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April

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

March

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

February

02-26-2016
FY 2015 Health Care Fraud and Abuse Control Program Report
South Dakota Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-15-06059)
Some of New Jersey's Claims for Medicaid Global Options for Long-Term Care Waiver Services Were Unallowable (A-02-14-01008)
Updated Stipulated Penalties and Exclusion for Material Breach
02-24-2016
Testimony of Ann Maxwell, Assistant Inspector General, Office of Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services before the Senate Special Committee on Aging
02-23-2016
HealthCare.gov: Case Study of CMS Management of the Federal Marketplace (OEI-06-14-00350)
Not All of the District of Columbia Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-03-14-03301)
02-22-2016
Medicare Compliance Review of Hennepin County Medical Center for 2012 and 2013 (A-05-14-00048)
Medicare Compliance Review of Greenville Memorial Hospital (A-04-15-03082)
Updated Civil Monetary Penalties and Affirmative Exclusions
Updated Corporate Integrity Agreement Enforcement
02-19-2016
Updated Corporate Integrity Agreement List: 1 CIA Added
HPM Foundation, Inc., Did Not Always Comply With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-02-14-02022)
Danbury Hospital Reported Overstated Wage Data Resulting in Medicare Overpayments (A-01-14-00506)
Public Summary Report: South Carolina Did Not Meet Federal Information System Security Requirements for Safeguarding Medicaid Management Information System Data and Supporting Systems (A-04-13-05049)
02-18-2016
Video: HHS OIG testifies on the Federal Medical Assistance Percentage
Nevada Misallocated Costs for Establishing a Health Insurance Marketplace to Its Establishment Grants (A-09-14-01007)
California State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-09-15-00070)
02-17-2016
Medicaid Fraud Control Units Statistical Data for Fiscal Year 2015
Public Summary Report: Connect for Health Colorado Generally Protected Personally Identifiable Information on Its Health Insurance Exchange Web Sites and Databases but Could Continue To Improve Information Security Controls (A-07-15-00454)
02-16-2016
Not All of the Minnesota Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-05-14-00043)
Updated Corporate Integrity Agreement List: 4 CIAs Added
02-12-2016
Review of Medicare Payments for Laboratory Tests Billed With an AY Modifier by Total Renal Laboratories, Inc. (A-01-14-00505)
Review of Medicare Payments for Laboratory Tests Billed With an AY Modifier by DVA Laboratory Services, Inc. (A-01-14-00508)
Health Research, Inc., Budgeted Costs That Were Appropriate and Claimed Allowable Hurricane Sandy Disaster Relief Act Funds Under Grant Number 1U01TP000567 (A-02-15-02006)
02-11-2016
CAPTURED FUGITIVE: Manuel Rodriguez Garcia
02-10-2016
Testimony of John Hagg, Director of Medicaid Audits, Office of Audit Services, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Health
LEIE Database Updated with January 2016 Exclusions and Reinstatements
Medicare Did Not Pay Selected Inpatient Claims for Bone Marrow and Stem Cell Transplant Procedures in Accordance With Medicare Requirements (A-09-14-02037)
02-09-2016
Updated Provider Self-Disclosure Settlements
Delaware State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00240)
FY 2017 Congressional Budget Justification
02-08-2016
New Video Series: Eye on Oversight
Watch the first video on Medicare Part D fraud
Promise Hospital of Ascension Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00007)
02-05-2016
Puerto Rico Improperly Claimed Some Child Care and Development Targeted Funds (A-02-12-02016)
We Could Not Determine Whether West Virginia's Severance and Business Privilege Tax on Behavioral Health Services Is a Permissible Health-Care-Related Tax (A-03-14-00200)
02-03-2016
Medicare Compliance Review of University of Minnesota Medical Center for 2012 and 2013 (A-05-14-00050)
02-02-2016
CIGNA Government Services, LLC's Postretirement Benefit Allocable Costs Were Reasonable and Allowable for Calendar Years 2007 Through 2011 (A-07-15-00465)
Updated Corporate Integrity Agreement List: CIAs Closed
OCIG Fall 2016 Legal Externship - Deadline for Application: March 21, 2016
02-01-2016
Podcast: January 2016 OIG Monthly Update

