017 Onsite Inspection (OEI-12-17-00340)
- New Jersey Medicaid Fraud Control Unit: 2017 Onsite Review (OEI-06-17-00520)
- 09-24-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 09-21-2018
- Colorado Implemented Many New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-07-17-06076)
- 09-20-2018
- Medicare Payments for Clinical Diagnostic Laboratory Tests in 2017: Year 4 of Baseline Data (OEI-09-18-00410)
- First Coast Service Options, Inc., Overstated Medicare�s Share of the Medicare Segment Excess Pension Liabilities (A-07-18-00535)
- 09-18-2018
- CMS Enrollment System Needs To Enhance Resiliency (A-18-17-06501)
- 09-17-2018
- Treatment Planning and Medication Monitoring Were Lacking for Children in Foster Care Receiving Psychotropic Medication (OEI-07-15-00380)
- Advisory Opinion 18-10 (regarding a surgical device and wound care product manufacturer's proposal to offer hospital customers a warranty program covering a suite of three products)
- Updated: Work Plan
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 09-12-2018
- National Institute of Transplantation, an Independent Histocompatibility Laboratory, Did Not Fully Comply With Medicare�s Cost-Reporting Requirements (A-09-16-02010)
- Updated Corporate Integrity Agreement List
- 09-11-2018
- FDA Should Further Integrate Its Review of Cybersecurity Into the Premarket Review Process for Medical Devices (OEI-09-16-00220)
- 09-10-2018
- LEIE Database Updated with August 2018 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
- 09-07-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 09-06-2018
- Testimony of Ruth Ann Dorrill, Regional Inspector General, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations: Examining Federal Efforts to Ensure Quality of Care and Resident Safety in Nursing Homes
- 09-05-2018
- Job Opening: Health Care Attorney Application Deadline: October 12
- The Fort Peck Assiniboine and Sioux Tribes Improperly Administered Some Low-Income Home Energy Assistance Program Funds for Fiscal Years 2011 Through 2015 (A-07-18-04106)
- Updated Provider Self-Disclosure Settlements
- 09-04-2018
- Job Opening: Affirmative Litigation Attorney Application Deadline: September 18, 2018
- 08-29-2018
- Updated Corporate Integrity Agreement List
- David Kim Added to Top 10 Most Wanted Fugitives List
- 8-28-2018
- STAT Op-Ed by Joanne M. Chiedi
Fraud, waste, and abuse in the Medicare hospice program is 'repellent' - 08-23-2018
- OIG Excludes Company and Owner from Federal Health Care Programs
- Mississippi Did Not Comply With Federal Waiver and State Requirements at All 20 Adult Day Care Facilities Reviewed (A-04-17-00116)
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 08-22-2018
- Updated Corporate Integrity Agreement List
- 08-21-2018
- Liberty Medical, LLC, Received Unallowable Medicare Payments for Inhalation Drugs (A-09-17-03019)
- Virginia Did Not Claim Some Medicaid Administrative Costs for Its Medallion 3.0 Waiver Program In Accordance With Federal Requirements (A-03-17-00200)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Advisory Opinion 18-09 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract indirectly with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 off the next renewal premium to policyholders who use a network hospital for an inpatient stay)
- 08-20-2018
- Medicare Improperly Paid Hospitals Millions of Dollars for Intensity-Modulated Radiation Therapy Planning Services (A-09-16-02033)
- Medicare Made Improper and Potentially Improper Payments for Emergency Ambulance Transports to Destinations Other Than Hospitals or Skilled Nursing Facilities (A-09-17-03017)
- Updated Corporate Integrity Agreement List
- 08-16-2018
- The Passamaquoddy Tribe's Pleasant Point Health Center Did Not Always Meet Federal and Tribal Health and Safety Requirements (A-01-17-01500)
- California Created a Medicaid Program Vulnerability by Reporting Placeholders That Did Not Represent Actual Expenditures Supported by Documentation (A-09-15-02027)
- California Claimed Millions of Dollars in Unallowable Federal Medicaid Reimbursement for Specialty Mental Health Services (A-09-15-02040)
- Updated Virginia and Washington State False Claims Act Review Letters
- 08-15-2018
- Updated: Work Plan
- 08-14-2018
- Maryland Did Not Adequately Secure Its Medicaid Data and Information Systems (A-18-16-30520)
- Advisory Opinion 18-08 (regarding a proposal by certain government-operated fire departments and fire protection districts to enter into a mutual aid agreement to provide backup emergency ambulance services and to bill for such services according to the billing practices in the jurisdiction where such services are rendered)
- 08-13-2018
- Assistant Attorney General Benczkowski Announces Newark/Philadelphia Medicare Fraud Strike Force to Focus on Health Care Fraud and Illegal Opioid Prescriptions
- Alaska Received Millions in Unallowable Bonus Payments (A-04-17-08059)
- CMS Did Not Always Accurately Authorize Financial Assistance Payments to Qualified Health Plan Issuers in Accordance With Federal Requirements During the 2014 Benefit Year (A-02-15-02013)
- 08-10-2018
- LEIE Database Updated with July 2018 Exclusions and Reinstatements
- 08-09-2018
- Questionable Billing for Compounded Topical Drugs in Medicare Part D (OEI-02-16-00440)
- Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2016 Average Sales Prices (OEI-03-18-00120)
- Updated Corporate Integrity Agreement List
- 08-08-2018
- Medicare Compliance Review of WakeMed Raleigh Campus (A-04-17-04057)
- Open Payments Data: Review of Accuracy, Precision, and Consistency in Reporting (OEI-03-15-00220)
- 08-06-2018
- Advisory Opinion 18-07 (regarding a proposal from a group purchasing organization ("GPO") to serve as a purchasing agent on behalf of certain GPO-affiliated health care facilities on the same terms and conditions that apply to its unaffiliated members)
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 08-03-2018
- Illinois Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-05-16-00066)
- Georgia Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-04-18-03578)
- New Hampshire Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-01-18-02500)
- Illinois Did Not Comply With Federal Waiver and State Requirements at 18 of 20 Adult Day Service Centers Reviewed (A-05-17-00028)
- Updated Provider Self-Disclosure Settlements
- 08-02-2018
- Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part A Administrative Costs for Fiscal Year 2013 (A-05-16-00052)
- Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part B Administrative Costs for Fiscal Year 2013 (A-05-16-00053)
- 08-01-2018
- Updated: Work Plan
- Job Opening: Associate Counsel Application Deadline: August 24, 2018
- 07-31-2018
- Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity: An OIG Portfolio
- Media Materials: Vulnerabilities in Hospice Care
- Eye on Oversight: Hospice
- Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: Top Unimplemented Recommendations
- 07-25-2018
- Updated Stipulated Penalties and Exclusion for Material Breach
- 07-23-2018
- First Coast Service Options, Inc., Did Not Claim Some Medicare Supplemental Executive Retirement Plan Costs Through Its Incurred Cost Proposals (A-07-18-00536)
- First Coast Service Options, Inc., Generally Claimed Allowable Pension Costs Through Its Incurred Cost Proposals (A-07-18-00534)
- 07-20-2018
- Updated Corporate Integrity Agreement List
- 07-18-2018
- Medicare Improperly Paid Providers for Nonemergency Ambulance Transports to Destinations Not Covered by Medicare (A-09-17-03018)
- Setting Medicare Payment Rates for Clinical Diagnostic Laboratory Tests: Strategies To Ensure Data Quality (OEI-09-17-00050)
- Updated Corporate Integrity Agreement List
- Advisory Opinion 18-06 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract indirectly with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 off the next renewal premium to policyholders who use a network hospital for an inpatient stay)
- 07-17-2018
- Testimony of Gloria L. Jarmon, Deputy Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Ways and Means Subcommittee on Oversight: Combating Fraud in Medicare: A Strategy for Success
