What's New

May, 2008

05/15/08

• Testimony of Lewis Morris, Chief Counsel to the Inspector General, before the U.S. House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations, on Nursing Home Quality Issues (PDF)

05/13/08

• Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
• Exclusions and Reinstatements Occurring in the Month of April 2008

05/09/08

• Advisory Opinion 08-06 (PDF) (concerning a laboratory’s proposal to provide services consisting of the labeling of test tubes and specimen collection containers at no cost to dialysis facilities)
• Duplicate Medicaid and Medicare Home Health Payments: Medical Supplies and Therapeutic Services (PDF) (OEI-07-06-00640)
• Review of High-Dollar Payments for Medicare Part B Claims Processed By National Government Services for New York Providers for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01043)

05/06/08

• Comparison of Third-Quarter 2007 Average Sales Prices to Average Manufacturer Prices: Impact on Medicare Reimbursement for First-Quarter 2008 (PDF) (OEI-03-08-00130)
• Review of the Centers for Medicare & Medicaid Services Grant Closeout Procedures (A-02-06-02001)
• Review of Duke University Medical Center’s Reported Fiscal Year 2006 Wage Data (A-01-07-00511)
• Review of Excessive Payments for Carrier Services Processed by TrailBlazer Health Enterprises for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00056)

05/02/08

• Review of High-Dollar Payments for Medicare Part A Outpatient Claims Processed by TriSpan Health Services for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00100)
• Nursing Home Enforcement: Processing Denials of Medicare Payment (PDF) (OEI-06-03-00390)

April, 2008

04/29/08

• Follow-Up Audit of the Medicaid Drug Rebate Program in North Dakota (A-07-08-03105)
• Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in California and Arizona for July 1, 2005, Through June 30, 2006 - California Department of Health Care Services (A-05-07-00058)
• Review of Pension Costs Claimed for Medicare Reimbursement by Empire Blue Cross Blue Shield for Fiscal Years 1999 Through 2006 (A-07-07-00254)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Hawaii (A-09-07-00081)

04/28/08

• Review of Kansas’s Medicaid Payments for the Child Welfare Services Program for the Period July 1, 2000, Through June 30, 2003 (A-07-06-03079)
• Review of Quality Improvement Organization in Maryland (A-03-06-01650)
• Review of the Qualified Pension Plan at Empire Blue Cross Blue Shield for the Period January 1, 1999, Through December 31, 2006 (A-07-07-00253)
• Review of High-Dollar Payments for Medicare Part A Claims Processed by TriSpan Health Services for the Period January 1, 2003, through December 31, 2003 (A-06-07-00083)
• Review of the Medicaid Drug Rebate Program In Minnesota (A-05-08-00010)

04/24/08

• Follow-up Review of the Medicaid Drug Rebate Program in Florida (A-04-07-07022)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Nebraska (A-07-07-03097)
• Review of Excessive Payments for Inpatient Services Processed by TrailBlazer Health Enterprises for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00055)

04/23/2008

• New OIG Privacy Act System of Records: Litigation Files: Federal Register Notice (PDF)

04/18/08

• Follow-Up Audit of the Medicaid Drug Rebate Program in Washington State (A-09-07-00062)
• Review of Undistributable Child Support Collections in Orange County, California, From October 1, 1998, Through March 31, 2006 (A-09-06-00040)

04/17/08

• Recent Criminal Enforcement Actions
• Follow-up Review of the Medicaid Drug Rebate Program in Kentucky (A-05-08-00015)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Iowa (A-07-07-03094)
• Follow-up Review of the Medicaid Drug Rebate Program in Wisconsin (A-05-08-00012)

04/16/08

• Draft Supplemental Compliance Guidance for Nursing Facilities: Federal Register Notice (PDF)

04/15/08

• An Open Letter to Health Care Providers: April 15, 2008 (PDF)
• OIG Refines Self-Disclosure Protocol: Press Release (PDF)

04/11/2008

• Exclusions and Reinstatements Occurring in the Month of March 2008

04/09/2008

• Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)