January

01-29-2016
Inadequate Security Management Practices Left Utah Department of Health Sensitive Medicaid Data at Risk of Unauthorized Disclosure (A-07-15-00455)
Hidalgo Medical Services Did Not Comply With All Federal Requirements Related to Its Capital Development Grant (A-06-14-00056)
01-25-2016
Most Children With Medicaid in Four States Are Not Receiving Required Dental Services (OEI-02-14-00490)
North Carolina Department of Health and Human Services Did Not Always Claim Costs Under CDC Prevention and Public Health Fund Awards in Accordance with Federal Requirements (A-04-14-04028)
Advisory Opinion 16-01 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby [names redacted] (the "Requestors") would indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for their policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
01-22-2016
CAPTURED FUGITIVE: Maelis Yanet Porto Fernandez
Montana Correctly Claimed Federal Reimbursement for Most Medicaid Physician-Administered Drugs (A-07-15-06062)
North Dakota Correctly Claimed Federal Reimbursement for Most Medicaid Physician-Administered Drugs (A-07-15-06058)
Puerto Rico Childcare Home Providers Did Not Always Comply With Commonwealth Health and Safety Requirements (A-02-14-02016)
01-21-2016
Not All of the Washington Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-09-14-01006)
Teaching & Mentoring Communities Claimed Unallowable Head Start Costs (A-06-14-00036)
01-20-2016
National Background Check Program for Long Term Care Employees: Interim Report (OEI-07-10-00420)
Terminated Advisory Opinion No. 10-06 (concerning a patient assistance program that assists underinsured patients with their prescription drug co-payment obligations)
Terminated Advisory Opinion No. 08-17 (concerning a nonprofit, tax-exempt, charitable organization's arrangement to provide financial assistance to cover cost-sharing obligations associated with outpatient drug treatment owed by financially needy Medicare or Medicaid patients with a certain disease)
01-19-2016
Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2015 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-16-00353)
Independent Attestation Review: National Institutes of Health Fiscal Year 2015 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-16-00352)
Independent Attestation Review: Indian Health Service Fiscal Year 2015 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-16-00351)
01-12-2016
Updated Corporate Integrity Agreement List: RehabCare Group, Inc.
California Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00018)
California Claimed Unallowable Federal Medicaid Reimbursement by Not Billing Manufacturers for Rebates for Some Physician-Administered Drugs (A-09-14-02038)
01-11-2016
CAPTURED FUGITIVE: Sandy De La Fe
Updated Corporate Integrity Agreement List: CIAs Added and Closed
01-08-2016
LEIE Database Updated with December 2015 Exclusions and Reinstatements
01-06-2016
CMS Could Not Effectively Ensure That Advance Premium Tax Credit Payments Made Under the Affordable Care Act Were Only for Enrollees Who Paid Their Premiums (A-02-14-02025)
New York Claimed Medicaid Reimbursement for Some Adult Day Health Care Services Provided by Center for Nursing and Rehabilitation That Were Unallowable (A-02-12-01015)
Modification of Advisory Opinion 04-15 (modifies Advisory Opinion 04-15 grants provided by a nonprofit, charitable organization to financially-needy patients suffering from specific chronic or life-threatening diseases to defray the costs of prescription drug therapies, and its first modification at Modification of Advisory Opinion 04-15, to reflect guidance issued on May 21 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
01-04-2016
Podcast: December 2015 OIG Monthly Update
Advisory Opinion 15-17 (regarding a non-profit, tax-exempt, charitable organization's proposal to provide financial assistance with copayment obligations, health insurance premiums, and insurance deductibles to patients, including Medicare and Medicaid beneficiaries, receiving treatment for [disease state redacted])
Advisory Opinion 15-16 (regarding a nonprofit, tax-exempt, charitable organization's proposal to provide assistance with out-of-pocket expenses for outpatient prescription drugs to financially needy insured patients, including, but not limited to, Medicare and Medicaid beneficiaries)

December

12-30-2015
Modification of Advisory Opinion 06-04 (modifies 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, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
12-29-2015
Not All of the Colorado Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-07-14-03199)
New York State Improperly Claimed Medicaid Reimbursement for Some Adult Day Health Care Services (A-02-13-01016)
Advisory Opinion 15-15 (regarding a proposal for a hospital to bill a radiology group for transcription of the radiology group's reports for individuals who are not hospital patients, but rather patients of a third-party clinic that provides the technical component of the radiology exams)
Modification of Advisory Opinion 07-06 (modifies Advisory Opinion 07-06 which concerned the management by a health care industry consultancy of a charitable organization's arrangements to assist patients with specified chronic diseases with cost-sharing and premium obligations, and its first modification at Modification of Advisory Opinion 07-06, to reflect guidance issued on May 21 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
Modification of Advisory Opinion 11-05 (modifies Advisory Opinion 11-05 which concerns a nonprofit, tax-exempt, charitable organization's practices of providing vouchers for genetic tests and assistance with cost-sharing obligations for certain genetic tests and prescription drugs for cancer treatment and its first modification at Modification of Advisory Opinion 11-05, to permit earmarking of donations to specific disease states and to reflect guidance issued on May 21 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.
12-23-2015
California Withdrew Excessive Federal Medicaid Funds for Fiscal Year 2010 (A-09-13-02001)
Updated Corporate Integrity Agreement List: 3 CIAs Added
12-21-2015
South Carolina Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00016)
12-18-2015
Medicare Compliance Review of Nebraska Methodist Hospital for 2012 and 2013 (A-07-15-05073)
Englewood Hospital and Medical Center Claimed Unallowable Medicare Part B Reimbursement for Outpatient Cardiac and Pulmonary Rehabilitation Services (A-02-14-01013)
Alaska Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00017)
Oregon Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00014)
12-17-2015
Average Manufacturer Prices Increased Faster Than Inflation for Many Generic Drugs (A-06-15-00030)
12-16-2015
Modification of OIG Advisory Opinion 06-13 (modifies Advisory Opinion 06-13 concerning a nonprofit, tax-exempt, charitable organization's proposal to provide financially needy persons who have [diseases redacted] with grants to defray the costs of premiums and cost-sharing obligations under Medicare Part B, Medicare Part D, Medicare Supplementary Health Insurance, and Medicare Advantage, and its first modification, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
Arizona State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00280)
The Response to Superstorm Sandy Highlights the Importance of Recovery Planning for Child Care Nationwide (OEI-04-14-00410)
12-15-2015
Attorney Openings (Deadline to Apply: January 11, 2016)
12-14-2015
New York University School of Medicine Budgeted Costs That Were Appropriate and Claimed Allowable Hurricane Sandy Disaster Relief Act Funds (A-02-14-02011)
12-11-2015
New York Claimed Medicaid Reimbursement for Some Adult Day Health Care Services Provided by Metropolitan Jewish Health System That Were Unallowable (A-02-12-01024)
12-09-2015
High-Risk Security Vulnerabilities Identified During Reviews of Information System General Controls at Three California Managed-Care Organizations Raise Concerns About the Integrity of Systems Used To Process Medicaid Claims  (A-09-15-03004)
Updated Corporate Integrity Agreement List: 2 CIAs Closed
12-08-2015
LEIE Database Updated with November 2015 Exclusions and Reinstatements
Podcast: November 2015 OIG Monthly Update
12-07-2015
Modification of OIG Advisory Opinion 07-11
(modifies Advisory Opinion 07-11, which concerned a nonprofit, tax-exempt, charitable organization's practice of providing financially needy cancer patients with grants to defray their out-of-pocket treatment costs, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
12-03-2015
Hoveround Corporation Claimed Millions in Federal Reimbursement for Power Mobility Devices That Did Not Meet Medicare Requirements (A-05-12-00057)
Podcast: CMS Has Not Performed Required Close Outs of Contracts Worth Billions
CMS Has Not Performed Required Closeouts of Contracts Worth Billions (OEI-03-12-00680)
12-02-2015
Updated Corporate Integrity Agreements: Neuroscience, Inc., Pharmasan Labs, Inc., Gottfried Kellerman Ph.D., and Mieke Kellerman
12-01-2015
New Mexico Received Millions in Unallowable Bonus Payments (A-04-15-08040)
Updated Corporate Integrity Agreements: John Sunghoon Won, D.D.S., M.D.; John S. Won, D.D.S., M.D., P.A. dba Preston Oral and Maxillofacial Surgery