- 07-16-2018
- Updated: Work Plan
- 07-13-2018
- The Office of the Secretary of Health and Human Services Did Not Comply with Federal Regulations for Chartered Aircraft and Other Government Travel Related to Former Secretary Price (A-12-17-00002)
- The MEDIC Produced Some Positive Results but More Could be Done to Enhance its Effectiveness (OEI-03-17-00310)
- 07-12-2018
- Weaknesses Exist in Medicaid Managed Care Organizations' Efforts To Identify and Address Fraud and Abuse (OEI-02-15-00260)
- The Colorado Health Insurance Marketplace's Financial Management System Did Not Always Comply With Federal Requirements (A-07-17-02808)
- 07-10-2018
- LEIE Database Updated with June 2018 Exclusions and Reinstatements
- Opioids in Ohio Medicaid: Review of Extreme Use and Prescribing (OEI-05-18-00010)
- The Indian Health Service's Controls Were Not Effective in Ensuring That Its Purchase Card Program Complied With Federal Requirements and Its Own Policy (A-07-16-05090)
- Medicare Improperly Paid Providers for Items and Services Ordered by Chiropractors (A-09-17-03002)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 07-06-2018
- The Administration for Children and Families Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements (A-07-17-03225)
- Some New York City Childcare Providers Did Not Always Comply With Health and Safety Requirements (A-02-16-02003)
- University of Wisconsin Hospitals and Clinics Authority Incorrectly Billed Medicare Inpatient Claims With Severe Malnutrition (A-03-17-00005)
- Updated Provider Self-Disclosure Settlements
- 07-05-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-29-2018
- Michigan Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Brokerage Program (A-05-16-00021)
- CMS Did Not Detect Some Inappropriate Claims for Durable Medical Equipment in Nursing Facilities (OEI-06-16-00380)
- 06-28-2018
- 2018 National Takedown
- Featured Topic: Combatting the Opioid Epidemic
- Opioid Use in Medicare Part D Remains Concerning (OEI-02-18-00220)
- Toolkit: Using Data Analysis To Calculate Opioid Levels and Identify Patients At Risk of Misuse or Overdose (OEI-02-17-00560)
- Entities Generally Met Federal Select Agent Program Internal Inspection Requirements But CDC Could Do More To Improve Effectiveness (OEI-04-15-00431)
- 06-27-2018
- Testimony of Brian P. Ritchie, Assistant Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services: Senate Committee on Homeland Security and Governmental Affairs: Medicaid Fraud and Overpayments: Problems and Solutions
- Updated: Work Plan
- Tennessee Medicaid Fraud Control Unit: 2017 Onsite Inspection (OEI-12-17-00230)
- 06-26-2018
- Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2018 (OEI-05-18-00240)
- Updated Corporate Integrity Agreement List
- 06-25-2018
- Advisory Opinion 18-05 (regarding an arrangement under which a hospital has established a caregiver center that provides or arranges for free or reduced-cost support services to caregivers in the local community)
- 06-22-2018
- Florence Crittenton Services of Orange County, Inc., Did Not Always Meet Applicable Safety Standards Related to Unaccompanied Alien Children (A-09-16-01005)
- 06-19-2018
- Updated Corporate Integrity Agreement List
- 06-18-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-15-2018
- Updated: Work Plan
- 06-14-2018
- Advisory Opinion 18-04 regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby insurance companies would contract indirectly 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
- 06-13-2018
- Podcast: Pain Management Doctor Was A "One-Man Crime Wave"
- Nebraska Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-07-17-03224)
- Illinois Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-05-17-00047)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-12-2018
- Most Medicare Claims for Replacement Positive Airway Pressure Device Supplies Did Not Comply With Medicare Requirements (A-04-17-04056)
- Companion Data Services, LLC, Did Not Claim Some Allowable Pension Costs Through Its Incurred Cost Proposals (A-07-17-00528)
- Minnesota Did Not Comply With Federal Waiver and State Requirements for All 20 Adult Day Care Centers Reviewed (A-05-17-00009)
- Ohio Did Not Always Comply With Requirements Related to the Case Management of Children in Foster Care (A-05-16-00022)
- 06-08-2018
- LEIE Database Updated with May 2018 Exclusions and Reinstatements
- Texas Made Increased Payments for Services Rendered by Eligible Primary Care Providers Under Federal Requirements (A-06-17-09003)
- Nevada Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-09-15-02039)
- Updated Corporate Integrity Agreement List
- 06-07-2018
- The Food and Drug Administration Computed Prescription Drug User Fee Rates Accurately (A-05-17-00040)
- 06-06-2018
- New York Claimed Federal Reimbursement for Consumer-Directed Personal Assistance Services That Did Not Meet Medicaid Requirements (A-02-16-01026)
- Updated Provider Self-Disclosure Settlements
- 06-05-2018
- 2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)
- Updated Corporate Integrity Agreement List
- 06-04-2018
- Increases in Reimbursement for Brand-Name Drugs in Part D (OEI-03-15-00080)
- Podcast: Increases in Reimbursement for Brand-Name Drugs in Part D
- 06-01-2018
- Semiannual Report to Congress
- 05-31-2018
- Advisory Opinion 18-03 regarding a federally qualified health center look-alike's proposal to provide information technology items and services, without charge, to a county Department of Health's clinic to facilitate telemedicine encounters
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 05-30-2018
- HRSA Helped Health Centers With Elevated Risks and Can Continue To Take Additional Steps (OEI-05-14-00470)
- 05-29-2018
- Testimony of Maureen Dixon, Special Agent in Charge, Philadelphia Regional Office, Office of Investigations, Office of Inspector General, Department of Health and Human Services: Senate Committee on Finance Health Care Subcommittee Field Hearing: Examining Efforts to Prevent Opioid Overutilization and Misuse in Medicare and Medicaid
- 05-25-2018
- Eye on Oversight: Corporate Integrity Agreements
- 05-24-2018
- Round 2 Competitive Bidding for Enteral Nutrition: Continued Access for Vast Majority of Beneficiaries (OEI-01-15-00042)
- Round 2 Competitive Bidding for Oxygen: Continued Access for Vast Majority of Beneficiaries (OEI-01-15-00041)
- CMS Did Not Always Provide Accurate Medicaid Unit Rebate Offset Amounts to State Medicaid Agencies (A-07-17-06074)
- Updated Corporate Integrity Agreement List
- 05-23-2018
- Testimony of Gary Cantrell, Deputy Inspector General for Investigations, Office of Investigations, Office of Inspector General, Department of Health and Human Services: Senate Special Committee on Aging: Preventing and Treating Opioid Misuse Among Older Americans
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 05-22-2018
- The South African National Department of Health Did Not Always Manage and Expend the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-17-01002)
- 05-18-2018
- Iowa Complied With Most Federal Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-07-17-03221)
- Missouri Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-07-16-03216)
- 05-16-2018
- The University of Alabama at Birmingham Overstated Chilled Water Costs in Its Facilities and Administrative Cost Proposal Audit (A-04-14-00095)
- Wisconsin Physicians Service Insurance Corporation Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00530)
- Wisconsin Physicians Service Insurance Corporation Understated Medicare�s Share of the Medicare Segment Excess Pension Assets (A-07-17-00529)
- 05-15-2018
- Testimony of Ann Maxwell, Assistant Inspector General for Evaluation and Inspections, Office of Inspector General, Department of Health and Human Services: Senate Committee on Health, Education, Labor, and Pensions: Examining Oversight Reports on the 340B Drug Pricing Program
- Updated: Work Plan
- 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 2017 (A-17-18-52000)
- 05-14-2018
- New Most Wanted Fugitive Posted: Angel Lagoa allegedly paid illegal kickbacks to patient recruiters in exchange for beneficiary information.
