What's New
July
- 07-20-2018
- Updated Corporate Integrity Agreement List
- 07-18-2018
- Medicare Improperly Paid Providers for Nonemergency Ambulance Transports to Destinations Not Covered by Medicare (A-09-17-03018)
- Setting Medicare Payment Rates for Clinical Diagnostic Laboratory Tests: Strategies To Ensure Data Quality (OEI-09-17-00050)
- Updated Corporate Integrity Agreement List
- Advisory Opinion 18-06 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract indirectly with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 off the next renewal premium to policyholders who use a network hospital for an inpatient stay)
- 07-17-2018
- Testimony of Gloria L. Jarmon, Deputy Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Ways and Means Subcommittee on Oversight: Combating Fraud in Medicare: A Strategy for Success
- 07-16-2018
- Updated: Work Plan
- 07-13-2018
- The Office of the Secretary of Health and Human Services Did Not Comply with Federal Regulations for Chartered Aircraft and Other Government Travel Related to Former Secretary Price (A-12-17-00002)
- The MEDIC Produced Some Positive Results but More Could be Done to Enhance its Effectiveness (OEI-03-17-00310)
- 07-12-2018
- Weaknesses Exist in Medicaid Managed Care Organizations' Efforts To Identify and Address Fraud and Abuse (OEI-02-15-00260)
- The Colorado Health Insurance Marketplace's Financial Management System Did Not Always Comply With Federal Requirements (A-07-17-02808)
- 07-10-2018
- LEIE Database Updated with June 2018 Exclusions and Reinstatements
- Opioids in Ohio Medicaid: Review of Extreme Use and Prescribing (OEI-05-18-00010)
- The Indian Health Service's Controls Were Not Effective in Ensuring That Its Purchase Card Program Complied With Federal Requirements and Its Own Policy (A-07-16-05090)
- Medicare Improperly Paid Providers for Items and Services Ordered by Chiropractors (A-09-17-03002)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 07-06-2018
- The Administration for Children and Families Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements (A-07-17-03225)
- Some New York City Childcare Providers Did Not Always Comply With Health and Safety Requirements (A-02-16-02003)
- University of Wisconsin Hospitals and Clinics Authority Incorrectly Billed Medicare Inpatient Claims With Severe Malnutrition (A-03-17-00005)
- Updated Provider Self-Disclosure Settlements
- 07-05-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
June
- 06-29-2018
- Michigan Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Brokerage Program (A-05-16-00021)
- CMS Did Not Detect Some Inappropriate Claims for Durable Medical Equipment in Nursing Facilities (OEI-06-16-00380)
- 06-28-2018
- 2018 National Takedown
- Featured Topic: Combatting the Opioid Epidemic
- Opioid Use in Medicare Part D Remains Concerning (OEI-02-18-00220)
- Toolkit: Using Data Analysis To Calculate Opioid Levels and Identify Patients At Risk of Misuse or Overdose (OEI-02-17-00560)
- Entities Generally Met Federal Select Agent Program Internal Inspection Requirements But CDC Could Do More To Improve Effectiveness (OEI-04-15-00431)
- 06-27-2018
- Testimony of Brian P. Ritchie, Assistant Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services: Senate Committee on Homeland Security and Governmental Affairs: Medicaid Fraud and Overpayments: Problems and Solutions
- Updated: Work Plan
- Tennessee Medicaid Fraud Control Unit: 2017 Onsite Inspection (OEI-12-17-00230)
- 06-26-2018
- Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2018 (OEI-05-18-00240)
- Updated Corporate Integrity Agreement List
- 06-25-2018
- Advisory Opinion 18-05 (regarding an arrangement under which a hospital has established a caregiver center that provides or arranges for free or reduced-cost support services to caregivers in the local community)
- 06-22-2018
- Florence Crittenton Services of Orange County, Inc., Did Not Always Meet Applicable Safety Standards Related to Unaccompanied Alien Children (A-09-16-01005)
- 06-19-2018
- Updated Corporate Integrity Agreement List
- 06-18-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-15-2018
- Updated: Work Plan
- 06-14-2018
- Advisory Opinion 18-04 regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby insurance companies would contract indirectly with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for their policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay
- 06-13-2018
- Podcast: Pain Management Doctor Was A "One-Man Crime Wave"
- Nebraska Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-07-17-03224)
- Illinois Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-05-17-00047)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-12-2018
- Most Medicare Claims for Replacement Positive Airway Pressure Device Supplies Did Not Comply With Medicare Requirements (A-04-17-04056)
- Companion Data Services, LLC, Did Not Claim Some Allowable Pension Costs Through Its Incurred Cost Proposals (A-07-17-00528)
- Minnesota Did Not Comply With Federal Waiver and State Requirements for All 20 Adult Day Care Centers Reviewed (A-05-17-00009)
- Ohio Did Not Always Comply With Requirements Related to the Case Management of Children in Foster Care (A-05-16-00022)
- 06-08-2018
- LEIE Database Updated with May 2018 Exclusions and Reinstatements
- Texas Made Increased Payments for Services Rendered by Eligible Primary Care Providers Under Federal Requirements (A-06-17-09003)
- Nevada Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-09-15-02039)
- Updated Corporate Integrity Agreement List
- 06-07-2018
- The Food and Drug Administration Computed Prescription Drug User Fee Rates Accurately (A-05-17-00040)
- 06-06-2018
- New York Claimed Federal Reimbursement for Consumer-Directed Personal Assistance Services That Did Not Meet Medicaid Requirements (A-02-16-01026)
- Updated Provider Self-Disclosure Settlements
- 06-05-2018
- 2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)
- Updated Corporate Integrity Agreement List
- 06-04-2018
- Increases in Reimbursement for Brand-Name Drugs in Part D (OEI-03-15-00080)
- Podcast: Increases in Reimbursement for Brand-Name Drugs in Part D
- 06-01-2018
- Semiannual Report to Congress
May
- 05-31-2018
- Advisory Opinion 18-03 regarding a federally qualified health center look-alike's proposal to provide information technology items and services, without charge, to a county Department of Health's clinic to facilitate telemedicine encounters
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 05-30-2018
- HRSA Helped Health Centers With Elevated Risks and Can Continue To Take Additional Steps (OEI-05-14-00470)
- 05-29-2018
- Testimony of Maureen Dixon, Special Agent in Charge, Philadelphia Regional Office, Office of Investigations, Office of Inspector General, Department of Health and Human Services: Senate Committee on Finance Health Care Subcommittee Field Hearing: Examining Efforts to Prevent Opioid Overutilization and Misuse in Medicare and Medicaid
- 05-25-2018
- Eye on Oversight: Corporate Integrity Agreements
- 05-24-2018
- Round 2 Competitive Bidding for Enteral Nutrition: Continued Access for Vast Majority of Beneficiaries (OEI-01-15-00042)
- Round 2 Competitive Bidding for Oxygen: Continued Access for Vast Majority of Beneficiaries (OEI-01-15-00041)
- CMS Did Not Always Provide Accurate Medicaid Unit Rebate Offset Amounts to State Medicaid Agencies (A-07-17-06074)
- Updated Corporate Integrity Agreement List
- 05-23-2018
- Testimony of Gary Cantrell, Deputy Inspector General for Investigations, Office of Investigations, Office of Inspector General, Department of Health and Human Services: Senate Special Committee on Aging: Preventing and Treating Opioid Misuse Among Older Americans
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 05-22-2018
- The South African National Department of Health Did Not Always Manage and Expend the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-17-01002)
- 05-18-2018
- Iowa Complied With Most Federal Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-07-17-03221)
- Missouri Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-07-16-03216)
- 05-16-2018
- The University of Alabama at Birmingham Overstated Chilled Water Costs in Its Facilities and Administrative Cost Proposal Audit (A-04-14-00095)
- Wisconsin Physicians Service Insurance Corporation Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00530)
- Wisconsin Physicians Service Insurance Corporation Understated Medicare�s Share of the Medicare Segment Excess Pension Assets (A-07-17-00529)
- 05-15-2018
- Testimony of Ann Maxwell, Assistant Inspector General for Evaluation and Inspections, Office of Inspector General, Department of Health and Human Services: Senate Committee on Health, Education, Labor, and Pensions: Examining Oversight Reports on the 340B Drug Pricing Program
- Updated: Work Plan
- U.S. Department of Health and Human Services Met Many Requirements of the Improper Payments Information Act of 2002 but Did Not Fully Comply for Fiscal Year 2017 (A-17-18-52000)
- 05-14-2018
- New Most Wanted Fugitive Posted: Angel Lagoa allegedly paid illegal kickbacks to patient recruiters in exchange for beneficiary information.