November

11-30-2015
Fall 2015 Semiannual Report to Congress
Medicare Compliance Review of University of California, Davis, Medical Center for 2011 Through 2013 (A-09-14-02036)
11-25-2015
WANTED: Child Support Deadbeat Christopher Carroll
Updated Corporate Integrity Agreements: Aventis, Inc, Sanofi US Services, Inc., Sanofi-Aventis, US LLC and Genzyme Corporation
11-24-2015
Part B Payments for 340B Purchased Drugs (OEI-12-14-00030)
11-23-2015
Medicare Compliance Review of Sierra View Medical Center (A-09-14-02039)
National Government Services, Inc., Made Medicare Payments for Diabetic Test Strips When Beneficiaries Had Not Nearly Exhausted Previously Dispensed Supplies (A-09-15-02001)
11-20-2015
Updated Corporate Integrity Agreement List: Novartis Pharmaceuticals Corporation (Addendum)
Advisory Opinion 15-14 (regarding a non-profit, tax-exempt, charitable organization's program to help financially needy patients, including Medicare and Medicaid beneficiaries, obtain magnetic resonance imaging for the diagnosis or ongoing evaluation of [disease state redacted] (the "Arrangement").)
11-17-2015
Vermont Obtained CMS Approval to Report Certain Primary Care Service Expenditures in the Indian Health Service Facilities Column on the CMS-64 (A-05-15-00019)
Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part A Administrative Costs for FYs 2009, 2010, and 2011 (A-05-13-00020)
Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part B Administrative Costs for FYs 2009, 2010, and 2011 (A-05-13-00019)
11-16-2015
FY 2015 Top Management Challenges
Notice of Waivers of Certain Fraud and Abuse Laws in Connection with the Comprehensive Care for Joint Replacement Model
11-10-2015
The District of Columbia Claimed Allocated Costs to Its Establishment Grants in Accordance With Federal Requirements (A-03-14-03300)
Boulevard Health Care, Inc., Improperly Claimed Medicare Reimbursement for Outpatient Physical Therapy Services (A-02-14-01004)
Wisconsin Improperly Claimed Enhanced Federal Reimbursement for Some Non-Family Planning Services (A-05-13-00034)
11-09-2015
LEIE Database Updated with October 2015 Exclusions and Reinstatements
Medicare Compliance Review of Naples Community Hospital for 2011 and 2012 (A-04-14-07049)
11-05-2015
Testimony of Gloria L. Jarmon, Deputy Inspector General for the Office of Audit Services, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Oversight and Investigations: "Examining the Costly Failures of ObamaCare's CO-OP Insurance Loans"
Some South Carolina Childcare Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-04-14-08032)
Some South Carolina Family Childcare Homes Did Not Always Comply With State Health and Safety Requirements (A-04-14-08031)
11-04-2015
Podcast: October 2015 OIG Monthly Update
11-02-2015
Work Plan FY 2016