- 05-11-2018
- Most of New York's Claims for Federal Reimbursement for Monthly Personal Emergency Response Service Charges Did Not Comply With Medicaid Requirements (A-02-15-01019)
- 05-09-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 05-08-2018
- LEIE Database Updated with April 2018 Exclusions and Reinstatements
- Daniel R. Levinson's Keynote Address at the 2018 HCCA Compliance Institute
- The National Institutes of Health, Division of Financial Advisory Services Did Not Always Establish Final Indirect Cost Rates in Accordance With Federal Requirements (A-04-17-04059)
- Updated Corporate Integrity Agreement List
- 05-07-2018
- Advisory Opinion 18-02 (regarding an arrangement where a company that manufactures, distributes, and sells medical device and pharmaceutical products provides a limited number of free sample ostomy products to patients and contracts with a third party to conduct follow-up customer satisfaction surveys)
- Updated Corporate Integrity Agreement List
- Cahaba Safeguard Administrators, LLC, Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00526)
- Cahaba Government Benefits Administrators, LLC, Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00525)
- Cahaba Government Benefits Administrators, LLC, Generally Claimed Allowable Medicare Pension Costs (A-07-17-00524)
- Cahaba Government Benefits Administrators, LLC, Overstated Its Medicare Segment Pension Assets (A-07-17-00522)
- 05-04-2018
- Florida Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-04-17-08052)
- Cahaba Safeguard Administrators, LLC, Understated Its Medicare Segment Pension Assets (A-07-17-00523)
- First Coast Service Options, Inc.'s, Postretirement Benefit Costs Were Reasonable and Allowable (A-07-17-00501)
- 05-03-2018
- Updated Provider Self-Disclosure Settlements
- 05-01-2018
- This is Real: Go Undercover with Our New Podcast
- 04-30-2018
- Wanted: Amaury Perez
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 04-24-2018
- Colorado Did Not Always Comply With Federal Requirements When Expending Federal Establishment Grant Funds Allocated for Its Shared Eligibility System Costs (A-07-16-02804)
- 04-20-2018
- The National Institute of Health in Mozambique Did Not Always Manage and Expend the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-16-04051)
- Updated Corporate Integrity Agreement List
- 04-18-2018
- The Indian Health Service's Controls Were Not Effective in Ensuring That Its Travel Card Program Complied With Federal Requirements and Its Own Policy (A-07-16-05091)
- CMS's Policies and Procedures Were Generally Effective in Ensuring That Prescription Drug Coverage Capitation Payments Were Not Made After the Beneficiaries' Dates of Death (A-07-16-05088)
- 04-16-2018
- New: Compliance Resource Portal
- Updated: Work Plan
- 04-13-2018
- CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements (A-05-16-00058)
- Colorado Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services (A-07-16-03215)
- Idaho Received Millions in Unallowable Bonus Payments (A-04-17-08056)
- 04-12-2018
- Testimony of Megan H. Tinker Senior Advisor for Legal Review Office of Counsel to the Inspector General, Office of Inspector General, Department of Health and Human Services: House Committee on Oversight and Government Reform, Subcommittee on Government Operations Subcommittee on Intergovernmental Affairs: Improper Payments in State?Administered Programs: Medicaid
- 04-11-2018
- Most Wanted Fugitive: Ebong Tilong
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 04-10-2018
- LEIE Database Updated with March 2018 Exclusions and Reinstatements
- 04-09-2018
- Texas Did Not Make Increased Primary Care Provider Payments and Claim Reimbursement in Accordance With Federal Requirements (A-06-15-00045)
- 04-06-2018
- FY 2017 Health Care Fraud and Abuse Control Program Report
- 04-04-2018
- Updated Provider Self-Disclosure Settlements
- 03-30-2018
- Medicaid Fraud Control Units Fiscal Year 2017 Annual Report (OEI-09-18-00180)
- 03-29-2018
- Drug Supply Chain Security: Dispensers Received Most Tracing Information (OEI-05-16-00550)
- 03-28-2018
- Updated Corporate Integrity Agreement List
- 03-27-2018
- CAPTURED: Antonio Quevedo-Ledo
- 03-23-2018
- Many Medicare Claims for Outpatient Physical Therapy Services Did Not Comply With Medicare Requirements (A-05-14-00041)
- Oklahoma Did Not Have Procedures to Identify Provider-Preventable Conditions on Some Inpatient Hospital Claims (A-06-16-08004)
- 03-22-2018
- Some Washington State Group-Care Facilities for Children in Foster Care Did Not Always Comply With State Health and Safety Requirements (A-09-16-01006)
- Aurum Institute Generally Managed and Expended the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-17-01003)
- New Jersey Claimed Federal Medicaid Reimbursement for Children's Partial Hospitalization Services That Did Not Meet Federal and State Requirements (A-02-16-01008)
- New York Did Not Comply With Federal Grant Requirements for Claiming Marketplace Contract Costs to Medicaid and the Children's Health Insurance Program (A-02-15-01014)
- 03-21-2018
- Small Business Innovation Research (SBIR) Fraud
- 03-16-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-15-2018
- Updated: Work Plan
- Hospitals Did Not Comply With Medicare Requirements for Reporting Certain Cardiac Device Credits (A-05-16-00059)
- Updated Corporate Integrity Agreement List
- 03-14-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-12-2018
- BCFS Health and Human Services Did Not Always Comply With Federal Requirements Related to Less-Than-Arm's-Length Leases (A-06-16-07007)
- Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2017 (A-18-17-11200)
- 03-09-2018
- Oklahoma Did Not Always Comply With Requirements for Providing Health Care Services to Children in Foster Care (A-06-16-07006)
- Updated Provider Self-Disclosure Settlements
- 03-08-2018
- Reliance on Unverified Patient Lists Creates a Vulnerability in Home Health Surveys (OEI-05-16-00510)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-07-2018
- Updated Corporate Integrity Agreement List
- 03-06-2018
- LEIE Database Updated with February 2018 Exclusions and Reinstatements
- 03-02-2018
- Entities' Experiences and Perceptions of Reporting the Theft, Loss, and Release of Select Agents or Toxins to CDC (OEI-04-15-00432)
- Updated Corporate Integrity Agreement List
- 03-01-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 02-27-2018
- Advisory Opinion 18-01 (regarding the effect of your exclusion from Medicare, Medicaid, and all other Federal health care programs)
- 02-26-2018
- Diversity, Inclusion Enrich the Workplace
- 02-23-2018
- The National Institutes of Health Did Not Always Administer Superfund Appropriations During Fiscal Year 2015 in Accordance With Federal Requirements (A-04-16-04046)
- 02-21-2018
- Medicare Compliance Review of Memorial University Medical Center (A-04-17-08055)
- The Association for Public Health Laboratories Managed Global Health Security Agenda Funds in Accordance With Federal Requirements (A-04-17-02004)
- California Made Medicaid Payments on Behalf of Newly Eligible Beneficiaries Who Did Not Meet Federal and State Requirements (A-09-16-02023)
- Updated Corporate Integrity Agreement List
- 02-20-2018
- Fall Internship Application
- Arizona Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02031)
- Medicare Improperly Paid Providers for Specimen Validity Tests Billed in Combination With Urine Drug Tests (A-09-16-02034)
- 02-16-2018
- Medicare Needs Better Controls To Prevent Fraud, Waste, and Abuse Related to Chiropractic Services (A-09-16-02042)
- 02-15-2018
- Updated: Work Plan
- Wisconsin Physicians Service Paid Providers for Hyperbaric Oxygen Therapy Services That Did Not Comply With Medicare Requirements (A-01-15-00515)
- Arkansas Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-06-16-00018)
- Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2016 (A-18-17-11300)
- 02-13-2018
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 02-12-2018
- FY 2019 Congressional Budget Justification
- 02-09-2018
- Updated Corporate Integrity Agreement List
- 02-08-2018
- Henry J. Austin Health Center, Inc., a Health Resources and Services Administration Grantee, Did Not Comply With Federal Grant Requirements (A-02-17-02002)