04/04/08

• New OIG Privacy Act System of Records: Administrative Files: Federal Register Notice (PDF)
• Long Term Care Hospitals Short-Stay Outliers (PDF) (OEI-01-07-00290)
• Review of Quality Improvement Organization in New York State (A-02-06-01023)

04/02/08

• Hospice Beneficiaries’ Use of Respite Care (PDF) (OEI-02-06-00222)
• Audit of Medicare Part A Administrative Costs for the Period October 1, 2003, Through September 30, 2005, United Government Services (A-05-07-00059)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Oregon (A-09-07-00052)

March, 2008

03/27/08

• Review of Rhode Island's Medicaid Nonemergency Transportation Costs for March 1, 2004, Through May 31, 2005 (A-01-06-00007)
• Review of Excessive Payments for Outpatient Services Processed by National Government Services in Michigan and Wisconsin for Calendar Years 2004 and 2005 (A-05-07-00066)
• Review of Kansas’s Medicaid Payments for the Family Preservation Program for the Period July 1, 2000, Through June 30, 2003 (A-07-06-03076)

03/26/08

• Issuance of Advisory Opinions by OIG: Interim Final Rule (PDF)

03/25/08

• Recent Criminal Enforcement Actions
• Administrative Enforcement Actions
• Review of Administrative and Clerical Costs at the University of California, San Francisco, for the Period July 1, 2004, Through June 30, 2006 (A-09-07-00073)
• Review of California’s Medicaid Management Information System Expenditures for the Period July 1, 2003, Through June 30, 2005 (A-09-06-00032)

03/19/08

• CVS Caremark Corp. Corporate Integrity Agreement (PDF)

03/13/08

• Division of Unaccompanied Children’s Services: Efforts To Serve Children (PDF) (OEI-07-06-00290)
• Review of Quality Improvement Organization in Ohio for August 1, 2002, Through July 31, 2005 (A-05-06-00043)
• Review of Quality Improvement Organization in Washington (A-09-06-00039)

03/12/08

• Follow-up Audit of the Medicaid Drug Rebate Program in Pennsylvania (A-03-08-00201)
• Follow-Up Audit of the Medicaid Drug Rebate Program in California (A-09-07-00084)
• Review of Postretirement Benefit Costs Claimed for Blue Cross Blue Shield of South Carolina for Fiscal Years 2000 Through 2004 (A-07-07-00230)
• Review of St. Peter's University Hospital's Reported Fiscal Year 2005 Wage Data (A-02-07-01047)

03/10/08

• Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)

03/07/08

• Office of the Secretary; Statement of Organization, Functions, and Delegations of Authority: Federal Register Notice (PDF)
• Medical Assistance Provided by the District of Columbia to Hurricane Katrina Evacuees (A-03-07-00202)
• Review of High-Dollar Payments for Medicare Part B Claims Processed by Triple-S, Inc., for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01041)
• Review of Excessive Payments for Outpatient Claims Processed by National Government Services for Calendar Years 2003 Through 2005: California Providers (A-09-07-00059)

03/05/08

• Exclusions and Reinstatements Occurring in the Month of February 2008

03/04/08

• Proposed Revisions to Existing Privacy Act Systems of Records: Federal Register Notice (PDF)
• Recent Criminal Enforcement Actions

03/03/08

• Los Angeles County Suppliers’ Compliance With Medicare Standards: Results From Unannounced Visits (PDF) (OEI-09-07-00550)
• OIG Report Finds Continued Lack of Medical Supplier Compliance with Medicare Requirements: Press Release

February, 2008

02/28/08

• Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Missouri and Kansas for July 1, 2005, Through June 30, 2006 - Missouri Department of Social Services (A-07-07-04078)
• Medical Assistance Provided by Delaware to Hurricane Katrina Evacuees (A-03-07-00201)
• Review of Medicaid Outpatient Drug Expenditures in Colorado for the Period October 1, 2002, Through September 30, 2004 (A-07-07-04113)
• Audit of Medicare Administrative Costs Claimed by Blue Cross Blue Shield of Arizona for the Period October 1, 2004, Through September 30, 2006 (A-09-07-00072)

02/27/08

• Testimony of Gregory Demske, Assistant Inspector General for Legal Affairs, before the U.S. Senate Special Committee on Aging Examining the Relationship between the Medical Device Industry and Physicians (PDF)