October

10-30-2015
OIG Policy Statement Regarding Hospitals That Discount or Waive Amounts Owed by Medicare Beneficiaries for Self-Administered Drugs Dispensed in Outpatient Settings
10-28-2015
Medicare Program: Final Waivers in Connection with the Shared Savings Program
The Medicaid Program Could Have Achieved Savings if New York Applied Medical Loss Ratio Standards Similar to Those Established by the Affordable Care Act (A-02-13-01036)
10-26-2015
Medicare Compliance Review of Boca Raton Regional Hospital, Inc., for 2011 and 2012 (A-04-14-07048)
Most Medicaid Payments Oklahoma Made to Providers for Full Vials of Herceptin Were Correct (A-06-15-00023)
Delaware Medicaid Electronic Health Record Payments (A-03-14-00402)
10-23-2015
Kindred Hospital of Central Ohio Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00002)
Vibra Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00001)
10-22-2015
Inspector General Community Accomplishments Will Receive Recognition
10-21-2015
Advisory Opinion 15-13 (regarding a plan to offer free van shuttle service to certain medical facilities in an integrated health system)
Updated Corporate Integrity Agreement List: 3 CIAs Added
10-19-2015
Wisconsin Inappropriately Withdrew Federal Medicaid Funds for Fiscal Years 2010 Through 2012 (A-05-13-00045)
Total Sleep Management, Inc., Billed Medicare for Unallowable Sleep Study Services (A-04-14-07051)
10-15-2015
The Kentucky Marketplace's Internal Controls Were Generally Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-04-14-08036)
Medicare Compliance Review of Altru Hospital for 2012 and 2013 (A-07-15-05070)
CAPTURED: Ubert Guillermo Rodriguez
10-14-2015
Joint Strategic Oversight Plan on U.S. Government Activities: International Ebola Response and Preparedness, October 2015
10-09-2015
LEIE Database Updated with September 2015 Exclusions and Reinstatements
Massachusetts Generally Complied With Medicaid Requirements When Claiming Reimbursement for School-Based Health Services (A-01-14-00003)
10-08-2015
Updated Corporate Integrity Agreement List: 2 CIAs Closed + Aliases
10-07-2015
Testimony of Gary Cantrell, Deputy Inspector General for Investigations, Office of Inspector General, U.S. Department of Health and Human Services before the Senate Special Committee on Aging: "Protecting Seniors from Identity Theft: Is the Federal Government Doing Enough?"
Podcast: September 2015 OIG Update
Puerto Rico Child Day Care Centers Did Not Always Comply With Commonwealth Health and Safety Requirements (A-02-14-02001)
State Medicaid Agencies Can Significantly Reduce Medicaid Costs for Durable Medical Equipment and Supplies (A-05-15-00025)
10-06-2015
OIG Policy Reminder: Information Blocking and the Federal Anti-Kickback Statute
From the IG: A Reminder about Information Blocking and the Federal Anti-Kickback Statute
10-02-2015
Penetration Test of the Administration for Children and Families' Computer Networks and External Web Applications (A-18-14-30330)
Review of Intermediate Care Facilities in New York With High Rates of Emergency Room Visits by Intellectually Disabled Medicaid Beneficiaries (A-02-14-01011)
10-01-2015
Kansas Correctly Claimed Federal Reimbursement for Most Medicaid Physician-Administered Drugs (A-07-14-06056)
Arkansas Complied With the Requirements of the Affordable Care Act in Its Review of Cases of Credible Allegations of Medicaid Fraud (A-06-15-00026)
National Government Services, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00016)

September

09-30-2015
Podcast: The Medicare Payment System for Skilled Nursing Facilities Needs to Be Reevaluated
The Medicare Payment System for Skilled Nursing Facilities Needs To Be Reevaluated (OEI-02-13-00610)
CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services (OEI-01-14-00200)
Georgia State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00090)
Medicare Payments for Clinical Laboratory Tests in 2014: Baseline Data (OEI-09-15-00210)
09-29-2015
Inappropriate Payments and Questionable Billing for Medicare Part B Ambulance Transports (OEI-09-12-00351)
OCR Should Strengthen Its Oversight of Covered Entities' Compliance With the HIPAA Privacy Standards (OEI-09-10-00510)
OCR Should Strengthen Its Followup of Breaches of Patient Health Information Reported by Covered Entities (OEI-09-10-00511)
2016 Spring Legal Extern Positions: Deadline to Apply is October 30, 2015
09-28-2015
Hawaii State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-09-14-00540)
09-25-2015
CMS's Reliance on Puerto Rico's Certification Surveys Could Not Ensure the Safety of Medicare Beneficiaries Who Received Home Health Care Services Provided by St. Luke's Home Health Agency - Juana Diaz (A-02-11-01030)
District of Columbia Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-14-00660)
09-24-2015
Some Pennsylvania Family Child Day Care Centers Did Not Always Comply With State Health and Safety Requirements (A-03-14-00251)
Maine State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00140)
09-23-2015
Not All Internal Controls Implemented by the New York Marketplace Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-02-14-02020)
Oklahoma Made Incorrect Medicaid Electronic Health Record Incentive Payments to Health Care Professionals (A-06-14-00030)
Utah Correctly Claimed Most of Its Medicaid Supplemental Physicians' Payments (A-07-14-01149)
09-22-2015
CMS Did Not Identify All Federal Marketplace Contract Costs and Did Not Properly Validate the Amount To Withhold for Defect Resolution on the Principal Federal Marketplace Contract (A-03-14-03002)
09-21-2015
Public Summary Report: The Centers for Medicare & Medicaid Services' Implementation of Security Controls Over the Multidimensional Insurance Data Analytics System Needs Improvement (A-06-14-00067)
09-17-2015
States' Collection of Rebates for Drugs Paid Through Medicaid Managed Care Organizations Has Improved (OEI-05-14-00431)
09-16-2015
Questionable Billing for Medicare Ophthalmology Services (OEI-04-12-00280)
TrailBlazer Health Enterprises, LLC, Did Not Claim Some Allowable Medicare Postretirement Benefit Costs for Fiscal Years 2005 Through 2011 (A-07-15-00461)
TrailBlazer Health Enterprises, LLC, Understated Its Allocable Medicare Postretirement Benefit Plan Costs for Calendar Years 2008 Through 2013 (A-07-15-00462)
09-15-2015
CMS Did Not Always Manage and Oversee Contractor Performance for the Federal Marketplace as Required by Federal Requirements and Contract Terms (A-03-14-03001)
Jefferson Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00005)
09-11-2015
Testimony of John Hagg, Director of Medicaid Audits, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Health: Strengthening Medicaid Program Integrity and Closing Loopholes
09-10-2015
Rhode Island State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-02-14-00580)
09-09-2015
LEIE Database Updated with August 2015 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: Columbus Regional Healthcare System, Inc.
09-08-2015
Washington State Did Not Suspend Medicaid Payments to Some Providers With Credible Allegations of Fraud in Accordance With the Affordable Care Act (A-09-14-02018)
Maine Did Not Implement Both Recommendations From a Prior Review of Medicaid Overpayments to Nursing Facilities (A-01-14-00007)
09-04-2015
Texas Made Incorrect Medicaid Electronic Health Record Incentive Payments (A-06-13-00047)
Providers Did Not Always Reconcile Patient Records With Credit Balances and Report and Return the Associated Medicaid Overpayments to State Agencies (A-04-14-04029)
09-03-2015
2016 SUMMER LEGAL EXTERN POSITIONS: Deadline to Apply is October 5, 2015
Updated Corporate Integrity Agreement List: North Broward Hospital District Added and
2 CIAs Closed + Aliases
Podcast: August 2015 OIG Monthly Update
09-02-2015
HHS Oversight of Grantees Could Be Improved Through Better Information Sharing (OEI-07-12-00110)
09-01-2015
Updated Corporate Integrity Agreement List: 3 CIAs Added + Aliases