- The Administration for Children and Families Region II Did Not Always Resolve Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-02-16-02009)
- 02-07-2018
- LEIE Database Updated with January 2017 Exclusions and Reinstatements
- Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Pension Costs Through Its Incurred Cost Proposals (A-07-17-00506)
- CGS Administrators, LLC, Did Not Claim Some Allowable Pension Costs Through Its Incurred Cost Proposals (A-07-17-00513)
- 02-06-2018
- Medicare Compliance Review of the University of Michigan Health System (A-05-16-00064)
- Updated Corporate Integrity Agreement List
- 01-23-2018
- North Carolina Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-04-17-02500)
- Medicare Compliance Review of Carolinas Medical Center (A-04-16-04049)
- 01-19-2018
- Testimony of Gloria Jarmon, Deputy Inspector General for the Office of Audit Services, Department of Health and Human Services: House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations: Safety of the U.S. Food Supply: Continuing Concerns Over the Food and Drug Administration's Food-Recall Process
- Updated Corporate Integrity Agreement List
- 01-18-2018
- Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00354)
- Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00353)
- Independent Attestation Review: National Institutes of Health Fiscal Year 2017 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00352)
- Independent Attestation Review: Indian Health Service Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00351)
- 01-17-2018
- Joint Report: Ensuring Beneficiary Health and Safety in Group Homes Through State Implementation of Comprehensive Compliance Oversight
- Testimony of Gary Cantrell, Deputy Inspector General for Investigations, Office of Investigations, Office of Inspector General, Department of Health and Human Services: House Committee on Ways and Means, Subcommittee on Oversight: The Opioid Crisis: The Current Landscape and CMS Actions to Prevent Opioid Misuse
- Wisconsin Physicians Service Insurance Corporation Did Not Claim Some Allowable Medicare Pension Costs (A-07-17-00519)
- Wisconsin Physicians Service Insurance Corporation Understated Its Allocable Pension Costs (A-07-17-00520)
- Independent Attestation Review: Centers for Disease Control and Prevention Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00355)
- 01-16-2018
- Updated: Work Plan
- Medicare Advantage Encounter Data Show Promise for Program Oversight, But Improvements Are Needed (OEI-03-15-00060)
- Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Employees' Pension Plan (A-07-17-00516)
- Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Managerial Retirement Program for Selected Locations (A-07-17-00517)
- Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Managerial Pension Plan (A-07-17-00518)
- 01-09-2018
- New York Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries (A-02-15-01015)
- Tennessee Managed Care Organizations Received Medicaid Capitation Payments After Beneficiary's Death (A-04-15-06190)
- Georgia Made Unallowable Capitation Payments for Beneficiaries Assigned Multiple Medicaid Identification Numbers (A-04-16-07061)
- Texas Did Not Appropriately Spend Some State Balancing Incentive Payments Program Funds (A-06-15-00041)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 01-08-2018
- Texas Did Not Always Calculate Physician Supplemental Payments Made to the Texas Tech University Health Institutions in Accordance With Federal and State Requirements (A-06-12-00043)
- Nebraska Did Not Invoice Rebates to Manufacturers for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-07-13-06046)
- Texas Did Not Bill Manufacturers for Some Rebates for Pharmacy Drugs of Medicaid Managed-Care Organizations (A-06-16-00004)
- Indiana Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-05-16-00056)
- Updated Corporate Integrity Agreement List
- 01-05-2018
- OIG Letter to PhRMA: Drug Companies that Provide Free Drugs to Federal Health Care Program Beneficiaries Impacted by Caring Voice Coalition, Inc.'s Decision Not to Provide Patient Assistance in 2018
- Advisory Opinion 17-09 (regarding an arrangement in which certain neurosurgeons have agreed to implement cost-reduction measures in designated surgical procedures performed at a medical center, and the medical center will share with such neurosurgeons a percentage of its cost savings resulting from these measures)
- 01-04-2018
- Updated Corporate Integrity Agreement List
- 01-03-2018
- LEIE Database Updated with December 2017 Exclusions and Reinstatements
- Updated Provider Self-Disclosure Settlements
September
August
July
June
May
April
March
February
January
-
December
- 12-29-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- New York Did Not Comply With Federal Grant Requirements for Allocating and Claiming Marketplace Contract Costs (A-02-15-02008)
- 12-26-2017
- The Food and Drug Administration's Food-Recall Process Did Not Always Ensure the Safety of the Nation's Food Supply (A-01-16-01502)
- 12-22-2017
- The Administration for Children and Families Region X Did Not Always Resolve Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-09-16-01004)
- 12-21-2017
- Lincare Pharmacy Services Inc. Generally Complied With Medicare Requirements When Billing for Inhalation Drugs (A-09-16-02037)
- Taxpayers Could See More than $4.4 Billion Returned to Treasury Plus $Billions in Estimated 2017 Savings from OIG Recommendations
- 12-20-2017
- Eye on Oversight: 2017 Year in Review
- Potential Misclassifications Reported by Drug Manufacturers May Have Led to $1 Billion in Lost Medicaid Rebates (OEI-03-17-00100)
- Updated Corporate Integrity Agreement List
- 12-19-2017
- The Administration for Children and Families Did Not Always Resolve American Indian and Alaska Native Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-06-17-07003)
- Summary Report for Fiscal Year 2016 OIG Penetration Testing of Four HHS Operating Division Networks (A-18-17-08500)
- 12-18-2017
- The State of North Carolina Did Not Meet Federal Information System Security Requirements for Safeguarding Its Medicaid Eligibility Determination Systems and Data (A-07-16-00486)
- Some Massachusetts Group Homes for Children in Foster Care Did Not Always Comply With State Health and Safety Requirements (A-01-16-02500)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 12-15-2017
- Updated: Work Plan
- Advisory Opinion 17-08 (regarding your proposal to develop a state-wide network of nursing facilities that would provide discounts on the daily rates they charge to private long-term care insurers and the insurers' policyholders)
- 12-14-2017
- Followup Review: CMS's Management of the Quality Payment Program (OEI-12-17-00350)
- Updated Corporate Integrity Agreement List
- 12-11-2017
- Advisory Opinion 17-07 (regarding a pharmaceutical manufacturer's proposal to collaborate with a trade association, a Medicare Advantage plan, and a hospital system to implement, fund, and evaluate a pilot program to provide the Medicare Advantage plan pharmacists who conduct medication therapy management services with new technology that would permit real-time electronic access to patient discharge information)
- 12-08-2017
- Medicaid Fraud Control Units: Investigation and Prosecution of Fraud and Beneficiary Abuse in Medicaid Personal Care Services (OEI-12-16-00500)
- Office of Refugee Resettlement Unaccompanied Alien Children Grantee Review—His House (A-04-16-03566)
- 12-07-2017
- Pine Bluff Jefferson County Economic Opportunities Commission Did Not Always Operate Its Head Start Program in Accordance With Federal Requirements (A-06-16-00013)
- Not All of Missouri's Child Care Subsidy Program Payments Complied With Federal and State Requirements (A-07-15-04226)
- Two Indian Health Service Hospitals Had System Security and Physical Controls for Prescription Drug and Opioid Dispensing but Could Still Improve Controls (A-18-16-30540)
- Updated Corporate Integrity Agreement List
- 12-06-2017
- Updated Provider Self-Disclosure Settlements
- 12-05-2017
- LEIE Database Updated with November 2017 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
- 12-01-2017
- CMS Did Not Adequately Address Discrepancies in the Coding Classification for Kwashiorkor (A-03-14-00010)
