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May
- 05-17-2013
- OIG Finalizes Regulation Permitting State Medicaid Fraud Control Units to Seek Permission to Receive Federal Matching for Data Mining
- North Carolina Medicaid Overpaid Hospitals for Some Inpatient Services That Medicare Paid (A-04-11-06137)
- The Ohio Medicaid Program Could Significantly Lower Payment Rates for Selected Durable Medical Equipment and Supplies (A-05-12-00038)
- Nebraska Improperly Claimed Some Child Care and Development Targeted Funds (A-07-12-03175)
- Maine Improperly Claimed Medicaid Payments for School-Based Health Services Submitted by Portland School Department (A-01-11-00011)
- 05-15-2013
- Home Health Agencies Received Timely Surveys and Corrected Deficiencies as Required (OEI-06-11-00400)
- 05-14-2013
- LEIE Database Updated with April 2013 Exclusions and Reinstatements
- 05-10-2013
- Medicare and Beneficiaries Could Save Millions If Dialysis Payments Were Adjusted for Anemia Management Drug Utilization (A-01-12-00522)
- 05-09-2013
- Podcast: Medicaid Costs for Home Blood-Glucose Test Strips Could Be Significantly Reduced
- Illinois Significantly Reduced Medicaid Costs for Home Blood-Glucose Test Strips But Could Achieve Additional Reductions (A-05-12-00009)
- Triple-S Salud Did Not Claim Some Allowable Pension Costs for Fiscal Years 2007 Through 2009 (A-07-12-00396)
- Triple-S Salud Understated Its Medicare Segment Assets and Overstated Medicare's Share of the Excess Liabilities as of March 1, 2009 (A-07-12-00395)
- Connecticut Generally Implemented Recommendations From Prior Review of Medicaid Payments for Clinical Laboratory Services (A-01-12-00014)
- Michigan Properly Obligated and Liquidated Targeted Funds Under the Child Care and Development Fund Program (A-05-12-00062)
- Ohio Properly Obligated and Liquidated Targeted Funds Under the Child Care and Development Fund Program (A-05-12-00061)
- Hawaii Did Not Adequately Monitor Implementation of Some Risk-Sharing Contract Provisions for the QUEST Expanded Medicaid Managed Care Program (A-09-11-02054)
- 05-08-2013
- Updated Special Advisory Bulletin on the Effect of Exclusions From Participation in Federal Health Programs
- Podcast: Anesthesia Service Payments
- March Recovery Act Oversight Monthly Report Posted
- 05-07-2013
- Updated Civil Monetary Penalties:
- Not All of the Young Women's Christian Association of Metropolitan St. Louis Head Start Expenditures Were Allowable (A-07-11-02762)
- MedEnvios Healthcare, Inc., Submitted Claims for Diabetic Testing Supplies Without the KL Modifier in Accordance With Medicare Billing Requirements (A-09-12-02053)
- Maryland Claimed Allowable Community Services Block Grant Recovery Act Costs for United Communities Against Poverty, Inc. (A-03-11-00250)
- 05-06-2013
- Podcast: OIG Monthly Update
- Medicare Hospice: Use of General Inpatient Care (OEI-02-10-00490)
- Medicare Payments for Part B Claims with G Modifiers (OEI-02-10-00160)
- 05-03-2013
- Updated Corporate Integrity Agreement List: Eight CIAs Closed
- 05-02-2013
- RS Medical Added to Corporate Integrity Agreement List
- CIGNA Healthcare of Arizona, Inc. (Contract H0354), Submitted Many Diagnoses to the Centers for Medicare & Medicaid Services That Did Not Comply With Federal Requirements for Calendar Year 2007 (A-07-10-01082)
- 05-01-2013
- Waiver Information Added to Exclusions Database
- Medicare Contractors' Payments Made to Providers in Jurisdiction 7 for Full Vials of Herceptin Were Often Incorrect (A-06-11-00068)
- The Centers for Disease Control and Prevention's Vietnam Office Generally Monitored Recipients' Use of the President's Emergency Plan for AIDS Relief Funds (A-04-12-04023)
- Potentia Namibia Recruitment Consultancy Generally Managed the President's Emergency Plan for AIDS Relief Funds and Met Program Goals in Accordance With Award Requirements (A-06-11-00056)
- Tennessee Incorrectly Reported Costs for Individuals With Intellectual and Developmental Disabilities (A-04-12-08016)
- The University of Wisconsin-Madison Claimed Allowable Equipment Costs Under National Institutes of Health Grants (A-05-12-00076)