August

08-31-2015
Some of New Jersey's Claims for Medicaid Personal Care Services Did Not Comply With Federal and State Requirements (A-02-13-01022)
Medicare Compliance Review of Moses H. Cone Memorial Hospital for 2012 (A-04-14-04023)
08-28-2015
Ilya Slepak Added to Most Wanted Fugitives List
National Government Services Claimed Allowable Administrative Costs for Fiscal Year 2010 and the First Quarter of Fiscal Year 2011 under Medicare Contract 00450 (A-05-14-00025)
National Government Services Claimed Allowable Administrative Costs for Fiscal Year 2010 and the First Quarter of Fiscal Year 2011 Under Medicare Contract 00130 (A-05-14-00024)
08-25-2015
Miguel Hernandez and Maria Moreira Added to Most Wanted Fugitives List
08-24-2015
Community of Hope Generally Complied With the Requirements of a Capital Development Grant Funded Under the Affordable Care Act (A-03-14-03304)
Medicare Compliance Review of Saint Luke's Hospital of Chesterfield for 2011 and 2012 (A-07-14-05063)
NIH Postaward Grant Administration and Oversight Could Be Improved (OEI-07-11-00190)
08-17-2015
OIG Site Visits to Indian Health Service Hospitals in the Billings, Montana Area (OEI-09-13-00280)
Missouri Claimed Unallowable and Unsupported Medicaid Payments for Group Home Habilitation Services (A-07-14-03201)
08-14-2015
Overlap Between Physician-Owned Hospitals and Physician-Owned Distributors (OEI-01-14-00270)
State False Claims Act Review: Vermont
08-13-2015
Advisory Opinion 15-12 (regarding a home health provider's policy to offer free introductory visits to patients who have chosen it as their home health provider)
08-12-2015
Advisory Opinion 15-11 (regarding a program to provide a drug for free for a limited time to patients who experience a delay in the insurance approval process)
Updated Corporate Integrity Agreement List: 5 Closed with Alias
Connecticut Claimed Unallowable Medicaid Payments for Targeted Case Management Services Provided to Individuals With Chronic Mental Illness (A-01-14-00001)
08-10-2015
Podcast: Not All of the Federally Facilitated Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Properly Determined Eligible for Qualified Health Plans and Insurance Affordability Programs
Not All of the Federally Facilitated Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Properly Determined Eligible for Qualified Health Plans and Insurance Affordability Programs (A-09-14-01011)
LEIE Database Updated with July 2015 Exclusions and Reinstatements
08-07-2015
Podcast: July 2015 OIG Monthly Update
08-06-2015
Updated Corporate Integrity Agreement List: 1 New, 1 Closed with Alias
Medicare Compliance Review of Mary Hitchcock Memorial Hospital for 2009 through 2012 (A-01-13-00513)
CGS Administrators, LLC, Made Medicare Payments for Diabetic Test Strips When Beneficiaries Had Not Nearly Exhausted Previously Dispensed Supplies (A-09-14-02015)
Medicare Contractors' Payments to Providers for Hospital Outpatient Dental Services in Kentucky and Ohio Did Not Comply With Medicare Requirements (A-06-14-00020)
08-05-2015
Providers Terminated from One State Medicaid Program Continued Participating in Other States (OEI-06-12-00030)
California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Drugs Provided in Orange County (A-09-14-02028)
Most Medicaid Payments Arkansas Made to Providers for Full Vials of Herceptin Were Incorrect (A-06-14-00032)
08-04-2015
Armando "Ana" Zamora and Abayomi Onajobi Added to Most Wanted Fugitives List