- Texas Managed Care Organizations Received Medicaid Capitation Payments After Beneficiary's Death (A-06-16-05004)
November
- 11-30-2017
- Fall Semiannual Report to Congress
- 11-29-2017
- Updated Corporate Integrity Agreement List
- 11-28-2017
- Final Notice of Rescission of Advisory Opinion 06-04 (rescinds Advisory Opinion 06-04, which concerned a nonprofit, tax-exempt, charitable corporation's proposal to provide financially needy Medicare beneficiaries with assistance with premiums and cost-sharing obligations)
- New Jersey Claimed Hundreds of Millions in Unallowable or Unsupported Medicaid School-Based Reimbursement (A-02-15-01010)
- 11-27-2017
- Excluding Noncovered Versions When Setting Payment for Two Part B Drugs Would Have Resulted in Lower Drug Costs for Medicare and its Beneficiaries (OEI-12-17-00260)
- 11-20-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 11-17-2017
- CMS Generally Met Requirements in Round 2 of the DMEPOS Competitive Bidding Program (A-05-14-00049)
- Updated Corporate Integrity Agreement List
- 11-16-2017
- Eye on Oversight Video: Grant Management
- Medicare Compliance Review of Rush University Medical Center (A-05-16-00062)
- U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, but Key Areas Require Improvement (A-17-17-02018)
- Advisory Opinion 17-06 (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)
- 11-15-2017
- Top Management & Performance Challenges Facing HHS
- Updated: Work Plan
- Updated: CIA Reportable Event Settlements
- 11-13-2017
- North Carolina Did Not Comply With Federal and State Requirements When Making Medicaid Cost-Sharing Payments for Professional Medical Services (A-04-16-04054)
- 11-09-2017
- Ohio Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-05-16-00013)
- Oklahoma Did Not Correctly Process Adjustments to Medicare Crossover Claims (A-06-16-08012)
- New York Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-02-15-01024)
- 11-08-2017
- From Military Veteran to OIG Special Agent
- 11-07-2017
- LEIE Database Updated with October 2017 Exclusions and Reinstatements
- Kansas Received Millions in Unallowable Bonus Payments (A-04-16-08050)
- Ohio Received Millions in Unallowable Bonus Payments (A-04-16-08049)
- 11-06-2017
- Minnesota Did Not Comply With Federal Waiver and State Requirements for 18 of 20 Family Adult Foster Care Homes Reviewed (A-05-16-00044)
- Updated Corporate Integrity Agreement List
- 11-03-2017
- First Coast Service Options, Inc., Generally Claimed Allowable Medicare Pension Costs (A-07-16-00495)
- First Coast Service Options, Inc., Understated Its Medicare Segment Pension Assets (A-07-16-00494)
- First Coast Service Options, Inc., Understated Its Allocable Pension Costs (A-07-16-00493)
- 11-02-2017
- CMS Ensured Nearly All Part D Drug Records Contained Valid Prescriber Identifiers in 2016 (OEI-03-17-00040)
- New York Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV-E Foster Care Payments Were Recorded and Investigated in Accordance With State Requirements as Required by Federal Law (A-02-15-02014)
- Updated Corporate Integrity Agreement List
- Updated Provider Self-Disclosure Settlements
- 11-01-2017
- Southeast Arkansas Community Action Corporation Did Not Always Operate Its Head Start Program in Accordance With Federal Regulations (A-06-16-00015)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated Corporate Integrity Agreement List
October
- 10-31-2017
- Testimony of James A. Cannatti III, Senior Counselor for Health Information Technology, Office of Inspector General, U.S. Department of Health and Human Services: Senate Committee on Health, Education, Labor, and Pensions: Implementation of the 21st Century Cures Act: Achieving the Promise of Health Information Technology
- 10-27-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-25-2017
- Review of The Department of Health and Human Services (HHS) Cancellation of Marketplace Enrollment Outreach Efforts (OEI-12-17-00290)
- HRSA Complied With Federal and HHS Grant Policies When Awarding Zika Response and Preparedness Appropriations Act Funds During Fiscal Year 2017
- 10-23-2017
- CMS Ensured That Medicare Shared Savings Program Beneficiaries Were Properly Assigned: Beneficiaries Were Assigned to Only One Accountable Care Organization and Were Not Assigned to Other Shared Savings Programs (A-09-17-03010)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-19-2017
- Updated Corporate Integrity Agreement List
- 10-16-2017
- Updated: Work Plan
- 10-12-2017
- CMS's Policies and Procedures Were Generally Effective in Ensuring That Capitation Payments Were Not Made After Beneficiaries' Dates of Death (A-07-16-05087)
- 10-11-2017
- Job Opening: Attorney Application Deadline: October 20, 2017
- Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part B Administrative Costs for Fiscal Year 2012 (A-05-15-00047)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-06-2017
- Some Ohio Group Homes Did Not Always Comply With Foster Care Health and Safety Requirements (A-05-16-00049)
- National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00630 (A-05-15-00045)
- National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00130 (A-05-16-00034)
- National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00450 (A-05-16-00035)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-05-2017
- The Food and Drug Administration Generally Spent Prescription Drug User Fee Collections Appropriately (A-05-16-00040)
- The Administration for Children and Families Region VI Did Not Always Resolve Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-06-16-00019)
- The District of Columbia Claimed Some Day Treatment Program Services That Were Not in Compliance With Federal or District Requirements (A-03-16-00201)
- 10-04-2017
- Podcast: Health IT Security
- LEIE Database Updated with September 2017 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
- 10-03-2017
- Medicare Payments for Clinical Diagnostic Laboratory Tests in 2016: Year 3 of Baseline Data (OEI-09-17-00140)
- The Turtle Mountain Band of Chippewa Indians Improperly Administered Some Low-Income Home Energy Assistance Program Funds for Fiscal Years 2010 Through 2013 (A-07-16-04233)
- Updated Provider Self-Disclosure Settlements
- 10-02-2017
- Protect Yourself from Medical Identity Theft
- Shortcomings of Device Claims Data Complicate and Potentially Increase Medicare Costs for Recalled and Prematurely-Failed Devices (A-01-15-00504)
- Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2015 Average Sales Prices (OEI-03-17-00360)
- Wyoming State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00530)
September
- 09-29-2017
- A Few States Fell Short in Timely Investigation of the Most Serious Nursing Home Complaints: 2011-2015 (OEI-01-16-00330)
- Enhancements Needed in the Tracking and Collection of Medicare Overpayments Identified by ZPICs and PSCs (OEI-03-13-00630)
- The Centers for Medicare & Medicaid Services Could Improve Performance Measures Associated With the Fraud Prevention System (A-01-15-00509)
- Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part A Administrative Costs for Fiscal Year 2012 (A-05-15-00046)
- 09-28-2017
- Hawaii Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02029)
- Washington State Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02028)
- CMS Did Not Provide Effective Oversight To Ensure That State Marketplaces Always Properly Determined Individuals' Eligibility for Qualified Health Plans and Insurance Affordability Programs (A-09-16-01002)
- Some Oklahoma Group Homes Did Not Always Comply With State Requirements (A-06-16-07004)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 09-27-2017
- Challenges Remain in FDA's Inspections of Domestic Food Facilities (OEI-02-14-00420)
- 09-26-2017
- California Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV E Foster Care Payments Were Properly Recorded, Investigated, and Resolved (A-09-16-01000)
- Integrated Health Administrative Services, Inc., Improperly Claimed Medicare Part B Reimbursement for Portable X-ray Services (A-02-15-01008)
- Minnesota Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program (A-05-15-00026)
- Massachusetts Generally Complied With State Requirements To Ensure Children Who Were Title IV-E Eligible and Residing in Foster Care Congregate Care Group Homes Received Required Medical Services (A-01-16-02501)