- 05-11-2018
- Most of New York's Claims for Federal Reimbursement for Monthly Personal Emergency Response Service Charges Did Not Comply With Medicaid Requirements (A-02-15-01019)
- 05-09-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 05-08-2018
- LEIE Database Updated with April 2018 Exclusions and Reinstatements
- Daniel R. Levinson's Keynote Address at the 2018 HCCA Compliance Institute
- The National Institutes of Health, Division of Financial Advisory Services Did Not Always Establish Final Indirect Cost Rates in Accordance With Federal Requirements (A-04-17-04059)
- Updated Corporate Integrity Agreement List
- 05-07-2018
- Advisory Opinion 18-02 (regarding an arrangement where a company that manufactures, distributes, and sells medical device and pharmaceutical products provides a limited number of free sample ostomy products to patients and contracts with a third party to conduct follow-up customer satisfaction surveys)
- Updated Corporate Integrity Agreement List
- Cahaba Safeguard Administrators, LLC, Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00526)
- Cahaba Government Benefits Administrators, LLC, Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00525)
- Cahaba Government Benefits Administrators, LLC, Generally Claimed Allowable Medicare Pension Costs (A-07-17-00524)
- Cahaba Government Benefits Administrators, LLC, Overstated Its Medicare Segment Pension Assets (A-07-17-00522)
- 05-04-2018
- Florida Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-04-17-08052)
- Cahaba Safeguard Administrators, LLC, Understated Its Medicare Segment Pension Assets (A-07-17-00523)
- First Coast Service Options, Inc.'s, Postretirement Benefit Costs Were Reasonable and Allowable (A-07-17-00501)
- 05-03-2018
- Updated Provider Self-Disclosure Settlements
- 05-01-2018
- This is Real: Go Undercover with Our New Podcast
April
- 04-30-2018
- Wanted: Amaury Perez
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 04-24-2018
- Colorado Did Not Always Comply With Federal Requirements When Expending Federal Establishment Grant Funds Allocated for Its Shared Eligibility System Costs (A-07-16-02804)
- 04-20-2018
- The National Institute of Health in Mozambique Did Not Always Manage and Expend the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-16-04051)
- Updated Corporate Integrity Agreement List
- 04-18-2018
- The Indian Health Service's Controls Were Not Effective in Ensuring That Its Travel Card Program Complied With Federal Requirements and Its Own Policy (A-07-16-05091)
- CMS's Policies and Procedures Were Generally Effective in Ensuring That Prescription Drug Coverage Capitation Payments Were Not Made After the Beneficiaries' Dates of Death (A-07-16-05088)
- 04-16-2018
- New: Compliance Resource Portal
- Updated: Work Plan
- 04-13-2018
- CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements (A-05-16-00058)
- Colorado Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services (A-07-16-03215)
- Idaho Received Millions in Unallowable Bonus Payments (A-04-17-08056)
- 04-12-2018
- Testimony of Megan H. Tinker Senior Advisor for Legal Review Office of Counsel to the Inspector General, Office of Inspector General, Department of Health and Human Services: House Committee on Oversight and Government Reform, Subcommittee on Government Operations Subcommittee on Intergovernmental Affairs: Improper Payments in State?Administered Programs: Medicaid
- 04-11-2018
- Most Wanted Fugitive: Ebong Tilong
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 04-10-2018
- LEIE Database Updated with March 2018 Exclusions and Reinstatements
- 04-09-2018
- Texas Did Not Make Increased Primary Care Provider Payments and Claim Reimbursement in Accordance With Federal Requirements (A-06-15-00045)
- 04-06-2018
- FY 2017 Health Care Fraud and Abuse Control Program Report
- 04-04-2018
- Updated Provider Self-Disclosure Settlements
March
- 03-30-2018
- Medicaid Fraud Control Units Fiscal Year 2017 Annual Report (OEI-09-18-00180)
- 03-29-2018
- Drug Supply Chain Security: Dispensers Received Most Tracing Information (OEI-05-16-00550)
- 03-28-2018
- Updated Corporate Integrity Agreement List
- 03-27-2018
- CAPTURED: Antonio Quevedo-Ledo
- 03-23-2018
- Many Medicare Claims for Outpatient Physical Therapy Services Did Not Comply With Medicare Requirements (A-05-14-00041)
- Oklahoma Did Not Have Procedures to Identify Provider-Preventable Conditions on Some Inpatient Hospital Claims (A-06-16-08004)
- 03-22-2018
- Some Washington State Group-Care Facilities for Children in Foster Care Did Not Always Comply With State Health and Safety Requirements (A-09-16-01006)
- Aurum Institute Generally Managed and Expended the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-17-01003)
- New Jersey Claimed Federal Medicaid Reimbursement for Children's Partial Hospitalization Services That Did Not Meet Federal and State Requirements (A-02-16-01008)
- New York Did Not Comply With Federal Grant Requirements for Claiming Marketplace Contract Costs to Medicaid and the Children's Health Insurance Program (A-02-15-01014)
- 03-21-2018
- Small Business Innovation Research (SBIR) Fraud
- 03-16-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-15-2018
- Updated: Work Plan
- Hospitals Did Not Comply With Medicare Requirements for Reporting Certain Cardiac Device Credits (A-05-16-00059)
- Updated Corporate Integrity Agreement List
- 03-14-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-12-2018
- BCFS Health and Human Services Did Not Always Comply With Federal Requirements Related to Less-Than-Arm's-Length Leases (A-06-16-07007)
- Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2017 (A-18-17-11200)
- 03-09-2018
- Oklahoma Did Not Always Comply With Requirements for Providing Health Care Services to Children in Foster Care (A-06-16-07006)
- Updated Provider Self-Disclosure Settlements
- 03-08-2018
- Reliance on Unverified Patient Lists Creates a Vulnerability in Home Health Surveys (OEI-05-16-00510)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-07-2018
- Updated Corporate Integrity Agreement List
- 03-06-2018
- LEIE Database Updated with February 2018 Exclusions and Reinstatements
- 03-02-2018
- Entities' Experiences and Perceptions of Reporting the Theft, Loss, and Release of Select Agents or Toxins to CDC (OEI-04-15-00432)
- Updated Corporate Integrity Agreement List
- 03-01-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
February
- 02-27-2018
- Advisory Opinion 18-01 (regarding the effect of your exclusion from Medicare, Medicaid, and all other Federal health care programs)
- 02-26-2018
- Diversity, Inclusion Enrich the Workplace
- 02-23-2018
- The National Institutes of Health Did Not Always Administer Superfund Appropriations During Fiscal Year 2015 in Accordance With Federal Requirements (A-04-16-04046)
- 02-21-2018
- Medicare Compliance Review of Memorial University Medical Center (A-04-17-08055)
- The Association for Public Health Laboratories Managed Global Health Security Agenda Funds in Accordance With Federal Requirements (A-04-17-02004)
- California Made Medicaid Payments on Behalf of Newly Eligible Beneficiaries Who Did Not Meet Federal and State Requirements (A-09-16-02023)
- Updated Corporate Integrity Agreement List
- 02-20-2018
- Fall Internship Application
- Arizona Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02031)
- Medicare Improperly Paid Providers for Specimen Validity Tests Billed in Combination With Urine Drug Tests (A-09-16-02034)