02/22/08

• Advisory Opinion 08-05 (PDF) (concerning a pharmaceutical company’s proposal to place in certain physicians’ offices electronic kiosks that offer patients free disease state screening questionnaires)
• Review of Undistributable Child Support Collections in New Jersey From October 1, 1998, Through March 31, 2006 (A-02-06-02005)
• Review of New Jersey's Medicaid School-Based Rates (A-02-04-01017)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Oklahoma (A-06-07-00069)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Missouri (A-07-07-03096)
• Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Kansas and Missouri for July 1, 2005, Through June 30, 2006 (A-07-07-04079)

02/20/08

• FY 2007 HHS Top Management and Performance Challenges
• Review of High-Dollar Payments for Medicare Part B Claims Processed by HealthNow New York, Inc., for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01042)
• Follow up Audit of the Medicaid Drug Rebate Program in Virginia (A-03-07-00218)

02/13/08

• Payments for Outpatient Hospital, Laboratory, and Radiology Services Made on Behalf of Beneficiaries in Skilled Nursing Facility Stays Covered Under Medicare Part A (A-01-06-00503)
• Review of Medicare Payments to iCare Medical Supply for Home Blood-Glucose Test Strip and Lancet Supplies (A-09-05-00063)

02/12/08

• Advisory Opinion 08-04 (PDF) (concerning a proposal to offer a free trial prescription program to hemophilia A patients who are Federal health care program beneficiaries)
• Health Care Fraud and Abuse Control Program FY 2006 Annual Report (PDF)

02/08/08

• Statement of Organization, Functions, and Delegations of Authority: Federal Register Notice (PDF)
• Advisory Opinion 08-03 (PDF) (concerning a proposed arrangement by which a health care system would provide prompt pay discounts to Federal health care program beneficiaries and other insured patients in connection with both inpatient and outpatient care)
• Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Indiana and Illinois for July 1, 2005, Through June 30, 2006 - Indiana Family and Social Services Administration (A-05-06-00070)
• Review of Retiree Drug Subsidy Plan Sponsor Blue Cross Blue Shield of Massachusetts, Inc., for Plan Year Ended December 31, 2006) (A-01-07-00603)
• Review of Kansas’s Medicaid Payments for Targeted Case Management for the Period July 1, 2000, Through June 30, 2003 (A-07-06-03074)
• Review of UMass Memorial Medical Center’s Reported Fiscal Year 2006 Wage Data (A-01-07-00509)

02/07/08

• Merck & Co., Inc. Corporate Integrity Agreement

02/06/08

• Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
• Exclusions and Reinstatements Occurring in the month of January 2008

02/05/08

• Advisory Opinion 08-02 (PDF) (concerning a marketing and research company’s proposal to encourage physicians and other health care professionals to complete online surveys by offering them the opportunity to designate a public charity to which the company or one of its clients would make a monetary charitable contribution)
• Review of New Jersey Medicaid Contingency Fee Contract Payments for the Period April 1, 1996, Through June 30, 2001 (A-02-06-01006)
• Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Illinois and Indiana for July 1, 2005, Through June 30, 2006 - Illinois Department of Healthcare and Family Services (A-05-06-00069)
• Review of Undistributable Child Support Collections in Florida From October 1, 1998, Through December 31, 2005 (A-04-06-03508)
• Review of Undistributable Child Support Collections in Maryland From October 1, 1998, Through December 31, 2005 (A-03-06-00565)

02/01/08

• Advisory Opinion 08-01 (PDF) (concerning a non-profit corporation’s program that arranges for pharmaceutical manufacturer patient assistance programs to provide donated drugs to free clinics and Federally qualified health centers (FQHCs) for use by financially-needy patients who do not have any form of outpatient prescription drug insurance coverage)

January, 2008

01/31/08

• Driving for Quality in Long-Term Care: A Board of Directors Dashboard -- Government-Industry Roundtable (PDF)
• OIG and HCCA Issue Government-Industry Roundtable Report on Driving For Quality in Long-Term Care: Press Release (PDF)