- 09-22-2017
- Kentucky State Medicaid Fraud Control Unit: 2017 Onsite Review (OEI-06-17-00030)
- Alaska State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00430)
- Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015 (A-04-16-08048)
- Vulnerabilities Remain in Medicare Hospital Outlier Payments (A-07-14-02800)
- 09-21-2017
- Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities (A-09-16-02026)
- 09-20-2017
- OHRP Should Inform Potential Complainants of How They Can Seek Whistleblower Protections (OEI-01-15-00351)
- Alabama Did Not Adequately Secure Its Medicaid Data and Information Systems (A-04-15-05065)
- 09-19-2017
- Wisconsin Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-05-15-00049)
- Blue Cross Blue Shield Association Generally Claimed Allowable Medicare Postretirement Benefit Costs (A-07-17-00521)
- Nevada Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02027)
- Sierra Nevada Memorial Hospital Did Not Accurately Report Certain Wage Data, Resulting in Overpayments to California Hospitals (A-09-16-02044)
- 09-15-2017
- Updated: Work Plan
- Drug Supply Chain Security: Wholesalers Exchange Most Tracing Information (OEI-05-14-00640)
- Updated Corporate Integrity Agreement List
- 09-13-2017
- Job Opening: Experienced Litigator Application Deadline: September 27, 2017
- Arkansas Did Not Make Supplemental Payments in Accordance With Federal Requirements (A-06-15-00042)
- 09-12-2017
- New York State Improperly Claimed Medicaid Reimbursement for Some Managed Long-Term Care Payments (A-02-15-01026)
- CMS Oversight Must Continue Because All Remaining Consumer Operated and Oriented Plans Were Not Profitable and May Not Be Viable and Sustainable (A-05-16-00027)
- Companion Data Services, LLC, Understated Its Allocable Pension Costs (A-07-17-00511)
- Companion Data Services, LLC, Overstated Its Medicare Segment Pension Assets (A-07-17-00512)
- Updated Provider Self-Disclosure Settlements
- 09-11-2017
- OCIG Spring and Summer Internship Opportunities
- Kansas Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-07-17-03218)
- Blue Cross Blue Shield of South Carolina Overstated Its Allocable Qualified Pension Plan Costs (A-07-17-00509)
- CMS and Its Claims Processing Contractors Issued Conflicting Guidance on the Proper Use of the KX Modifier for Part B Immunosuppressive Drug Claims (A-06-15-00018)
- 09-08-2017
- Challenges Appear to Limit States' Use of Medicaid Payment Suspensions (OEI-09-14-00020)
- 09-07-2017
- LEIE Database Updated with August 2017 Exclusions and Reinstatements
- Advisory Opinion 17-05 (regarding a retail pharmacy chain's proposal to allow Federal health care program beneficiaries to participate in a paid membership program that includes discounts on certain prescriptions and clinic services)
- Updated Corporate Integrity Agreement List
- 09-05-2017
- Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2014 Average Sales Prices (OEI 03-16-00540)
- Calculation of Potential Inflation-Indexed Rebates For Medicare Part B Drugs 2017 (OEI-12-17-00180)
- 09-01-2017
- Oklahoma Did Not Adequately Oversee Its Medicaid Nonemergency Medical Transportation Program (A-06-16-00007)
August
- 08-31-2017
- As Funding for BPA Research Increased, NIEHS Followed Its Peer Review Process While Also Exercising Its Discretion (OEI-01-15-00150)
- Advisory Opinion 17-04 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby insurance companies indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for their policyholders and, in turn, provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
- 08-30-2017
- Updated Corporate Integrity Agreement List
- 08-29-2017
- Fox Rehabilitation Claimed Unallowable Medicare Reimbursement for Outpatient Therapy Services (A-02-16-01004)
- Accredo Health Group, Inc., Properly Billed Medicare for Inhalation Drugs (A-09-16-02022)
- Medicare Shared Savings Program Accountable Care Organizations Have Shown Potential for Reducing Spending and Improving Quality (OEI-02-15-00450)
- 08-28-2017
- Early Alert: The Centers for Medicare & Medicaid Services Has Inadequate Procedures To Ensure That Incidents of Potential Abuse or Neglect at Skilled Nursing Facilities Are Identified and Reported in Accordance With Applicable Requirements (A-01-17-00504)
- Job Opening: Attorney Application Deadline: September 22, 2017
- 08-25-2017
- Advisory Opinion 17-03 (regarding a pharmaceutical manufacturer's proposal to replace products that require specialized handling that could not be administered to patients for certain reasons, at no additional charge to the purchaser)
- 08-24-2017
- TrailBlazer Health Enterprises, LLC, Claimed Some Unallowable Medicare Administrative Contract Pension Costs (A-07-17-00510)
- 08-23-2017
- Colorado State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI 06-16-00520)
- 08-22-2017
- FDA Oversight of Tobacco Manufacturing Establishments (OEI-01-15-00300)
- 08-21-2017
- Kentucky Did Not Always Perform Medicaid Eligibility Determinations for Non-Newly Eligible Beneficiaries in Accordance With Federal and State Requirements (A-04-16-08047)
- Public Summary Report: The State of North Carolina Did Not Ensure That Federal Information System Security Requirements Were Met for Safeguarding Its Medicaid Claims Processing Systems and Data (A-07-16-00469)
- 08-18-2017
- Public Summary Report: Information Technology Control Weaknesses Found in the New Mexico Human Services Department's Medicaid Eligibility Systems (A-06-16-05000)
- A Brooklyn Chiropractor Received Unallowable Medicare Payments for Chiropractic Services (A-02-13-01047)
- The Ministry of Health and Social Welfare National AIDS Control Program Did Not Always Manage and Expend PEPFAR Funds in Accordance With Award Requirements (A-04-16-04044)
- The Administration for Children and Families Region IX Resolved Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-09-16-01003)
- 08-17-2017
- Updated Corporate Integrity Agreement List
- 08-16-2017
- Texas Improperly Received Medicaid Reimbursement for School-Based Health Services (A-06-14-00002)
- 08-15-2017
- Updated: Work Plan
- 08-14-2017
- TrailBlazer Health Enterprises, LLC, Understated Its Medicare Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Excess Pension Assets (A-07-17-00507)
- TrailBlazer Health Enterprises, LLC, Did Not Claim Some Allowable Medicare Pension Costs (A-07-17-00508)
- 08-10-2017
- Maine Did Not Comply With Federal and State Requirements for Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities (A-01-16-00001)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated Corporate Integrity Agreement List
- 08-07-2017
- Eye on Oversight: The Importance of OIG Audits
- LEIE Database Updated with July 2017 Exclusions and Reinstatements
- Updated Provider Self-Disclosure Settlements
- 08-04-2017
- Medicare Paid New England Providers Twice for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient Stays During Calendar Years 2013 and CY 2014 (A-01-15-00511)
- Ohio Ensured That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV-E Foster Care Payments Were Recorded and Investigated in Accordance With State Requirements as Required by Federal Law (A-05-16-00020)
- The Three Affiliated Tribes Improperly Administered Low-Income Home Energy Assistance Program Funds for Fiscal Years 2010 Through 2014 (A-07-16-04230)
- Updated Corporate Integrity Agreement List
- 08-03-2017
- Podcast: Independence of the Office for Human Research Protections
- HHS's Office of Refugee Resettlement Improved Coordination and Outreach to Promote the Safety and Well-Being of Unaccompanied Alien Children (OEI-09-16-00260)
- 08-02-2017
- Updated Corporate Integrity Agreement List
- 08-01-2017
- Updated CIA Reportable Event Settlements
July
- 07-31-2017
- OHRP Generally Conducted Its Compliance Activities Independently, But Changes Would Strengthen Its Independence (OEI-01-15-00350)
- 07-27-2017
- Some Hospitals in Medicare Jurisdiction F Claimed Residents as More Than One Full-Time Equivalent (A-02-15-01028)
- Some Hospitals in Medicare Jurisdiction E Claimed Residents as More Than One Full-Time Equivalent (A-02-15-01027)
- 07-26-2017
- Eye on Oversight: Electronic Health Records
- 07-19-2017