- 02-16-2018
- Medicare Needs Better Controls To Prevent Fraud, Waste, and Abuse Related to Chiropractic Services (A-09-16-02042)
- 02-15-2018
- Updated: Work Plan
- Wisconsin Physicians Service Paid Providers for Hyperbaric Oxygen Therapy Services That Did Not Comply With Medicare Requirements (A-01-15-00515)
- Arkansas Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-06-16-00018)
- Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2016 (A-18-17-11300)
- 02-13-2018
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 02-12-2018
- FY 2019 Congressional Budget Justification
- 02-09-2018
- Updated Corporate Integrity Agreement List
- 02-08-2018
- Henry J. Austin Health Center, Inc., a Health Resources and Services Administration Grantee, Did Not Comply With Federal Grant Requirements (A-02-17-02002)
- The Administration for Children and Families Region II Did Not Always Resolve Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-02-16-02009)
- 02-07-2018
- LEIE Database Updated with January 2017 Exclusions and Reinstatements
- Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Pension Costs Through Its Incurred Cost Proposals (A-07-17-00506)
- CGS Administrators, LLC, Did Not Claim Some Allowable Pension Costs Through Its Incurred Cost Proposals (A-07-17-00513)
- 02-06-2018
- Medicare Compliance Review of the University of Michigan Health System (A-05-16-00064)
- Updated Corporate Integrity Agreement List
January
- 01-23-2018
- North Carolina Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-04-17-02500)
- Medicare Compliance Review of Carolinas Medical Center (A-04-16-04049)
- 01-19-2018
- Testimony of Gloria Jarmon, Deputy Inspector General for the Office of Audit Services, Department of Health and Human Services: House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations: Safety of the U.S. Food Supply: Continuing Concerns Over the Food and Drug Administration's Food-Recall Process
- Updated Corporate Integrity Agreement List
- 01-18-2018
- Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00354)
- Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00353)
- Independent Attestation Review: National Institutes of Health Fiscal Year 2017 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00352)
- Independent Attestation Review: Indian Health Service Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00351)
- 01-17-2018
- Joint Report: Ensuring Beneficiary Health and Safety in Group Homes Through State Implementation of Comprehensive Compliance Oversight
- Testimony of Gary Cantrell, Deputy Inspector General for Investigations, Office of Investigations, Office of Inspector General, Department of Health and Human Services: House Committee on Ways and Means, Subcommittee on Oversight: The Opioid Crisis: The Current Landscape and CMS Actions to Prevent Opioid Misuse
- Wisconsin Physicians Service Insurance Corporation Did Not Claim Some Allowable Medicare Pension Costs (A-07-17-00519)
- Wisconsin Physicians Service Insurance Corporation Understated Its Allocable Pension Costs (A-07-17-00520)
- Independent Attestation Review: Centers for Disease Control and Prevention Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00355)
- 01-16-2018
- Updated: Work Plan
- Medicare Advantage Encounter Data Show Promise for Program Oversight, But Improvements Are Needed (OEI-03-15-00060)
- Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Employees' Pension Plan (A-07-17-00516)
- Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Managerial Retirement Program for Selected Locations (A-07-17-00517)
- Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Managerial Pension Plan (A-07-17-00518)
- 01-09-2018
- New York Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries (A-02-15-01015)
- Tennessee Managed Care Organizations Received Medicaid Capitation Payments After Beneficiary's Death (A-04-15-06190)
- Georgia Made Unallowable Capitation Payments for Beneficiaries Assigned Multiple Medicaid Identification Numbers (A-04-16-07061)
- Texas Did Not Appropriately Spend Some State Balancing Incentive Payments Program Funds (A-06-15-00041)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 01-08-2018
- Texas Did Not Always Calculate Physician Supplemental Payments Made to the Texas Tech University Health Institutions in Accordance With Federal and State Requirements (A-06-12-00043)
- Nebraska Did Not Invoice Rebates to Manufacturers for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-07-13-06046)
- Texas Did Not Bill Manufacturers for Some Rebates for Pharmacy Drugs of Medicaid Managed-Care Organizations (A-06-16-00004)
- Indiana Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-05-16-00056)
- Updated Corporate Integrity Agreement List
- 01-05-2018
- OIG Letter to PhRMA: Drug Companies that Provide Free Drugs to Federal Health Care Program Beneficiaries Impacted by Caring Voice Coalition, Inc.'s Decision Not to Provide Patient Assistance in 2018
- Advisory Opinion 17-09 (regarding an arrangement in which certain neurosurgeons have agreed to implement cost-reduction measures in designated surgical procedures performed at a medical center, and the medical center will share with such neurosurgeons a percentage of its cost savings resulting from these measures)
- 01-04-2018
- Updated Corporate Integrity Agreement List
- 01-03-2018
- LEIE Database Updated with December 2017 Exclusions and Reinstatements
- Updated Provider Self-Disclosure Settlements
December
- 12-29-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- New York Did Not Comply With Federal Grant Requirements for Allocating and Claiming Marketplace Contract Costs (A-02-15-02008)
- 12-26-2017
- The Food and Drug Administration's Food-Recall Process Did Not Always Ensure the Safety of the Nation's Food Supply (A-01-16-01502)
- 12-22-2017
- The Administration for Children and Families Region X Did Not Always Resolve Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-09-16-01004)
- 12-21-2017
- Lincare Pharmacy Services Inc. Generally Complied With Medicare Requirements When Billing for Inhalation Drugs (A-09-16-02037)
- Taxpayers Could See More than $4.4 Billion Returned to Treasury Plus $Billions in Estimated 2017 Savings from OIG Recommendations
- 12-20-2017
- Eye on Oversight: 2017 Year in Review
- Potential Misclassifications Reported by Drug Manufacturers May Have Led to $1 Billion in Lost Medicaid Rebates (OEI-03-17-00100)
- Updated Corporate Integrity Agreement List
- 12-19-2017
- The Administration for Children and Families Did Not Always Resolve American Indian and Alaska Native Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-06-17-07003)
- Summary Report for Fiscal Year 2016 OIG Penetration Testing of Four HHS Operating Division Networks (A-18-17-08500)
- 12-18-2017
- The State of North Carolina Did Not Meet Federal Information System Security Requirements for Safeguarding Its Medicaid Eligibility Determination Systems and Data (A-07-16-00486)
- Some Massachusetts Group Homes for Children in Foster Care Did Not Always Comply With State Health and Safety Requirements (A-01-16-02500)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 12-15-2017
- Updated: Work Plan
- Advisory Opinion 17-08 (regarding your proposal to develop a state-wide network of nursing facilities that would provide discounts on the daily rates they charge to private long-term care insurers and the insurers' policyholders)
- 12-14-2017
- Followup Review: CMS's Management of the Quality Payment Program (OEI-12-17-00350)
