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July
- 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
December
- 12-30-2016
- The Ohio State University Monitored Subrecipients and Claimed Allowable National Institutes of Health Grant Costs (A-05-16-00039)
- Medicare Compliance Review of University of Mississippi Medical Center for 2013 and 2014 (A-04-15-00105)
- Audit of Costs Normally Treated as Administrative and Clerical Costs but Charged Directly to HHS Awards at the University of Louisville (A-04-13-01022)
- Review of South Carolina's Medicaid Managed Care Program Potential Savings With Minimum Medical Loss Ratio (A-04-16-06191)
- Medicare Compliance Review of North Mississippi Medical Center for 2013 and 2014 (A-04-15-00106)
- 12-29-2016
- New Jersey Claimed Medicaid Adult Mental Health Partial Care Services That Were Not in Compliance With Federal and State Requirements (A-02-13-01029)
- Colorado Did Not Correctly Expend Establishment Grant Funds for Establishing a Health Insurance Marketplace (A-07-14-02801)
- 12-23-2016
- Case Review of Inpatient Rehabilitation Hospital Patients Not Suited for Intensive Therapy (OEI-06-16-00360)
- 12-21-2016
- Early Implementation Review: CMS's Management of the Quality Payment Program (OEI-12-16-00400)
- 12-20-2016
- Advisory Opinion 16-13 (regarding: (i) a proposal to waive cost-sharing obligations incurred by individuals for health care services required for participation in a government-funded clinical research study (the "Proposed Arrangement"); and (ii) the payment of a stipend to study participants for the time and effort required to participate in study visits)
- 12-19-2016
- Vulnerabilities Remain Under Medicare's 2-Midnight Hospital Policy (OEI-02-15-00020)
- 12-15-2016
- Oregon State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00200)
- Housing Works, Inc., Did Not Always Comply With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-02-15-02001)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 12-14-2016
- 2016 Year in Review: Watch the Video and Listen to the Podcast
- 12-13-2016
- California Did Not Bill Manufacturers for Rebates for Physician-Administered Drugs Dispensed to Enrollees of Some Medicaid Managed-Care Organizations (A-09-15-02035)
- Audit of Medicaid Capitation Payments for Deceased Beneficiaries in Florida (A-04-15-06182)
- 12-12-2016
- LEIE Database Updated with November 2016 Exclusions and Reinstatements
- 12-08-2016
- Updated Provider Self-Disclosure Settlements
- 12-07-2016
- Policy Statement Regarding Gifts of Nominal Value To Medicare and Medicaid Beneficiaries
- Updated Corporate Integrity Agreement List: 5 CIAs Closed
- CAPTURED: Martinez Ruiz
- 12-06-2016
- Final Rule: Medicare and State Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Civil Monetary Penalty Rules
- Final Rule: Medicare and State Health Care Programs: Fraud and Abuse; Revisions to the Safe Harbors Under the Anti-Kickback Statute and Civil Monetary Penalty Rules Regarding Beneficiary Inducements
- Medicare Market Shares of Mail Order Diabetes Test Strips From April to June 2016 (OEI-04-16-00470)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 12-05-2016
- Podcast: November 2016 OIG Monthly Update
- Advisory Opinion 16-12 (regarding a laboratory's proposal to provide services consisting of the labeling of test tubes and specimen collection containers at no cost to dialysis facilities)
- Review of Massachusetts Medicaid Managed Care Program Potential Savings with Minimum Medical Loss Ratio (A-01-15-00505)
- Hospitals Did Not Always Comply With Medicare Requirements for Reporting Cochlear Devices Replaced Without Cost (A-01-15-00508)
- Visiting Nurse Service of New York Budgeted Costs That Were Not Appropriate and Claimed Some Unallowable Hurricane Sandy Disaster Relief Act Funds (A-02-14-02012)
- 12-01-2016
- Updated Civil Monetary Penalties and Affirmative Exclusions
November
- 11-30-2016
- Fall Semiannual Report to Congress
- 11-28-2016
- The Minnesota Marketplace Misallocated Federal Funds and Claimed Unallowable Costs (A-05-14-00045)
- 11-23-2016
- North Carolina Improperly Claimed Federal Reimbursement for Some Medicaid Nonemergency Transportation Services (A-04-15-04037)
- 11-22-2016
- Indiana Did Not Always Make Correct Medicaid Claim Adjustments (A-05-15-00022)