- Review of Pennsylvania Medicaid Managed Care Program Potential Savings With Minimum Medical Loss Ratio (A-03-15-00203)
- 07-18-2017
- Testimony of Erin Bliss, Assistant Inspector General for Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Examining HRSA's Oversight of the 340B Drug Pricing Program"
- Palmetto Government Benefits Administrator, LLC, Understated Its Medicare Segment Pension Assets (A-07-17-00503)
- Palmetto Government Benefits Administrator, LLC, Generally Claimed Allowable Medicare Pension Costs (A-07-17-00504)
- Palmetto Government Benefits Administrator, LLC, Understated Its Medicare Segment Allocable Pension Costs (A-07-17-00505)
- Updated Corporate Integrity Agreement List
- 07-17-2017
- Updated: Work Plan
- 07-14-2017
- First Coast Service Options, Inc., Understated Its Medicare Segment and Overstated Its Other Segment Allocable Postretirement Benefit Costs (A-07-17-00502)
- First Coast Service Options, Inc., Did Not Claim Some Allowable Medicare Postretirement Benefit Costs (A-07-17-00500)
- First Coast Service Options, Inc., Overstated Its Medicare Segment Postretirement Benefit Assets (A-07-17-00499)
- 07-13-2017
- 2017 National Takedown
- Opioids in Medicare Part D: Concerns about Extreme Use and Questionable Prescribing (OEI-02-17-00250)
- 07-12-2017
- Updated Corporate Integrity Agreement List
- 07-10-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 07-07-2017
- Advisory Opinion 17-02 (regarding a hospital outpatient facility's proposal to reduce or waive, on a non-routine, unadvertised basis, cost-sharing amounts owed by financially needy Medicare beneficiaries for items and services furnished in connection with a clinical research study)
- 07-06-2017
- Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2017 (OEI-05-17-00160)
- Updated Provider Self-Disclosure Settlements
- 07-05-2017
- LEIE Database Updated with June 2017 Exclusions and Reinstatements
- Wisconsin Physicians Service Insurance Corporation Did Not Properly Settle Missouri Medicare Disproportionate Share Hospital Payments (A-07-16-04229)
- Public Summary Report: Readiness of CDC's Strategic National Stockpile Could Be at Risk in Case of a Public Health Emergency (A-04-16-03554)
- Louisiana Complied With the Requirements of the Social Security Act in Its Review of Cases of Credible Allegations of Medicaid Fraud (A-06-16-00010)
June
- 06-29-2017
- Ariel Foundation Against Pediatric AIDS Managed and Expended the President's Emergency Plan for AIDS Relief Funds in Accordance with Award Requirements (A-04-16-04052)
- 06-27-2017
- T-MSIS Data Not Yet Available for Overseeing Medicaid (OEI-05-15-00050)
- 06-21-2017
- Management and Development for Health Did Not Always Manage the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-16-04045)
- 06-19-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-15-2017
- Updated: Work Plan
- Updated Corporate Integrity Agreement List
- 06-14-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-13-2017
- 2016 Performance Data for the Senior Medicare Patrol Project (OEI-02-17-00220)
- Updated Oklahoma State False Claims Act Review
- Updated Corporate Integrity Agreement List
- 06-12-2017
- Medicare Paid Hundreds of Millions in Electronic Health Record Incentive Payments That Did Not Comply With Federal Requirements (A-05-14-00047)
- Review of Wisconsin Medicaid Managed Care Program Potential Savings With Minimum Medical Loss Ratio (A-05-15-00040)
- Medicare Market Shares of Mail Order Diabetes Test Strips From October Through December 2016 (OEI-04-16-00473)
- 06-09-2017
- Round 2 Competitive Bidding for CPAP/RAD: Disrupted Access Unlikely for Devices, Inconclusive for Supplies (OEI-01-15-00040)
- 06-08-2017
- Eye on Oversight: Abuse in Nursing Homes
- Updated Corporate Integrity Agreement List
- 06-07-2017
- LEIE Database Updated with May 2017 Exclusions and Reinstatements
- 06-05-2017
- Wisconsin State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00240)
- 06-02-2017
- Updated Corporate Integrity Agreement List
- Updated Provider Self-Disclosure Settlements
- 06-01-2017
- Spring 2017 Semiannual Report to Congress
May
- 05-31-2017
- Updated Corporate Integrity Agreement List
- 05-30-2017
- Texas Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV-E Foster Care Payments Were Recorded and Investigated in Accordance With Federal and State Requirements (A-06-15-00049)
- 05-26-2017
- Minnesota Disbursed Only Part of Its Civil Money Penalty Collections, Limiting Resources To Protect and Improve Care for Nursing Facility Residents (A-05-16-00017)
- Podcast: Combatting Opioid Abuse—OIG's Work Against the Opioid Epidemic
- 05-25-2017
- Asian American and Pacific Islander Heritage Month
- CDC Generally Met Its Inspection Goals for the Federal Select Agent Program; However, Opportunities Exist To Strengthen Oversight (OEI-04-15-00430)
- 05-24-2017
- Updated Corporate Integrity Agreement List
- 05-23-2017
- FY 2018 Congressional Budget Justification
- 05-22-2017
- Medicare Could Save Millions by Eliminating the Lump-Sum Purchase Option for All Power Mobility Devices (A-05-15-00020)
- 05-19-2017
- Medicaid Fraud Control Units Fiscal Year 2016 Annual Report (OEI-09-17-00210)
- Public Summary Report: Virginia Did Not Adequately Secure Its Medicaid Data (A-04-15-05066)
- 05-18-2017
- HHS Did Not Identify and Report Antideficiency Act Violations (A-03-13-03002)
- 05-17-2017
- Compendium of Unimplemented Recommendations
- 05-16-2017
- 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 2016 (17-17-52000)
- Medical Ambulance Services, Inc., Claimed Unallowable Reimbursement for Medicare Part B Ambulance Services (A-02-15-01016)
- A Missouri Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Physical Therapy Services (A-07-14-01147)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 05-15-2017
- Kentucky Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries (A-04-15-08044)
- Iowa Did Not Invoice Rebates to Manufacturers for Physician-Administered Drugs of Medicaid Managed-Care Organizations (A-07-16-06065)
- CGS Administrators, LLC, Overstated Its CIGNA Pension Plan Medicare Segment Pension Assets and Understated Medicare's Share of Excess Pension Liabilities (A-07-16-00470)
- CGS Administrators, LLC, Understated Its CIGNA Pension Plan for Certain Former Employees Medicare Segment Pension Assets and Understated Medicare's Share of Excess Pension Assets (A-07-16-00491)
- 05-12-2017
- CGS Administrators, LLC, Generally Claimed Allowable Medicare Pension Costs (A-07-16-00489)
- CGS Administrators, LLC, Did Not Claim Some Allowable Medicare Administrative Contract Postretirement Benefit Costs (A-07-17-00498)
- CGS Administrators, LLC, Claimed Some Unallowable Medicare Administrative Contract Pension Costs (A-07-16-00490)
- 05-09-2017
- Service to the Nation: In the Military and HHS OIG
- Briefing to The Honorable Gus Bilirakis, Subcommittee on Health, Committee on Energy and Commerce, House of Representatives Audit Briefing (A-02-17-02001)
- 05-08-2017
- LEIE Database Updated with April 2017 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
- 05-04-2017
- CMS Validated Hospital Inpatient Quality Reporting Program Data, But Should Use Additional Tools to Identify Gaming (OEI-01-15-00320)
- Updated Provider Self-Disclosure Settlements
- 05-03-2017
- Medicare Compliance Review of Mount Sinai Hospital for 2012 and 2013 (A-02-14-01019)
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 05-02-2017
- Testimony of Christi A. Grimm, Chief of Staff, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Combatting Waste, Fraud, and Abuse in Medicaid's Personal Care Services Program"
April
- 04-28-2017
- Economic Opportunity Commission of Nassau County, Inc., Claimed Some Unallowable Hurricane Sandy Disaster Relief Act Funds (A-02-15-02009)
- Illinois Made Correct Medicaid Claim Adjustments (A-05-15-00031)
- Medicare Compliance Review of the University of Arkansas for Medical Sciences Medical Center for 2013 and 2014 (A-06-16-00005)
- Daniel R. Levinson Keynote Address at the 2017 HCCA Compliance Institute
- 04-27-2017
- Indian Health and Human Services Resources
- Updated Corporate Integrity Agreement List
- 04-21-2017
- California Incorrectly Claimed Additional Medicaid Funding Authorized Under the Recovery Act When Reclaiming Overpayments Made to Bankrupt or Out-of-Business Providers (A-09-14-02030)