- Updated Corporate Integrity Agreement List
- 12-11-2017
- Advisory Opinion 17-07 (regarding a pharmaceutical manufacturer's proposal to collaborate with a trade association, a Medicare Advantage plan, and a hospital system to implement, fund, and evaluate a pilot program to provide the Medicare Advantage plan pharmacists who conduct medication therapy management services with new technology that would permit real-time electronic access to patient discharge information)
- 12-08-2017
- Medicaid Fraud Control Units: Investigation and Prosecution of Fraud and Beneficiary Abuse in Medicaid Personal Care Services (OEI-12-16-00500)
- Office of Refugee Resettlement Unaccompanied Alien Children Grantee Review—His House (A-04-16-03566)
- 12-07-2017
- Pine Bluff Jefferson County Economic Opportunities Commission Did Not Always Operate Its Head Start Program in Accordance With Federal Requirements (A-06-16-00013)
- Not All of Missouri's Child Care Subsidy Program Payments Complied With Federal and State Requirements (A-07-15-04226)
- Two Indian Health Service Hospitals Had System Security and Physical Controls for Prescription Drug and Opioid Dispensing but Could Still Improve Controls (A-18-16-30540)
- Updated Corporate Integrity Agreement List
- 12-06-2017
- Updated Provider Self-Disclosure Settlements
- 12-05-2017
- LEIE Database Updated with November 2017 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
- 12-01-2017
- CMS Did Not Adequately Address Discrepancies in the Coding Classification for Kwashiorkor (A-03-14-00010)
- Texas Managed Care Organizations Received Medicaid Capitation Payments After Beneficiary's Death (A-06-16-05004)
November
- 11-30-2017
- Fall Semiannual Report to Congress
- 11-29-2017
- Updated Corporate Integrity Agreement List
- 11-28-2017
- Final Notice of Rescission of Advisory Opinion 06-04 (rescinds Advisory Opinion 06-04, which concerned a nonprofit, tax-exempt, charitable corporation's proposal to provide financially needy Medicare beneficiaries with assistance with premiums and cost-sharing obligations)
- New Jersey Claimed Hundreds of Millions in Unallowable or Unsupported Medicaid School-Based Reimbursement (A-02-15-01010)
- 11-27-2017
- Excluding Noncovered Versions When Setting Payment for Two Part B Drugs Would Have Resulted in Lower Drug Costs for Medicare and its Beneficiaries (OEI-12-17-00260)
- 11-20-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 11-17-2017
- CMS Generally Met Requirements in Round 2 of the DMEPOS Competitive Bidding Program (A-05-14-00049)
- Updated Corporate Integrity Agreement List
- 11-16-2017
- Eye on Oversight Video: Grant Management
- Medicare Compliance Review of Rush University Medical Center (A-05-16-00062)
- U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, but Key Areas Require Improvement (A-17-17-02018)
- Advisory Opinion 17-06 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would indirectly contract with hospitals for discounts on the otherwise applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
- 11-15-2017
- Top Management & Performance Challenges Facing HHS
- Updated: Work Plan
- Updated: CIA Reportable Event Settlements
- 11-13-2017
- North Carolina Did Not Comply With Federal and State Requirements When Making Medicaid Cost-Sharing Payments for Professional Medical Services (A-04-16-04054)
- 11-09-2017
- Ohio Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-05-16-00013)
- Oklahoma Did Not Correctly Process Adjustments to Medicare Crossover Claims (A-06-16-08012)
- New York Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-02-15-01024)
- 11-08-2017
- From Military Veteran to OIG Special Agent
- 11-07-2017
- LEIE Database Updated with October 2017 Exclusions and Reinstatements
- Kansas Received Millions in Unallowable Bonus Payments (A-04-16-08050)
- Ohio Received Millions in Unallowable Bonus Payments (A-04-16-08049)
- 11-06-2017
- Minnesota Did Not Comply With Federal Waiver and State Requirements for 18 of 20 Family Adult Foster Care Homes Reviewed (A-05-16-00044)
- Updated Corporate Integrity Agreement List
- 11-03-2017
- First Coast Service Options, Inc., Generally Claimed Allowable Medicare Pension Costs (A-07-16-00495)
- First Coast Service Options, Inc., Understated Its Medicare Segment Pension Assets (A-07-16-00494)
- First Coast Service Options, Inc., Understated Its Allocable Pension Costs (A-07-16-00493)
- 11-02-2017
- CMS Ensured Nearly All Part D Drug Records Contained Valid Prescriber Identifiers in 2016 (OEI-03-17-00040)
- New York Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV-E Foster Care Payments Were Recorded and Investigated in Accordance With State Requirements as Required by Federal Law (A-02-15-02014)
- Updated Corporate Integrity Agreement List
- Updated Provider Self-Disclosure Settlements
- 11-01-2017
- Southeast Arkansas Community Action Corporation Did Not Always Operate Its Head Start Program in Accordance With Federal Regulations (A-06-16-00015)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated Corporate Integrity Agreement List
October
- 10-31-2017
- Testimony of James A. Cannatti III, Senior Counselor for Health Information Technology, Office of Inspector General, U.S. Department of Health and Human Services: Senate Committee on Health, Education, Labor, and Pensions: Implementation of the 21st Century Cures Act: Achieving the Promise of Health Information Technology
- 10-27-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-25-2017
- Review of The Department of Health and Human Services (HHS) Cancellation of Marketplace Enrollment Outreach Efforts (OEI-12-17-00290)
- HRSA Complied With Federal and HHS Grant Policies When Awarding Zika Response and Preparedness Appropriations Act Funds During Fiscal Year 2017
- 10-23-2017
- CMS Ensured That Medicare Shared Savings Program Beneficiaries Were Properly Assigned: Beneficiaries Were Assigned to Only One Accountable Care Organization and Were Not Assigned to Other Shared Savings Programs (A-09-17-03010)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-19-2017
- Updated Corporate Integrity Agreement List
- 10-16-2017
- Updated: Work Plan
- 10-12-2017
- CMS's Policies and Procedures Were Generally Effective in Ensuring That Capitation Payments Were Not Made After Beneficiaries' Dates of Death (A-07-16-05087)
- 10-11-2017
- Job Opening: Attorney Application Deadline: October 20, 2017
- Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part B Administrative Costs for Fiscal Year 2012 (A-05-15-00047)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-06-2017
- Some Ohio Group Homes Did Not Always Comply With Foster Care Health and Safety Requirements (A-05-16-00049)
- National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00630 (A-05-15-00045)
- National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00130 (A-05-16-00034)
- National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00450 (A-05-16-00035)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 10-05-2017
- The Food and Drug Administration Generally Spent Prescription Drug User Fee Collections Appropriately (A-05-16-00040)
- The Administration for Children and Families Region VI Did Not Always Resolve Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-06-16-00019)
- The District of Columbia Claimed Some Day Treatment Program Services That Were Not in Compliance With Federal or District Requirements (A-03-16-00201)
- 10-04-2017
- Podcast: Health IT Security