July

07-31-2015
New York Improperly Claimed Some Child Care and Development Targeted Funds (A-02-12-02012)
New Jersey Improperly Claimed Medicaid Reimbursement for Some Home Health Claims Submitted by Home Health Agencies (A-02-12-01012)
07-30-2015
Podcast: Low Enrollment and Financial Losses May Affect CO-OPs' Ability To Repay Loans Provided Under the ACA
Actual Enrollment and Profitability Was Lower Than Projections Made by the Consumer Operated and Oriented Plans and Might Affect Their Ability to Repay Loans Provided Under the Affordable Care Act (A-05-14-00055)
Performance Data for the Senior Medicare Patrol Projects: July 2015 Performance Report (OEI-02-15-00100)
Job Opening: Experienced Litigation Attorney; Application Deadline is August 13
07-29-2015
Podcast: Medicare Part B Overpaid Millions for Selected Outpatient Drugs
Medicare Part B Overpaid Millions for Selected Outpatient Drugs (A-09-14-02024)
Iowa Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-14-06049)
07-28-2015
Testimony of Gregory Demske, Chief Counsel to the Inspector General, Office of Counsel to the Inspector General, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Continuing Concerns with the Federal Select Agent Program: Department of Defense Shipments of Live Anthrax"
Advisory Opinion 15-10 (regarding a hospital system's proposal to lease non-clinician employees and to provide operational and management services to a related psychiatric hospital for an amount equal to the hospital system's fully loaded costs)
Alleviate Wellness Center Received Unallowable Medicare Payments for Chiropractic Services (A-09-14-02027)
Palmetto Government Benefits Administrator Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments in Jurisdiction 1 (A-07-13-02795)
07-27-2015
Medicare Contractors' Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction K Did Not Comply With Medicare Requirements (A-06-14-00022)
Hospice of New York, LLC, Improperly Claimed Medicare Reimbursement for Some Hospice Services (A-02-13-01001)
07-24-2015
North Carolina Received Millions in Unallowable Bonus Payments (A-04-14-08035)
Updated Civil Monetary Penalties:
07-23-2015
Advisory Opinion 15-09 regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies
07-15-2015
The Fraud Prevention System Increased Recovery and Prevention of Improper Medicare Payments, but Updated Procedures Would Improve Reported Savings (A-01-14-00503)
Washington State Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-09-13-02039)
07-14-2015
Testimony of Ann Maxwell, Assistant Inspector General, Office of Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Oversight and Investigations: Medicare Part D: Measures Needed to Strengthen Program Integrity
07-13-2015
Medicare Compliance Review of Saint Mary's Health Center for 2011 and 2012 (A-07-14-05065)
The Medicare Contractor for Jurisdiction 1 Overpaid a Provider That Incorrectly Billed for Aflibercept (A-06-14-00055)
07-08-2015
LEIE Database Updated with June 2015 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: 2 Closed
07-07-2015
Podcast: June 2015 OIG Monthly Update
Maryland Claimed Unallowable Medicaid Costs for Residential Habilitation Add-on Services Under Its Community Pathways Waiver Program (A-03-13-00202)
Massachusetts Made Claim Adjustments in Accordance With Federal Time Limit Regulations (A-01-15-00001)
07-06-2015
Not All States Reported Medicaid Managed Care Encounter Data as Required (OEI-07-13-00120)
Arkansas Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-06-14-00010)
Wisconsin Physicians Service Insurance Corporation Overpaid a Provider That Incorrectly Billed for Aflibercept (A-06-14-00051)
07-01-2015
Community Health Network, Inc. Added to Corporate Integrity Agreement List
CMS's Reliance on New Jersey Licensure Requirements Could Not Ensure the Quality of Care Provided to Medicaid Hospice Beneficiaries (A-02-11-01024)
Skilled Nursing Facility Billing for Changes in Therapy: Improvements are Needed (OEI-02-13-00611)
Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2015 (OEI-05-15-00120)