- New York Misallocated Costs to Establishment Grants for a Health Insurance Marketplace (A-02-14-02017)
- 11-21-2016
- Podcast: The HHS OIG Hotline
- 11-18-2016
- Updated Corporate Integrity Agreement List: 1 CIA Added
- 11-17-2016
- Top Management & Performance Challenges Facing HHS
- 11-16-2016
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 11-15-2016
- New Jersey OB/GYN Settles Fraudulent Billing Allegations, Agrees to 20-Year Exclusion from Medicare, Medicaid
- Video Series Eye on Oversight: Challenges in Indian Health Service Hospitals
- 11-14-2016
- Updated Stipulated Penalties and Exclusion for Material Breach
- 11-10-2016
- FY 2017 Office of Inspector General Work Plan
- Public Summary Report: New York Implemented Security Controls Over Its Health Insurance Exchange Web Site and Database but Could Improve Security Controls (A-02-15-03001)
- 11-09-2016
- New York Claimed Medicaid Reimbursement for Unallowable Dental Services Billed by a Dentist Based in New York City (A-02-13-01032)
- A Northern California Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-09-14-02040)
- 11-08-2016
- Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
- 11-07-2016
- LEIE Database Updated with October 2016 Exclusions and Reinstatements
- Podcast: October 2016 OIG Monthly Update
- TrustSolutions, LLC, Claimed Unallowable Medicare Pension Costs for 2007 Through 2009 (A-07-16-00487)
- 11-04-2016
- Report on the DATA Act Readiness Review Audit of the Department of Health and Human Services (A-17-16-02018)
- 11-03-2016
- Advisory Opinion 16-11 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
- Updated Corporate Integrity Agreement List: 3 CIAs Added
- 11-02-2016
- Updated Corporate Integrity Agreement List: 5 CIAs Closed
- Wisconsin Physicians Service Insurance Corporation Did Not Properly Settle Indiana Medicare Disproportionate Share Hospital Cost Report Payments (A-07-15-04219)
- North Dakota Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services (A-07-16-03210)
- Virginia Medicaid Electronic Health Record Payments (A-03-14-00404)
- 11-01-2016
- Podcast: Chiropractic Audit - Over $350 million in unallowable payments
October
- 10-24-2016
- Updated Corporate Integrity Agreement List: 1 CIA Added
- Captured: Adrian Basanta, OIG Most Wanted Fugitive
- Arizona Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-09-16-02013)
- State Agencies Claimed Unallowable and Unsupported Medicaid Reimbursements for Services Under the Home and Community-Based Services Waiver Program (A-07-16-03212)
- New York Made Some Incorrect Medicaid Electronic Health Record Incentive Payments (A-02-14-01020)
- 10-20-2016
- Updated Corporate Integrity Agreement List: 4 CIAs Added
- 10-19-2016
- Hundreds of Millions in Medicare Payments for Chiropractic Services Did Not Comply With Medicare Requirements (A-09-14-02033)
- Michigan Improperly Received Medicaid Reimbursement for School-Based Health Services (A-05-13-00056)
- Virginia Did Not Always Make Correct Medicaid Claim Adjustments (A-03-14-00204)
- 10-18-2016
- Video Series Eye on Oversight: Vulnerabilities in Personal Care Services
- Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
- 10-17-2016
- State Use of Express Lane Eligibility for Medicaid and CHIP Enrollment (OEI-06-15-00410)
- Medicaid Enrollment Using the Express Lane Eligibility Option Did Not Always Meet Federal Requirements (A-04-15-08043)
- Children's Health Insurance Program Enrollment Using the Express Lane Eligibility Option Did Not Always Meet Federal Requirements (A-04-15-08045)
- 10-14-2016
- Fighting fraud, waste, and abuse for 40 years
- 10-13-2016
- North Carolina Claimed Millions in Unallowable School-Based Medicaid Administrative Costs (A-04-15-00101)
- 10-12-2016
- Public Summary Report: The State of Colorado Did Not Meet Federal Information System Security Requirements for Safeguarding Its Medicaid Systems and Data (A-07-15-00463)
- 10-11-2016
- Advisory Opinion 16-10 (regarding a local health care district's proposal to cooperate with another district to jointly fund the cost of a transportation coordinator to educate patients about local transportation options and subsidize certain forms of transportation for patients with financial need)
- Noridian Healthcare Solutions, LLC, Did Not Claim Allowable Medicare Pension Costs or Postretirement Benefit Costs for Fiscal Years 2006 Through 2008 (A-07-16-00481)