- LEIE Database Updated with September 2017 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
- 10-03-2017
- Medicare Payments for Clinical Diagnostic Laboratory Tests in 2016: Year 3 of Baseline Data (OEI-09-17-00140)
- The Turtle Mountain Band of Chippewa Indians Improperly Administered Some Low-Income Home Energy Assistance Program Funds for Fiscal Years 2010 Through 2013 (A-07-16-04233)
- Updated Provider Self-Disclosure Settlements
- 10-02-2017
- Protect Yourself from Medical Identity Theft
- Shortcomings of Device Claims Data Complicate and Potentially Increase Medicare Costs for Recalled and Prematurely-Failed Devices (A-01-15-00504)
- Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2015 Average Sales Prices (OEI-03-17-00360)
- Wyoming State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00530)
September
- 09-29-2017
- A Few States Fell Short in Timely Investigation of the Most Serious Nursing Home Complaints: 2011-2015 (OEI-01-16-00330)
- Enhancements Needed in the Tracking and Collection of Medicare Overpayments Identified by ZPICs and PSCs (OEI-03-13-00630)
- The Centers for Medicare & Medicaid Services Could Improve Performance Measures Associated With the Fraud Prevention System (A-01-15-00509)
- Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part A Administrative Costs for Fiscal Year 2012 (A-05-15-00046)
- 09-28-2017
- Hawaii Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02029)
- Washington State Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02028)
- CMS Did Not Provide Effective Oversight To Ensure That State Marketplaces Always Properly Determined Individuals' Eligibility for Qualified Health Plans and Insurance Affordability Programs (A-09-16-01002)
- Some Oklahoma Group Homes Did Not Always Comply With State Requirements (A-06-16-07004)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 09-27-2017
- Challenges Remain in FDA's Inspections of Domestic Food Facilities (OEI-02-14-00420)
- 09-26-2017
- California Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV E Foster Care Payments Were Properly Recorded, Investigated, and Resolved (A-09-16-01000)
- Integrated Health Administrative Services, Inc., Improperly Claimed Medicare Part B Reimbursement for Portable X-ray Services (A-02-15-01008)
- Minnesota Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program (A-05-15-00026)
- Massachusetts Generally Complied With State Requirements To Ensure Children Who Were Title IV-E Eligible and Residing in Foster Care Congregate Care Group Homes Received Required Medical Services (A-01-16-02501)
- 09-22-2017
- Kentucky State Medicaid Fraud Control Unit: 2017 Onsite Review (OEI-06-17-00030)
- Alaska State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00430)
- Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015 (A-04-16-08048)
- Vulnerabilities Remain in Medicare Hospital Outlier Payments (A-07-14-02800)
- 09-21-2017
- Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities (A-09-16-02026)
- 09-20-2017
- OHRP Should Inform Potential Complainants of How They Can Seek Whistleblower Protections (OEI-01-15-00351)
- Alabama Did Not Adequately Secure Its Medicaid Data and Information Systems (A-04-15-05065)
- 09-19-2017
- Wisconsin Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-05-15-00049)
- Blue Cross Blue Shield Association Generally Claimed Allowable Medicare Postretirement Benefit Costs (A-07-17-00521)
- Nevada Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02027)
- Sierra Nevada Memorial Hospital Did Not Accurately Report Certain Wage Data, Resulting in Overpayments to California Hospitals (A-09-16-02044)
- 09-15-2017
- Updated: Work Plan
- Drug Supply Chain Security: Wholesalers Exchange Most Tracing Information (OEI-05-14-00640)
- Updated Corporate Integrity Agreement List
- 09-13-2017
- Job Opening: Experienced Litigator Application Deadline: September 27, 2017
- Arkansas Did Not Make Supplemental Payments in Accordance With Federal Requirements (A-06-15-00042)
- 09-12-2017
- New York State Improperly Claimed Medicaid Reimbursement for Some Managed Long-Term Care Payments (A-02-15-01026)
- CMS Oversight Must Continue Because All Remaining Consumer Operated and Oriented Plans Were Not Profitable and May Not Be Viable and Sustainable (A-05-16-00027)
- Companion Data Services, LLC, Understated Its Allocable Pension Costs (A-07-17-00511)
- Companion Data Services, LLC, Overstated Its Medicare Segment Pension Assets (A-07-17-00512)
- Updated Provider Self-Disclosure Settlements
- 09-11-2017
- OCIG Spring and Summer Internship Opportunities
- Kansas Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-07-17-03218)
- Blue Cross Blue Shield of South Carolina Overstated Its Allocable Qualified Pension Plan Costs (A-07-17-00509)
- CMS and Its Claims Processing Contractors Issued Conflicting Guidance on the Proper Use of the KX Modifier for Part B Immunosuppressive Drug Claims (A-06-15-00018)
- 09-08-2017
- Challenges Appear to Limit States' Use of Medicaid Payment Suspensions (OEI-09-14-00020)
- 09-07-2017
- LEIE Database Updated with August 2017 Exclusions and Reinstatements
- Advisory Opinion 17-05 (regarding a retail pharmacy chain's proposal to allow Federal health care program beneficiaries to participate in a paid membership program that includes discounts on certain prescriptions and clinic services)
- Updated Corporate Integrity Agreement List
- 09-05-2017
- Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2014 Average Sales Prices (OEI 03-16-00540)
- Calculation of Potential Inflation-Indexed Rebates For Medicare Part B Drugs 2017 (OEI-12-17-00180)
- 09-01-2017
- Oklahoma Did Not Adequately Oversee Its Medicaid Nonemergency Medical Transportation Program (A-06-16-00007)
August
- 08-31-2017
- As Funding for BPA Research Increased, NIEHS Followed Its Peer Review Process While Also Exercising Its Discretion (OEI-01-15-00150)
- Advisory Opinion 17-04 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby insurance companies indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for their policyholders and, in turn, provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
- 08-30-2017
- Updated Corporate Integrity Agreement List
- 08-29-2017
- Fox Rehabilitation Claimed Unallowable Medicare Reimbursement for Outpatient Therapy Services (A-02-16-01004)
- Accredo Health Group, Inc., Properly Billed Medicare for Inhalation Drugs (A-09-16-02022)
- Medicare Shared Savings Program Accountable Care Organizations Have Shown Potential for Reducing Spending and Improving Quality (OEI-02-15-00450)
- 08-28-2017
- Early Alert: The Centers for Medicare & Medicaid Services Has Inadequate Procedures To Ensure That Incidents of Potential Abuse or Neglect at Skilled Nursing Facilities Are Identified and Reported in Accordance With Applicable Requirements (A-01-17-00504)
- Job Opening: Attorney Application Deadline: September 22, 2017
- 08-25-2017
- Advisory Opinion 17-03 (regarding a pharmaceutical manufacturer's proposal to replace products that require specialized handling that could not be administered to patients for certain reasons, at no additional charge to the purchaser)
- 08-24-2017
- TrailBlazer Health Enterprises, LLC, Claimed Some Unallowable Medicare Administrative Contract Pension Costs (A-07-17-00510)
- 08-23-2017
- Colorado State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI 06-16-00520)
- 08-22-2017
- FDA Oversight of Tobacco Manufacturing Establishments (OEI-01-15-00300)
- 08-21-2017