June

06-30-2015
Medicare Compliance Review of the University of Kentucky HealthCare for 2011 and 2012 (A-04-13-08026)
06-29-2015
SAMHSA Has Improved Outcome Reporting for the Substance Abuse Prevention and Treatment Block Grant (OEI-04-12-00160)
06-25-2015
ARRESTED: Michael Paul Marsh
CMS's Reliance on Accreditation Surveys Could Not Ensure the Quality of Care Provided to Medicare Hospice Beneficiaries by The Community Hospice, Inc. (A-02-11-01027)
06-24-2015
Hebrew Homes Health Network, Inc. Added to Corporate Integrity Agreement List
06-23-2015
Ensuring the Integrity of Medicare Part D (OEI-03-15-00180)
Questionable Billing and Geographic Hotspots Point to Potential Fraud and Abuse in Medicare Part D (OEI-02-15-00190)
06-22-2015
Some of the State-Operated Medicaid Program Expenditures Claimed by Missouri During the Period October 1, 2010, Through June 30, 2012, Were Unallowable (A-07-14-03197)
06-19-2015
Video: Daniel R. Levinson's Gives Remarks at Health Care Fraud Takedown Press Conference
Advisory Opinion 15-08 (regarding the proposed use of a "preferred hospital" network in connection with a Medigap plan, whereby an insurer would indirectly contract with hospitals for discounts on the otherwise applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a renewal premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
New York Did Not Have Evidence Available in Readily Reviewable Form To Support That It Reimbursed Medicaid Diabetic Testing Supply Rebates to the Federal Government (A-02-13-01002)
AgeWell Physical Therapy & Wellness, P.C., Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services (A-02-13-01031)
06-17-2015
1 New CIA and Alias Added to Corporate Integrity Agreement List
Exclusions Waivers Updated:
06-16-2015
CMS's Internal Controls Did Not Effectively Ensure the Accuracy of Aggregate Financial Assistance Payments Made to Qualified Health Plan Issuers Under the Affordable Care Act (A-02-14-02006)
06-15-2015
CMS's Reliance on New Jersey Qualification Requirements Could Not Ensure the Quality of Care Provided to Medicaid Beneficiaries Receiving Home Health Services (A-02-11-01019)
CMS's Reliance on Puerto Rico's Certification Surveys Could Not Ensure the Quality of Care Provided to Medicare Hospice Beneficiaries by Servicios Suplementarios de Salud, Inc. (A-02-11-01028)
Most Medicaid Payments Texas Made to Providers for Full Vials of Herceptin Were Incorrect (A-06-14-00042)
Illinois Improperly Claimed Medicaid Reimbursement for Optical Services and Supplies (A-05-13-00046)
06-11-2015
National Government Services Claimed Allowable Administrative Costs for Fiscal Year 2010 and the First Quarter of Fiscal Year 2011 (A-05-14-00032)
06-09-2015
LEIE Database Updated with May 2015 Exclusions and Reinstatements
Fraud Alert: Physician Compensation Arrangements May Result in Significant Liability
06-08-2015
Updated Civil Monetary Penalties:
06-05-2015
The Hospital of Central Connecticut Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00003)
CGS Administrators, LLC, Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-07-13-02791)
1 New CIA and aliases Added to Corporate Integrity Agreement List
06-04-2015
Podcast: Texas Paid Millions for Unallowable Medicaid Orthodontic Services
Texas Paid Millions for Unallowable Medicaid Orthodontic Services (A-06-11-00048)
Advisory Opinion 15-07 (regarding subsidies a medical device manufacturer provides to certain patients participating in a clinical research study)
Advisory Opinion 15-06 regarding a nonprofit, tax-exempt, charitable organization's proposal to provide financial assistance to individuals with chronic diseases, including cancer, to assist with the costs of health insurance and drug and device therapies
06-03-2015
Updated Corporate Integrity Agreement List: 7 Closed
Advanced Chiropractic Services Received Unallowable Medicare Payments for Chiropractic Services (A-07-13-01128)
Minnesota Underreported the Federal Share and Did Not Accurately Report All Medicaid Overpayment Collections (A-05-14-00018)
National Government Services, Inc., Understated Its Allocable Pension Costs for Calendar Years 2006 Through 2009 (A-07-14-00453)
06-02-2015
Podcast: May 2015 OIG Monthly Update
Medicare Compliance Review of Loma Linda University Medical Center for 2011 and 2012 (A-09-13-02056)
United Government Services, LLC, Understated Its Medicare Segment Pension Assets as of January 1, 2010 (A-07-14-00447)
United Government Services, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 1999 Through 2006 (A-07-14-00450)
06-01-2015
Spring 2015 Semiannual Report
TrustSolutions, LLC, Overstated Its Allocable Pension Costs for Calendar Years 2007 Through 2009 (A-07-14-00451)
TrustSolutions, LLC, Understated Its Medicare Segment Pension Assets as of January 1, 2010 (A-07-14-00449)