- Medicare Compliance Review of Bergan Mercy Medical Center for 2013 and 2014 (A-07-15-05084)
- Sleep Health Center Billed Medicare for Some Unallowable Sleep Study Services (A-04-14-07053)
- Public Summary Report: Information Technology Control Weaknesses Found at the Minnesota Health Insurance Exchange (A-06-15-00035)
- 10-07-2016
- Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care (OEI-06-14-00011)
- Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care (OEI-06-14-00010)
- Medicare's Policies and Procedures Identified Almost All Improper Claims Submitted for Deceased Individuals and Recouped Almost All Improper Payments Made for These Claims for January 2013 Through October 2015 (A-07-16-05089)
- Medicare Improperly Paid Providers Millions of Dollars for Incarcerated Beneficiaries Who Received Services During 2013 and 2014 (A-07-15-01158)
- 10-06-2016
- LEIE Database Updated with September 2016 Exclusions and Reinstatements
- Podcast: September 2016 OIG Monthly Update
- Not All Internal Controls Implemented by CDC Were Effective in Ensuring That World Trade Center Health Program Pharmacy and Medical Claims Were Paid According to Federal Requirements (A-02-14-02008)
- 10-05-2016
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-04-2016
- Investigative Advisory on Medicaid Fraud and Patient Harm Involving Personal Care Services
- Updated Corporate Integrity Agreement List: 4 CIAs Closed
- 10-03-2016
- Early Alert: Incorporating Medical Device-Specific Information on Claim Forms (A-01-16-00510)
- Podcast: OIG's Most Wanted Fugitives
- Medicare Payments for Clinical Diagnostic Laboratory Tests in 2015: Year 2 of Baseline Data (OEI-09-16-00040)
- Changing How Medicare Pays for Clinical Diagnostic Laboratory Tests: An Update on CMS's Progress (OEI-09-16-00100)
- Updated Civil Monetary Penalties and Affirmative Exclusions
September
- 09-30-2016
- Medicare Improperly Paid Millions of Dollars for Unlawfully Present Beneficiaries for 2013 and 2014 (A-07-15-01159)
- Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs for Fiscal Years 2005 Through 2011 (A-07-16-00483)
- CGS Administrators, LLC's Postretirement Benefit Costs for Fiscal Year 2011 Were Reasonable and Allowable (A-07-16-00484)
- Blue Cross Blue Shield of South Carolina Overstated Its Allocable Medicare Postretirement Benefit Costs for Calendar Years 2006 Through 2011 (A-07-16-00485)
- Maryland State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00140)
- 09-29-2016
- Notice: The Simple Extensible Sampling Tool Challenge Requirements and Registration
- HHS Has Made Progress in Properly Classifying Documents; However, New Issues Should be Addressed (OEI-07-16-00080)
- North Carolina State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00070)
- California Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-09-16-02004)
- Illinois Claimed Some Improper Federal Medicaid Reimbursement for Inpatient Hospital Services Related to Treating Provider-Preventable Conditions (A-05-15-00033)
- 09-28-2016
- Testimony of Abhijit Dixit, Special Agent, Office of Investigations, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Ways and Means: Subcommittee on Oversight: "Health Care Fraud Investigations"
- 09-27-2016
- CAPTURED FUGITIVE: Joel Fuentes
- Vermont Did Not Properly Allocate Millions to Establishment Grants for a Health Insurance Marketplace (A-01-15-02500)
- 09-26-2016
- Office of Counsel Legal Internship Programs
- Video: OIG-HHS Testifies on OIG's Oversight of the Affordable Care Act
- 09-23-2016
- Escalating Medicare Billing for Ventilators Raises Concerns (OEI-12-15-00370)
- Advisory Opinion 16-09 (regarding a proposal to install a computerized point-of-care vaccine storage and dispensing system in physicians' offices for the physicians' use)
- Most Wanted Fugitive: Luis Emelio Deleon
- 09-22-2016
- Washington State Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-09-16-02015)
- Idaho Claimed Federal Medicaid Reimbursement for Inpatient Hospital Services Related to Treating Provider-Preventable Conditions (A-09-15-02013)
- Medicare Compliance Review of North Carolina Baptist Hospital for Claims Paid From January 1, 2013, Through August 31, 2014 A-04-15-04036)
- 09-21-2016
- Ohio Did Not Always Make Correct Medicaid Claim Adjustments (A-05-14-00017)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 09-20-2016