- Kentucky Did Not Always Perform Medicaid Eligibility Determinations for Non-Newly Eligible Beneficiaries in Accordance With Federal and State Requirements (A-04-16-08047)
- Public Summary Report: The State of North Carolina Did Not Ensure That Federal Information System Security Requirements Were Met for Safeguarding Its Medicaid Claims Processing Systems and Data (A-07-16-00469)
- 08-18-2017
- Public Summary Report: Information Technology Control Weaknesses Found in the New Mexico Human Services Department's Medicaid Eligibility Systems (A-06-16-05000)
- A Brooklyn Chiropractor Received Unallowable Medicare Payments for Chiropractic Services (A-02-13-01047)
- The Ministry of Health and Social Welfare National AIDS Control Program Did Not Always Manage and Expend PEPFAR Funds in Accordance With Award Requirements (A-04-16-04044)
- The Administration for Children and Families Region IX Resolved Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-09-16-01003)
- 08-17-2017
- Updated Corporate Integrity Agreement List
- 08-16-2017
- Texas Improperly Received Medicaid Reimbursement for School-Based Health Services (A-06-14-00002)
- 08-15-2017
- Updated: Work Plan
- 08-14-2017
- TrailBlazer Health Enterprises, LLC, Understated Its Medicare Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Excess Pension Assets (A-07-17-00507)
- TrailBlazer Health Enterprises, LLC, Did Not Claim Some Allowable Medicare Pension Costs (A-07-17-00508)
- 08-10-2017
- Maine Did Not Comply With Federal and State Requirements for Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities (A-01-16-00001)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated Corporate Integrity Agreement List
- 08-07-2017
- Eye on Oversight: The Importance of OIG Audits
- LEIE Database Updated with July 2017 Exclusions and Reinstatements
- Updated Provider Self-Disclosure Settlements
- 08-04-2017
- Medicare Paid New England Providers Twice for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient Stays During Calendar Years 2013 and CY 2014 (A-01-15-00511)
- Ohio Ensured That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV-E Foster Care Payments Were Recorded and Investigated in Accordance With State Requirements as Required by Federal Law (A-05-16-00020)
- The Three Affiliated Tribes Improperly Administered Low-Income Home Energy Assistance Program Funds for Fiscal Years 2010 Through 2014 (A-07-16-04230)
- Updated Corporate Integrity Agreement List
- 08-03-2017
- Podcast: Independence of the Office for Human Research Protections
- HHS's Office of Refugee Resettlement Improved Coordination and Outreach to Promote the Safety and Well-Being of Unaccompanied Alien Children (OEI-09-16-00260)
- 08-02-2017
- Updated Corporate Integrity Agreement List
- 08-01-2017
- Updated CIA Reportable Event Settlements
July
- 07-31-2017
- OHRP Generally Conducted Its Compliance Activities Independently, But Changes Would Strengthen Its Independence (OEI-01-15-00350)
- 07-27-2017
- Some Hospitals in Medicare Jurisdiction F Claimed Residents as More Than One Full-Time Equivalent (A-02-15-01028)
- Some Hospitals in Medicare Jurisdiction E Claimed Residents as More Than One Full-Time Equivalent (A-02-15-01027)
- 07-26-2017
- Eye on Oversight: Electronic Health Records
- 07-19-2017
- Review of Pennsylvania Medicaid Managed Care Program Potential Savings With Minimum Medical Loss Ratio (A-03-15-00203)
- 07-18-2017
- Testimony of Erin Bliss, Assistant Inspector General for Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Examining HRSA's Oversight of the 340B Drug Pricing Program"
- Palmetto Government Benefits Administrator, LLC, Understated Its Medicare Segment Pension Assets (A-07-17-00503)
- Palmetto Government Benefits Administrator, LLC, Generally Claimed Allowable Medicare Pension Costs (A-07-17-00504)
- Palmetto Government Benefits Administrator, LLC, Understated Its Medicare Segment Allocable Pension Costs (A-07-17-00505)
- Updated Corporate Integrity Agreement List
- 07-17-2017
- Updated: Work Plan
- 07-14-2017
- First Coast Service Options, Inc., Understated Its Medicare Segment and Overstated Its Other Segment Allocable Postretirement Benefit Costs (A-07-17-00502)
- First Coast Service Options, Inc., Did Not Claim Some Allowable Medicare Postretirement Benefit Costs (A-07-17-00500)
- First Coast Service Options, Inc., Overstated Its Medicare Segment Postretirement Benefit Assets (A-07-17-00499)
- 07-13-2017
- 2017 National Takedown
- Opioids in Medicare Part D: Concerns about Extreme Use and Questionable Prescribing (OEI-02-17-00250)
- 07-12-2017
- Updated Corporate Integrity Agreement List
- 07-10-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 07-07-2017
- Advisory Opinion 17-02 (regarding a hospital outpatient facility's proposal to reduce or waive, on a non-routine, unadvertised basis, cost-sharing amounts owed by financially needy Medicare beneficiaries for items and services furnished in connection with a clinical research study)
- 07-06-2017
- Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2017 (OEI-05-17-00160)
- Updated Provider Self-Disclosure Settlements
- 07-05-2017
- LEIE Database Updated with June 2017 Exclusions and Reinstatements
- Wisconsin Physicians Service Insurance Corporation Did Not Properly Settle Missouri Medicare Disproportionate Share Hospital Payments (A-07-16-04229)
- Public Summary Report: Readiness of CDC's Strategic National Stockpile Could Be at Risk in Case of a Public Health Emergency (A-04-16-03554)
- Louisiana Complied With the Requirements of the Social Security Act in Its Review of Cases of Credible Allegations of Medicaid Fraud (A-06-16-00010)
June
- 06-29-2017
- Ariel Foundation Against Pediatric AIDS Managed and Expended the President's Emergency Plan for AIDS Relief Funds in Accordance with Award Requirements (A-04-16-04052)
- 06-27-2017
- T-MSIS Data Not Yet Available for Overseeing Medicaid (OEI-05-15-00050)
- 06-21-2017
- Management and Development for Health Did Not Always Manage the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-16-04045)
- 06-19-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-15-2017
- Updated: Work Plan
- Updated Corporate Integrity Agreement List
- 06-14-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 06-13-2017
- 2016 Performance Data for the Senior Medicare Patrol Project (OEI-02-17-00220)
- Updated Oklahoma State False Claims Act Review
- Updated Corporate Integrity Agreement List
- 06-12-2017
- Medicare Paid Hundreds of Millions in Electronic Health Record Incentive Payments That Did Not Comply With Federal Requirements (A-05-14-00047)
- Review of Wisconsin Medicaid Managed Care Program Potential Savings With Minimum Medical Loss Ratio (A-05-15-00040)
- Medicare Market Shares of Mail Order Diabetes Test Strips From October Through December 2016 (OEI-04-16-00473)
- 06-09-2017
- Round 2 Competitive Bidding for CPAP/RAD: Disrupted Access Unlikely for Devices, Inconclusive for Supplies (OEI-01-15-00040)
- 06-08-2017
- Eye on Oversight: Abuse in Nursing Homes
- Updated Corporate Integrity Agreement List
- 06-07-2017
- LEIE Database Updated with May 2017 Exclusions and Reinstatements
- 06-05-2017
- Wisconsin State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00240)
- 06-02-2017
- Updated Corporate Integrity Agreement List
- Updated Provider Self-Disclosure Settlements
- 06-01-2017
- Spring 2017 Semiannual Report to Congress
May
- 05-31-2017
- Updated Corporate Integrity Agreement List
- 05-30-2017