May

05-29-2015
ARRESTED: Child Support Deadbeat Raymond Payne
1 New CIA and aliases Added to Corporate Integrity Agreement List
East Harlem Council for Human Services, Inc., Complied With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-02-14-02021)
05-28-2015
Fiscal Year 2015 HHS OIG Work Plan Mid-Year Update
2 New CIAs Added to Corporate Integrity Agreement List
Chase Brexton Health Care Complied With the Requirements of a Community Health Center Grant Funded Under the Affordable Care Act (A-03-14-03303)
Medical Reserve Corps Volunteers in New York and New Jersey During Superstorm Sandy (OEI-04-13-00350)
05-27-2015
National Government Services, Inc., Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2007 Through 2009 (A-07-14-00452)
Cox Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00004)
05-26-2015
Century Ambulance Service, Inc. Added to Corporate Integrity Agreement List
CMS's Reliance on New York Qualification Requirements Could Not Ensure the Quality of Care Provided to Medicaid Beneficiaries Receiving Home Health Services (A-02-11-01013)
Some Pennsylvania Family Child Day Care Home Providers Did Not Always Comply With State Health and Safety Requirements (A-03-14-00250)
05-22-2015
Daniel R. Levinson's Keynote Address at the 2015 HCCA Compliance Institute
Podcast | Video
1 New CIA Added to Corporate Integrity Agreement List
Medicare Compliance Review of Saint Luke's Hospital of Kansas City for 2011 and 2012 (A-07-14-05062)
CGS Administrators, LLC, Overpaid Providers That Incorrectly Billed for Aflibercept (A-06-14-00053)
05-21-2015
Medicare Compliance Review of Saint Anthony's Medical Center for 2011 and 2012 (A-07-14-05059)
05-20-2015
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 2014 (A-17-15-52000)
First Coast Service Options, Inc., Paid Some Unallowable Sleep Study Claims (A-04-13-07039)
05-18-2015
Questionable Billing for Medicaid Pediatric Dental Services in California (OEI-02-14-00480)
05-15-2015
PharMerica Corporation added to Corporate Integrity Agreements List
05-13-2015
VIDEO: Podiatrist Admits to Defrauding Almost $1 Million from Medicare
Home Health Agencies Conducted Background Checks of Varying Types (OEI-07-14-00130)
05-11-2015
Arizona Correctly Claimed Medicaid expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00015)
05-08-2015
ARRESTED: Jon McClendon
LEIE Database Updated with April 2015 Exclusions and Reinstatements
Incorrect Place-of-Service Coding Resulted in Potential Medicare Overpayments Costing Millions (A-01-13-00506)
New Jersey Claimed Medicaid Hospice Services That Were Not in Compliance With Federal and State Requirements (A-02-11-01014)
05-07-2015
Texas Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-06-12-00060)
University of California, San Diego, Did Not Always Claim Nonpayroll Administrative and Clerical Costs Charged Directly to HHS Awards in Accordance with Federal Regulations (A-09-13-01003)
California Implemented Security Controls Over the Web Site and Databases for Its Health Insurance Exchange but Could Improve Protection of Personally Identifiable Information (A-09-14-03005)
Cedar Ridge Did Not Always Provide the Required Treatment and Therapy Hours for Residential Treatment and Acute Care (A-06-14-00029)
2 New CIAs Added to Corporate Integrity Agreement List
05-06-2015
Podcast: April 2015 OIG Monthly Update
Balboa Ambulance Services, Inc. Added to Corporate Integrity Agreement List
Updated Civil Monetary Penalties:
05-05-2015
FDA Has Made Progress on Oversight and Inspections of Manufacturers of Generic Drugs (OEI-01-13-00600)
South Carolina Claimed Some Unallowable Room-and-Board Costs Under the Intellectual and Related Disabilities Waiver for State Fiscal Year 2010 (A-04-14-04019)
Information Security at the Health Resources and Services Administration Needs Improvement Because Controls Were Not Fully Implemented and Monitored (A-18-14-30430)
The Information Technology Infrastructure and Operations Office Had Inadequate Information Security Controls (A-18-14-30420)
05-01-2015
Ohio State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-07-14-00290)
New Video:$200 Million Fraud Scheme Involving Corrupt Doctors and Kickbacks

April

04-29-2015
Early Alert: Without Clearer Guidance, Marketplaces Might Use Federal Funding Assistance for Operational Costs When Prohibited by Law (A-01-14-02509)
The Medical Center of Central Georgia, Inc. Added to Corporate Integrity Agreement List
Advisory Opinion 15-05 (regarding the use of a “preferred hospital” network as part of Medicare Supplemental Health Insurance (“Medigap”) policies)
04-27-2015
Palmetto Government Benefits Administrator Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments in Jurisdiction 11 (A-07-10-02775)
Palmetto GBA, LLC, Applied the Senior Executive Compensation Benchmark in Accordance With Federal Regulations (A-04-14-00102)
04-24-2015
Medicaid Rebates for Brand-Name Drugs Exceeded Part D Rebates by a Substantial Margin (OEI-03-13-00650)
04-23-2015
National Heritage Insurance Corporation Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00024)
Lone Star Circle of Care Complied With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-06-14-00058)
Updated Corporate Integrity Agreement List: 1 New CIA with Multiple Aliases
04-22-2015
Implementing OIG Recommendation Could Have Reduced Payments for DME Infusion Drugs by Hundreds of Millions of Dollars (OEI-12-15-00110)
04-21-2015
Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2013 (A-18-14-30500)
Medicaid Fraud Control Units Fiscal Year 2014 Annual Report (OEI-06-15-00010)
04-20-2015
HHS OIG and Industry Leaders Release Joint Guidance for Health Care Boards
Practical Guidance for Health Care Governing Boards on Compliance Oversight
04-16-2015
Medicare Compliance Review of Florida Hospital Orlando for the Period January 1, 2011, Through June 30, 2012 (A-04-13-07043)
04-15-2015
Colorado Paid Over 800 Thousand Medicaid Claims With Missing or Invalid National Provider Identifiers During 2011 (A-07-13-06042)
04-14-2015
Missouri Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-14-06051)
Updated Corporate Integrity Agreement List: 2 New and 1 Closed
04-13-2015
Alabama State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-06-13-00660)
04-09-2015
California Claimed Medicaid Reimbursement for Certain Nonemergency Medical Transportation Services in Los Angeles County Billed as Exempt From Prior Authorization That Did Not Comply With Federal and State Requirements (A-09-13-02054)
04-08-2015
LEIE Database Updated with March 2015 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: 1 Closed CIA
04-07-2015
Iowa Did Not Always Make Correct Medicaid Adjustments (A-07-14-01135)
Podcast: March 2015 OIG Monthly Update
04-03-2015
Office of Counsel Careers: Position Openings
Updated Corporate Integrity Agreement List: 1 New CIA and Several Closed CIAs
04-02-2015
Novitas Solutions, Inc. (Formerly Highmark Medicare Services, Inc.), Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00023)
First Coast Service Options, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00022)
North Carolina Claimed Federal Medicaid Reimbursement for Dental Services That Did Not Always Comply With Federal and State Requirements (A-04-13-04014)
04-01-2015
Review of the Accounting Structure Used for the Administration of Premium Tax Credits (OEI-06-14-00590)
Cahaba Government Benefit Administrators, LLC, Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00019)
CAPTURED: William Acosta

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