- HHS's Office of Inspector General Levies Largest Penalty Under a Corporate Integrity Agreement Against Nation's Biggest Provider of Post-Acute Care
- Washington State Claimed Federal Medicaid Reimbursement for Inpatient Hospital Services Related to Treating Provider-Preventable Conditions (A-09-14-02012)
- 09-19-2016
- Video Series Eye on Oversight: Provider Self-Disclosure Protocol
- North American Health Care, Inc. Added to Corporate Integrity Agreements
- Proposed Rule: State Medicaid Fraud Control Units
- 09-16-2016
- Ohio Made Incorrect Medicaid Electronic Health Record Incentive Payments (A-05-13-00043)
- Oklahoma Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-06-15-00032)
- 09-15-2016
- Hospices Should Improve Their Election Statements and Certifications of Terminal Illness (OEI-02-10-00492)
- West Virginia Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-03-14-00406)
- A Kansas Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Physical Therapy Services (A-07-14-01146)
- Kansas Correctly Invoiced Rebates to Manufacturers for Most Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-07-15-06060)
- 09-14-2016
- Testimony of Gloria Jarmon, Deputy Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations and Subcommittee on Health: "The Affordable Care Act on Shaky Ground: Outlook and Oversight"
- South Dakota State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00170)
- Medicaid Fraud Control Units Fiscal Year 2015 Annual Report (OEI-07-16-00050)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 09-12-2016
- Updated: State False Claims Act Webpage
- 09-08-2016
- LEIE Database Updated with August 2016 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List: 2 CIAs Closed
- Updated Provider Self-Disclosure Settlements
- 09-07-2016
- CMS Should Address Medicare's Flawed Payment System for DME Infusion Drugs Report (OEI-12-16-00340)
- Superstorm Sandy Block Grants: Funds Benefited States' Reconstruction and Social Service Efforts, Though ACF's Guidance Could be Improved (OEI-09-15-00200)
- 09-06-2016
- Updated Corporate Integrity Agreement List: 2 CIAs Added
- Podcast: August 2016 OIG Monthly Update
- 09-02-2016
- Updated Corporate Integrity Agreement List: 1 CIA Added
August
- 08-31-2016
- New Jersey Made Incorrect Medicaid Electronic Health Record Incentive Payments (A-02-14-01009)
- Washington State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00010)
- Head Start Grant Recompetition: Early Implementation Results Suggest Opportunities for Improvement (OEI-12-14-00650)
- 08-30-2016
- Updated Corporate Integrity Agreement List: 5 CIAs Added
- New Exclusions Waiver: Ghabag, Faraj Alhadi, M.D.
- 08-23-2016
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 08-22-2016
- 2016 OIG Guidance on IRO Independence and Objectivity
- 08-19-2016
- Medicare Compliance Review of Home Health VNA for 2011 and 2012 (A-01-13-00518)
- State Governments May Unduly Benefit Financially From Publicly Owned but Privately Operated Entities (A-06-16-08005)
- Pennsylvania Made Correct Medicaid Electronic Health Record Incentive Payments to Hospitals (A-03-15-00403)
- 08-18-2016
- The Department Of Health And Human Services Security Management Practices For Computer Systems With Access To Personally Identifiable Information (A-18-16-30150)
- Louisiana Made Incorrect Herceptin Payments to Medicaid Providers (A-06-15-00037)
- Texas Did Not Always Comply With Federal Requirements and Its Cost Allocation Plan When It Claimed Medicaid Administrative Costs (A-06-15-00038)
- New York Improperly Claimed Federal Medicaid Reimbursement for the Drug Herceptin Over a 3-Year Period (A-02-15-01013)
- 08-17-2016
- Public Summary Report: Wireless Penetration Test of Centers for Medicare & Medicaid Services' Data Centers (A-18-15-30400)
- A Michigan Chiropractor Received Unallowable Medicare Payments for Chiropractic Services (A-07-14-01148)
- Texas Did Not Always Calculate Physician Supplemental Payments Made to the University of Texas Health Institutions in Accordance With Federal and State Requirements (A-06-11-00004)
- 08-15-2016
- Video Series Eye on Oversight: Critical Incidents in Group Homes
- Colorado Received Millions in Unallowable Bonus Payments (A-04-15-08039)
- 08-11-2016
- Podcast: What is OIG's work in Indian Country?