- Texas Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV-E Foster Care Payments Were Recorded and Investigated in Accordance With Federal and State Requirements (A-06-15-00049)
- 05-26-2017
- Minnesota Disbursed Only Part of Its Civil Money Penalty Collections, Limiting Resources To Protect and Improve Care for Nursing Facility Residents (A-05-16-00017)
- Podcast: Combatting Opioid Abuse—OIG's Work Against the Opioid Epidemic
- 05-25-2017
- Asian American and Pacific Islander Heritage Month
- CDC Generally Met Its Inspection Goals for the Federal Select Agent Program; However, Opportunities Exist To Strengthen Oversight (OEI-04-15-00430)
- 05-24-2017
- Updated Corporate Integrity Agreement List
- 05-23-2017
- FY 2018 Congressional Budget Justification
- 05-22-2017
- Medicare Could Save Millions by Eliminating the Lump-Sum Purchase Option for All Power Mobility Devices (A-05-15-00020)
- 05-19-2017
- Medicaid Fraud Control Units Fiscal Year 2016 Annual Report (OEI-09-17-00210)
- Public Summary Report: Virginia Did Not Adequately Secure Its Medicaid Data (A-04-15-05066)
- 05-18-2017
- HHS Did Not Identify and Report Antideficiency Act Violations (A-03-13-03002)
- 05-17-2017
- Compendium of Unimplemented Recommendations
- 05-16-2017
- U.S. Department of Health and Human Services Met Many Requirements of the Improper Payments Information Act of 2002 but Did Not Fully Comply for Fiscal Year 2016 (17-17-52000)
- Medical Ambulance Services, Inc., Claimed Unallowable Reimbursement for Medicare Part B Ambulance Services (A-02-15-01016)
- A Missouri Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Physical Therapy Services (A-07-14-01147)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 05-15-2017
- Kentucky Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries (A-04-15-08044)
- Iowa Did Not Invoice Rebates to Manufacturers for Physician-Administered Drugs of Medicaid Managed-Care Organizations (A-07-16-06065)
- CGS Administrators, LLC, Overstated Its CIGNA Pension Plan Medicare Segment Pension Assets and Understated Medicare's Share of Excess Pension Liabilities (A-07-16-00470)
- CGS Administrators, LLC, Understated Its CIGNA Pension Plan for Certain Former Employees Medicare Segment Pension Assets and Understated Medicare's Share of Excess Pension Assets (A-07-16-00491)
- 05-12-2017
- CGS Administrators, LLC, Generally Claimed Allowable Medicare Pension Costs (A-07-16-00489)
- CGS Administrators, LLC, Did Not Claim Some Allowable Medicare Administrative Contract Postretirement Benefit Costs (A-07-17-00498)
- CGS Administrators, LLC, Claimed Some Unallowable Medicare Administrative Contract Pension Costs (A-07-16-00490)
- 05-09-2017
- Service to the Nation: In the Military and HHS OIG
- Briefing to The Honorable Gus Bilirakis, Subcommittee on Health, Committee on Energy and Commerce, House of Representatives Audit Briefing (A-02-17-02001)
- 05-08-2017
- LEIE Database Updated with April 2017 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
- 05-04-2017
- CMS Validated Hospital Inpatient Quality Reporting Program Data, But Should Use Additional Tools to Identify Gaming (OEI-01-15-00320)
- Updated Provider Self-Disclosure Settlements
- 05-03-2017
- Medicare Compliance Review of Mount Sinai Hospital for 2012 and 2013 (A-02-14-01019)
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 05-02-2017
- Testimony of Christi A. Grimm, Chief of Staff, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Combatting Waste, Fraud, and Abuse in Medicaid's Personal Care Services Program"
April
- 04-28-2017
- Economic Opportunity Commission of Nassau County, Inc., Claimed Some Unallowable Hurricane Sandy Disaster Relief Act Funds (A-02-15-02009)
- Illinois Made Correct Medicaid Claim Adjustments (A-05-15-00031)
- Medicare Compliance Review of the University of Arkansas for Medical Sciences Medical Center for 2013 and 2014 (A-06-16-00005)
- Daniel R. Levinson Keynote Address at the 2017 HCCA Compliance Institute
- 04-27-2017
- Indian Health and Human Services Resources
- Updated Corporate Integrity Agreement List
- 04-21-2017
- California Incorrectly Claimed Additional Medicaid Funding Authorized Under the Recovery Act When Reclaiming Overpayments Made to Bankrupt or Out-of-Business Providers (A-09-14-02030)
- Florida Did Not Suspend Medicaid Payments to Some Providers That Had Credible Fraud Allegation Cases in Accordance With the Social Security Act (A-04-14-07046)
- Ohio's and Michigan's Sales and Use Taxes on Medicaid Managed Care Organization Services Do Not Meet Broad-Based Requirement (A-03-16-00200)
- 04-20-2017
- New Jersey Claimed Medicaid Reimbursement for Adult Partial Hospitalization Services That Did Not Comply With Federal and State Requirements (A-02-14-01015)
- 04-19-2017
- Updated Corporate Integrity Agreement List
- 04-11-2017
- Updated Provider Self-Disclosure Settlements
- 04-10-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 04-07-2017
- Ohio Made Incorrect Medicaid Payments to Providers for Full Vials of Herceptin (A-05-15-00032)
- Texas Made Unallowable Medicaid Managed Care Payments for Beneficiaries Assigned More Than One Medicaid Identification Number (A-06-15-00024)
- Updated Corporate Integrity Agreement List
- 04-06-2017
- LEIE Database Updated with March 2017 Exclusions and Reinstatements
- Updated Civil Monetary Penalties and Affirmative Exclusions
March
- 03-30-2017
- Wisconsin Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-05-16-00014)
- 03-28-2017
- Medicare Compliance Review of Jackson-Madison County General Hospital for Claims Paid From June 1, 2013, Through May 31, 2015 (A-04-15-04042)
- 03-27-2017
- Measuring Compliance Program Effectiveness: A Resource Guide
- 03-24-2017
- Mildmay Uganda Did Not Always Manage the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-15-04039)
- Missouri Properly Verified Correction of Deficiencies Identified During Surveys of Nursing Homes (A-07-16-03217)
- 03-22-2017
- Strength in Diversity: Women at OIG
- Mississippi Claimed Millions in Unallowable School-Based Medicaid Administrative Costs (A-04-15-00103)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-20-2017
- Alta Bates Medical Center Inaccurately Reported Wage Data, Resulting in Medicare Overpayments Audit (A-09-14-02035)
- Cleveland Clinic Lerner College of Medicine Inappropriately Drew Down Hurricane Sandy Disaster Relief Act Funds and Did Not Always Implement Effective Internal Controls Audit (A-02-15-02011)
- 03-17-2017
- Data Inadequacies Undermine CMS's Oversight of the Inconsistency Resolution Process for the Federal Marketplace (OEI-01-14-00620)
- 03-15-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 03-14-2017
- Nantucket Cottage Hospital Did Not Accurately Report Certain Wage Data, Resulting in Overpayments to Massachusetts Hospitals (A-01-15-00502)
- Public Summary Report: Information Technology Control Weaknesses Found at the Commonwealth of Massachusetts' Medicaid Management Information System (A-06-15-00057)
- Hospitals Nationwide Generally Did Not Comply With Medicare Requirements for Billing Outpatient Right Heart Catheterizations With Heart Biopsies (A-01-13-00511)
- 03-13-2017
- Medicare Compliance Review of University of Florida Health Jacksonville for 2013 and 2014 (A-04-15-07057)
- Blue Cross Blue Shield Association Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2011 Through 2015 (A-07-17-00497)
- Blue Cross Blue Shield Association Overstated Its Medicare Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Excess Pension Assets as of September 30, 2015 (A-07-17-00496)