- Florida Did Not Suspend Medicaid Payments to Some Providers That Had Credible Fraud Allegation Cases in Accordance With the Social Security Act (A-04-14-07046)
- Ohio's and Michigan's Sales and Use Taxes on Medicaid Managed Care Organization Services Do Not Meet Broad-Based Requirement (A-03-16-00200)
- 04-20-2017
- New Jersey Claimed Medicaid Reimbursement for Adult Partial Hospitalization Services That Did Not Comply With Federal and State Requirements (A-02-14-01015)
- 04-19-2017
- Updated Corporate Integrity Agreement List
- 04-11-2017
- Updated Provider Self-Disclosure Settlements
- 04-10-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 04-07-2017
- Ohio Made Incorrect Medicaid Payments to Providers for Full Vials of Herceptin (A-05-15-00032)
- Texas Made Unallowable Medicaid Managed Care Payments for Beneficiaries Assigned More Than One Medicaid Identification Number (A-06-15-00024)
- Updated Corporate Integrity Agreement List
- 04-06-2017
- LEIE Database Updated with March 2017 Exclusions and Reinstatements
- Updated Civil Monetary Penalties and Affirmative Exclusions
March
- 03-30-2017
- Wisconsin Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-05-16-00014)
- 03-28-2017
- Medicare Compliance Review of Jackson-Madison County General Hospital for Claims Paid From June 1, 2013, Through May 31, 2015 (A-04-15-04042)
- 03-27-2017
- Measuring Compliance Program Effectiveness: A Resource Guide
- 03-24-2017
- Mildmay Uganda Did Not Always Manage the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-15-04039)
- Missouri Properly Verified Correction of Deficiencies Identified During Surveys of Nursing Homes (A-07-16-03217)
- 03-22-2017
- Strength in Diversity: Women at OIG
- Mississippi Claimed Millions in Unallowable School-Based Medicaid Administrative Costs (A-04-15-00103)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-20-2017
- Alta Bates Medical Center Inaccurately Reported Wage Data, Resulting in Medicare Overpayments Audit (A-09-14-02035)
- Cleveland Clinic Lerner College of Medicine Inappropriately Drew Down Hurricane Sandy Disaster Relief Act Funds and Did Not Always Implement Effective Internal Controls Audit (A-02-15-02011)
- 03-17-2017
- Data Inadequacies Undermine CMS's Oversight of the Inconsistency Resolution Process for the Federal Marketplace (OEI-01-14-00620)
- 03-15-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-14-2017
- Nantucket Cottage Hospital Did Not Accurately Report Certain Wage Data, Resulting in Overpayments to Massachusetts Hospitals (A-01-15-00502)
- Public Summary Report: Information Technology Control Weaknesses Found at the Commonwealth of Massachusetts' Medicaid Management Information System (A-06-15-00057)
- Hospitals Nationwide Generally Did Not Comply With Medicare Requirements for Billing Outpatient Right Heart Catheterizations With Heart Biopsies (A-01-13-00511)
- 03-13-2017
- Medicare Compliance Review of University of Florida Health Jacksonville for 2013 and 2014 (A-04-15-07057)
- Blue Cross Blue Shield Association Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2011 Through 2015 (A-07-17-00497)
- Blue Cross Blue Shield Association Overstated Its Medicare Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Excess Pension Assets as of September 30, 2015 (A-07-17-00496)
- 03-10-2017
- Advisory Opinion 17-01 (regarding a hospital system's proposal to provide free or reduced-cost lodging and meals to certain financially needy patients)
- Modification of Advisory Opinion 02-1 (modifies Advisory Opinion 02-1, which concerned a non-profit, tax-exempt, charitable organization's providing cost-sharing and premium assistance to financially needy patients diagnosed with specific chronic illnesses and rare disorders, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
- 03-09-2017
- Testimony of Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Appropriations: Subcommittee on Labor, Health and Human Services, Education, and Related Agencies: "Management Challenges at the Departments of Labor, Health and Human Services, and Education and the Social Security Administration"
- Review of Blue Cross Blue Shield Association Final Administrative Cost Proposals for Fiscal Years 2010 Through 2015 (A-05-15-00056)
- Medicare Contractors' Payments to Providers for Hospital Outpatient Dental Services Generally Did Not Comply With Medicare Requirements (A-06-16-05003)
- Nebraska Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Transportation Program (A-07-16-03209)
- 03-08-2017
- Medicare Compliance Review of Mayo Clinic Florida for 2013 and 2014 (A-04-15-07058)
- New York Improperly Claimed Federal Medicaid Reimbursement for Partial Hospitalization Services (A-02-16-01013)
- Updated Provider Self-Disclosure Settlements
- 03-07-2017
- LEIE Database Updated with February 2017 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
- 03-06-2017
- Podcast: Medicaid Fraud Control Units
- Medicaid Fraud Control Units Statistical Data for Fiscal Year 2016
- 03-03-2017
- Fraud Alert: HHS OIG Hotline Telephone Number Used in Scam
- Video Series Eye on Oversight: Medical Identity Theft
- 03-01-2017
- Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2016 (A-18-16-30350)
February
- 02-28-2017
- Diversity and Inclusion Fuels HHS Office of Inspector General's Fraud-Fighting Success
- 02-24-2017
- Updated Corporate Integrity Agreement List: 1 CIA Added
- 02-23-2017
- New Jersey Claimed Some Unallowable Costs Under a Hurricane Sandy Disaster Relief Act Grant (A-02-15-02005)
- 02-17-2017
- Drug-Pricing and Reimbursement Portfolio
- 02-16-2017
- Newark Preschool Council, Inc., Did Not Always Comply With Head Start Requirements (A-02-14-02024)
- 02-15-2017
- New York Claimed Medicaid Reimbursement for Unallowable Dental Services Billed by a Dentist Based in Westchester County (A-02-13-01033)
- New York Claimed Medicaid Reimbursement for Unallowable Dental Services Billed by a Dentist Based in Queens (A-02-13-01034)
- 02-14-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 02-13-2017
- The University of California at Riverside's Pilot Payroll Certification System Did Not Provide Accountability Over Payroll Charges to Federal Awards (A-04-13-01026)
- 02-08-2017
- Puerto Rico's Controls for Its Child Care and Development Program Claims Were Not Effective (A-02-13-02005)
- Updated Corporate Integrity Agreement List: 1 CIA Added
- Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
- 02-07-2017
- LEIE Database Updated with January 2017 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List: 7 CIAs Closed
- 02-06-2017
- HHS OIG's Podcast: Voluntary Tribal Compliance Agreement
- Medicare Market Shares of Mail Order Diabetes Test Strips From July Through September 2016 (OEI-04-16-00471)
- 02-03-2017
- CDC Awarded Selected Ebola Funds for International Response Activities in Accordance With Applicable Laws, Regulations, and Departmental Guidance (A-04-16-03568)
- Kentucky Misallocated Millions to Establishment Grants for a Health Insurance Marketplace (A-04-14-07050)
- Vidant Medical Center Incorrectly Billed Medicare Inpatient Claims with Severe Malnutrition (A-03-15-00011)
- 02-02-2017
- New Jersey Should Strengthen Hurricane Sandy Social Services Block Grant Internal Controls (A-02-14-02010)
- 02-01-2017
- Fall Health Care Fraud and Abuse Legal Internship Program
January
- 01-31-2017
- Testimony of Ann Maxwell, Assistant Inspector General, Office of Inspector General, U.S. Department of Health and Human Services: Medicaid Oversight: House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Existing Problems and Ways to Strengthen the Program"
- Testimony of Vicki L. Robinson, Senior Counselor for Policy, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Oversight and Government Reform: Subcommittee on Health Care, Benefits, and Administrative Rules: "Fraud, Waste, and Abuse Under the Affordable Care Act"
- 01-30-2017
- Updated Corporate Integrity Agreement List: 1 CIAs Added
- 01-26-2017
- Review of California Medicaid Managed-Care Program Potential Savings With Minimum Medical Loss Ratio (A-09-15-02025)
- 01-25-2017
- Updated Corporate Integrity Agreement List: 2 CIAs Added
- 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