01/24/08

• Federal Register Notice: Solicitation of Information and Recommendations for Revising the Compliance Program Guidance for Nursing Facilities (PDF)

01/23/08

• Review of Section 1915(c) Mental Retardation or Related Condition Waiver Services at Dungarvin Minnesota From July 1, 2004, Through June 30, 2005 (A-05-07-00023)
• Review of Severance and Termination Costs Claimed by CareFirst Blue Cross/Blue Shield of Maryland for the Period October 2005 Through December 2006 (A-03-07-00022)
• Review of Medicaid Outpatient Drug Expenditures in Montana for the Period October 1, 2001, Through September 30, 2004 (A-07-07-04103)
• Summary Report on State, Local, Private, and Commercial Laboratories’ Compliance With Select Agent Regulations (A-04-06-01033)

01/18/08

• Follow-up Audit of the Medicaid Drug Rebate Program in the District of Columbia (A-03-07-00216)
• Review of High-Dollar Payments for Medicare Part B Claims Processed by Group Health Incorporated for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01045)
• Recent Sampling of Criminal Enforcement Actions

01/17/08

• National Institutes of Health: Conflicts of Interest in Extramural Research (PDF) (OEI-03-06-00460)

01/16/08

• Procurements Made by the National Institutes of Health for the Department of Defense (A-03-07-03000)
• Review of Hurricane Katrina Uncompensated Care Costs Claimed by Mississippi for the University of Mississippi Medical Center (A-04-07-06004)
• Medicare Prescription Drug Subsidy Payments For Dually Eligible Beneficiaries In New Hampshire (A-01-07-00600)

01/14/08

• Advisory Opinion 07-21 (PDF) (concerning an arrangement in which a hospital has agreed to share with a group of cardiac surgeons a percentage of the hospital’s cost savings arising from the surgeons’ implementation of a number of cost reduction measures in certain surgical procedures)
• Advisory Opinion 07-22 (PDF) (concerning an arrangement in which a hospital has agreed to share with a group of anesthesiologists a percentage of the hospital’s cost savings arising from the anesthesiologists’ implementation of a number of cost reduction measures related to anesthesia services provided during cardiac surgical procedures)
• Review of Postretirement Benefit Costs Claimed for TrailBlazer Health Enterprises for Medicare Reimbursement by Blue Cross Blue Shield of South Carolina for Fiscal Years 2000 Through 2004 (A-07-07-00229)
• Review of High-Dollar Payments for Oklahoma Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00088)
• Review of High-Dollar Payments for New Mexico Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00087)
• Review of High-Dollar Payments for Missouri Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00086)
• Review of High-Dollar Payments for Louisiana Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00085)
• Review of High-Dollar Payments for Medicare Part A Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00057)

01/10/08

• Review of the Relationship Between Medicare Part D Payments to Local, Community Pharmacies and the Pharmacies’ Drug Acquisition Costs (A-06-07-00107)
• Physician-Owned Specialty Hospitals’ Ability To Manage Medical Emergencies (OEI-02-06-00310) (PDF)

01/08/08

• Exclusions and Reinstatements Occurring in the month of December 2007
• Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)

01/03/08

• Advisory Opinion 07-20 (PDF) (concerning an investment by a physician in an imaging center in a medically underserved area devastated by Hurricane Katrina)
• Advisory Opinion 07-19 (PDF) (concerning an arrangement whereby a radiology group practice prepares written reports of its interpretations of radiology tests for a critical access hospital without charge to the hospital)
• Advisory Opinion 07-18 (PDF) (concerning the management by a health care industry consultancy of a charitable organization’s arrangements to subsidize patient cost-sharing and premium obligations)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Kansas (A-07-08-03102)
• Review of State Children's Health Insurance Program Payments in Puerto Rico (A-02-04-01019)
• Review of High-Dollar Payments for Oklahoma Medicare Part A Claims Processed by Chisholm Administrative Services for the Period January 1, 2003 Through December 31, 2003 (A-06-07-00090)
• Review of Texas Physical Therapist's Medicare Claims for Therapy Services Provided During 2002 (A-06-07-00061)
• Review of Undistributable Child Support Collections in Georgia From October 1, 1998, Through December 31, 2005 (A-04-06-03506)