- 03-10-2017
- Advisory Opinion 17-01 (regarding a hospital system's proposal to provide free or reduced-cost lodging and meals to certain financially needy patients)
- Modification of Advisory Opinion 02-1 (modifies Advisory Opinion 02-1, which concerned a non-profit, tax-exempt, charitable organization's providing cost-sharing and premium assistance to financially needy patients diagnosed with specific chronic illnesses and rare disorders, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
- 03-09-2017
- Testimony of Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Appropriations: Subcommittee on Labor, Health and Human Services, Education, and Related Agencies: "Management Challenges at the Departments of Labor, Health and Human Services, and Education and the Social Security Administration"
- Review of Blue Cross Blue Shield Association Final Administrative Cost Proposals for Fiscal Years 2010 Through 2015 (A-05-15-00056)
- Medicare Contractors' Payments to Providers for Hospital Outpatient Dental Services Generally Did Not Comply With Medicare Requirements (A-06-16-05003)
- Nebraska Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Transportation Program (A-07-16-03209)
- 03-08-2017
- Medicare Compliance Review of Mayo Clinic Florida for 2013 and 2014 (A-04-15-07058)
- New York Improperly Claimed Federal Medicaid Reimbursement for Partial Hospitalization Services (A-02-16-01013)
- Updated Provider Self-Disclosure Settlements
- 03-07-2017
- LEIE Database Updated with February 2017 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
- 03-06-2017
- Podcast: Medicaid Fraud Control Units
- Medicaid Fraud Control Units Statistical Data for Fiscal Year 2016
- 03-03-2017
- Fraud Alert: HHS OIG Hotline Telephone Number Used in Scam
- Video Series Eye on Oversight: Medical Identity Theft
- 03-01-2017
- Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2016 (A-18-16-30350)
February
- 02-28-2017
- Diversity and Inclusion Fuels HHS Office of Inspector General's Fraud-Fighting Success
- 02-24-2017
- Updated Corporate Integrity Agreement List: 1 CIA Added
- 02-23-2017
- New Jersey Claimed Some Unallowable Costs Under a Hurricane Sandy Disaster Relief Act Grant (A-02-15-02005)
- 02-17-2017
- Drug-Pricing and Reimbursement Portfolio
- 02-16-2017
- Newark Preschool Council, Inc., Did Not Always Comply With Head Start Requirements (A-02-14-02024)
- 02-15-2017
- New York Claimed Medicaid Reimbursement for Unallowable Dental Services Billed by a Dentist Based in Westchester County (A-02-13-01033)
- New York Claimed Medicaid Reimbursement for Unallowable Dental Services Billed by a Dentist Based in Queens (A-02-13-01034)
- 02-14-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 02-13-2017
- The University of California at Riverside's Pilot Payroll Certification System Did Not Provide Accountability Over Payroll Charges to Federal Awards (A-04-13-01026)
- 02-08-2017
- Puerto Rico's Controls for Its Child Care and Development Program Claims Were Not Effective (A-02-13-02005)
- Updated Corporate Integrity Agreement List: 1 CIA Added
- Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
- 02-07-2017
- LEIE Database Updated with January 2017 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List: 7 CIAs Closed
- 02-06-2017
- HHS OIG's Podcast: Voluntary Tribal Compliance Agreement
- Medicare Market Shares of Mail Order Diabetes Test Strips From July Through September 2016 (OEI-04-16-00471)
- 02-03-2017
- CDC Awarded Selected Ebola Funds for International Response Activities in Accordance With Applicable Laws, Regulations, and Departmental Guidance (A-04-16-03568)
- Kentucky Misallocated Millions to Establishment Grants for a Health Insurance Marketplace (A-04-14-07050)
- Vidant Medical Center Incorrectly Billed Medicare Inpatient Claims with Severe Malnutrition (A-03-15-00011)
- 02-02-2017
- New Jersey Should Strengthen Hurricane Sandy Social Services Block Grant Internal Controls (A-02-14-02010)
- 02-01-2017
- Fall Health Care Fraud and Abuse Legal Internship Program
January
- 01-31-2017
- Testimony of Ann Maxwell, Assistant Inspector General, Office of Inspector General, U.S. Department of Health and Human Services: Medicaid Oversight: House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Existing Problems and Ways to Strengthen the Program"
- Testimony of Vicki L. Robinson, Senior Counselor for Policy, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Oversight and Government Reform: Subcommittee on Health Care, Benefits, and Administrative Rules: "Fraud, Waste, and Abuse Under the Affordable Care Act"
- 01-30-2017
- Updated Corporate Integrity Agreement List: 1 CIAs Added
- 01-26-2017
- Review of California Medicaid Managed-Care Program Potential Savings With Minimum Medical Loss Ratio (A-09-15-02025)
- 01-25-2017
- Updated Corporate Integrity Agreement List: 2 CIAs Added
- 01-23-2017
- Excluded and Unlicensed New Jersey Dentist Who Assumed Identity of Another Dentist Agrees to Settlement of $1.1 Million and 50-Year Exclusion to Resolve Civil Monetary Penalty Case
- Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2015 (A-18-16-30300)
- Updated Corporate Integrity Agreement List: 1 CIA Added
- 01-19-2017
- Independent Attestation Review: Indian Health Service Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00351)
- Independent Attestation Review: National Institutes of Health Fiscal Year 2016 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00352)
- Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00353)
- Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00354)
- Independent Attestation Review: Centers for Disease Control and Prevention Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00355)
- 01-18-2017
- FY 2016 Health Care Fraud and Abuse Control Program Report
- Video Series Eye on Oversight: Exclusions
- California Improperly Claimed Federal Medicaid Reimbursement for Certain Nonemergency Services (A-09-15-02020)
- Northside Medical Center Incorrectly Billed Medicare Inpatient Claims with Severe Malnutrition (A-03-15-00012)
- A Southern California Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-09-15-02015)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- 01-13-2017
- Updated Provider Self-Disclosure Settlements
- 01-12-2017
- Louisiana Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program (A-06-15-00019)
- Delaware Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-03-15-00202)
- 01-11-2017
- Final Rule: Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Exclusion Authorities
- 01-10-2017
- Podcast: December 2016 OIG Monthly Update
- 01-09-2017
- Colorado Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-14-06050)
- Medicare Compliance Review of NorthShore University HealthSystem for 2013 and 2014 (A-05-15-00044)
- Updated Corporate Integrity Agreement List: 1 CIA Added
- 01-06-2017
- LEIE Database Updated with December 2016 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List: CIAs Added & Closed
- 01-05-2017
- High-Price Drugs Are Increasing Federal Payments for Medicare Part D Catastrophic Coverage (OEI-02-16-00270)
- Virginia Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-03-15-00201)
- Medicare Compliance Review of Abbott Northwestern Hospital for 2013 and 2014 (A-05-15-00043)
- 01-03-2017
- Updated Corporate Integrity Agreement List: 5 CIAs Added
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