- Medicare Compliance Review of New York-Presbyterian Hospital for 2011 and 2012 (A-02-13-01027)
- 08-10-2016
- MACs Continue to Use Different Methods to Determine Drug Coverage (OEI-03-13-00450)
- Virginia State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00290)
- 08-09-2016
- LEIE Database Updated with July 2016 Exclusions and Reinstatements
- Conversions of Startup Loans Into Surplus Notes by Consumer Operated and Oriented Plans Were Allowable but Not Always Effective (A-05-16-00019)
- Cornerstone Hospital of Austin Incorrectly Billed Medicare Inpatient Claims with Kwashiorkor (A-03-15-00009)
- 08-08-2016
- Job Openings: Associate Counsel - Two Positions (Application Deadline: August 12)
- Arizona Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-09-15-02036)
- 08-03-2016
- Podcast: July 2016 OIG Monthly Update
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated Provider Self-Disclosure Settlements
- 08-02-2016
- Updated Corporate Integrity Agreement List: 4 CIAs Closed
- 08-01-2016
- Updated Corporate Integrity Agreement List: 1 CIA Added
July
- 07-27-2016
- First Coast Service Options, Inc., Did Not Claim Some Medicare Supplemental Executive Retirement Plan Costs for Fiscal Years 2006 Through 2009 (A-07-16-00472)
- Medicare Compliance Review of Excellent Home Care Services, LLC (A-02-14-01005)
- Cornerstone Hospital of Southwest Louisiana Incorrectly Billed Medicare Inpatient Claims with Kwashiorkor (A-03-15-00008)
- Advisory Opinion 16-08 (regarding an arrangement in which a hospice would make a supplemental payment to the nursing facilities in which the hospice's dually eligible patients reside when the nursing facilities-instead of the hospice-receive payment for their patients' room and board expenses)
- 07-25-2016
- Hospitals Largely Reported Addressing Requirements for EHR Contingency Plans (OEI-01-14-00570)
- Dominican Hospital Reported Overstated Wage Data, Resulting in Medicare Overpayments (A-09-14-02032)
- 07-22-2016
- Modification of Advisory Opinion 10-12 (modifies Advisory Opinion 10-12, which concerned a nonprofit, tax-exempt, charitable corporation's proposal to provide financially needy patients with grants to defray their cost-sharing obligations, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs)
- 07-21-2016
- Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries (OEI-06-14-00110)
- FDA is Issuing More Postmarketing Requirements, but Challenges with Oversight Persist (OEI-01-14-00390)
- 07-18-2016
- Attorney Opening (Deadline to Apply: August 12, 2016)
- 07-15-2016
- Medicare Compliance Review of Houston Methodist Hospital for 2012 and 2013 (A-06-14-00074)
- 07-14-2016
- Massachusetts Did Not Comply With Federal and State Requirements for Critical Incidents Involving Developmentally Disabled Medicaid Beneficiaries (A-01-14-00008)
- Alabama Did Not Comply With Federal and State Requirements for Claiming Medicaid Certified Public Expenditures for Federal Fiscal Year 2010 (A-06-15-00004)
- Alabama Claimed Millions in Unallowable School-Based Medicaid Administrative Costs (A-04-13-00094)
- Updated Corporate Integrity Agreement List: 2 CIAs added
- 07-13-2016
- More Effort is Needed to Protect the Integrity of the Child Care and Development Fund Block Grant Program (OEI-03-16-00150)
- 07-12-2016
- Updated Provider Self-Disclosure Settlements
- Medicare Compliance Review of Christian Hospital for 2012 and 2013 (A-07-15-05075)
- Medicare Compliance Review of University of Tennessee Medical Center (A-04-15-03081)
- A Florida Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-04-15-07054)
- Medical Access Uganda Limited Generally Managed the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-15-04040)
- 07-08-2016
- LEIE Database Updated with June 2016 Exclusions and Reinstatements
- New Jersey Did Not Adequately Oversee Its Medicaid Nonemergency Medical Transportation Brokerage Program (A-02-14-01001)
- 07-07-2016
- Updated Corporate Integrity Agreement List: Closed CIAs
- 07-06-2016
- Updated Washington State False Claims Act Review
- 07-05-2016
- Podcast: June 2016 OIG Monthly Update
- 07-01-2016
- Massachusetts State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00390)
- Deadbeat Sentenced: Raymond Payne
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