- Illinois Claimed Potentially Unallowable Community Services Block Grant Costs for Community Action Partnership of Central Illinois' Expenditures Under the Recovery Act (A-05-12-00018)
- Rhode Island's Managed Care Contract Settlements With Neighborhood Health Plan of Rhode Island Did Not Always Comply With Federal and State Requirements (A-01-12-00011)
April
- 04-29-2013
- Jorge Fernandez Added to Most Wanted Fugitives List
- 04-25-2013
- Tennessee State Medicaid Fraud Control Unit: 2012 Onsite Review (OEI-06-12-00370)
- Latin American Health Institute Did Not Always Claim Costs in Accordance With Federal Requirements (A-01-12-01501)
- Oregon Claimed Some Potentially Unallowable Community Services Block Grant Costs for Multnomah County's Expenditures Under the Recovery Act (A-09-11-01013)
- Norwalk Economic Opportunity Now, Inc., Did Not Always Charge Allowable Costs to the Community Services Block Grant and the Community Services Block Grant - Recover Act Programs (A-01-11-02510)
- 04-23-2013
- Maryland Improperly Claimed Personal Care Services Provided Under Its Medicaid Home and Community-Based Services Waiver for Older Adults (A-03-11-00201)
- 04-19-2013
- Milwaukee Health Services, Inc., Claimed Unallowable Costs Under Health Resources and Services Administration Grants (A-05-12-00015)
- New York State Made Unallowable Medicaid Managed Care Payments for Beneficiaries Assigned Multiple Medicaid Identification Numbers (A-02-11-01006)
- California Made Unallowable Medicaid Payments for Items and Services Furnished, Ordered, or Prescribed by Excluded Providers (A-09-11-02016)
- 04-18-2013
- Fentahun Belay Ferede Added to Most Wanted Fugitives List
- T. Hemanth Prabhakar Rao, M.D. Added to Corporate Integrity Agreement List
- 04-17-2013
- Updated Provider Self-Disclosure Protocol
- Updated Video: Provider Self-Disclosure Protocol
- Idaho State Medicaid Fraud Control Unit: 2012 Onsite Review (OEI-09-12-00220)
- Medicare Compliance Review of Somerset Hospital for Calendar Years 2009 Through 2011 (A-03-12-06107)
- Medicare Compliance Review of Lahey Clinic for Calendar Years 2009 and 2010 (A-01-12-00502)
- 04-16-2013
- Impact on Medicare Program for Investment Income That Medicare Part D Plans Earned and Retained From Medicare Funds in 2009 (A-07-11-05017)
- 04-12-2013
- Podcast: Private Health Insurance Submissions to the HealthCare.gov Plan Finder
- Updated Corporate Integrity Agreement List: Thirteen CIAs Closed
- FY 2012 Medicaid Integrity Report
- 04-11-2013
- Proposed Rule: Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor Under the Anti-Kickback Statute (78 Fed. Reg. 21314; April 10, 2013)
- FY 2014 Congressional Budget Justification
- Mount Vernon Neighborhood Health Center, Inc., Claimed Unallowable Federal Grant Expenditures (A-02-11-02013)
- Central Florida Community Action Agency, Inc., Did Not Always Charge Allowable Costs to the Community Services Block Grant - Recovery Act Program (A-04-11-01008)
- Most of the Costs Claimed by Iowa State University Under American Recovery and Reinvestment Act of 2009 Grant Numbers 1RC2DA028879-01 and 5RC2DA028879-02 Were Allowable (A-07-11-06024)
- Medicare Compliance Review of Sanford USD [University of South Dakota] Medical Center in Sioux Falls for Calendar Years 2010 and 2011 (A-07-12-05032)
- High-Risk Compounded Sterile Preparations and Outsourcing by Hospitals That Use Them (OEI-01-13-00150)
- 04-10-2013
- Jorge Caro Added to Most Wanted Fugitives List
- LEIE Database Updated with March 2013 Exclusions and Reinstatements
- 04-09-2013
- Podcast: HHS Compliance with the Improper Payments Information Act
- February Recovery Act Oversight Monthly Report Posted
- Proposed Rule for Electronic Health Records Safe Harbor Under the Anti-Kickback Statute
- 04-08-2013
- Updated Civil Monetary Penalties:
- Lower Limb Prosthetics Claims Paid to Ozark Prosthetics and Orthotics Were Not Always Supported by Adequate Documentation (A-07-12-05029)
- Puerto Rico Claimed Unallowable Community Services Block Grant Recovery Act Costs for Instituto Socio-Económico, Inc. (A-02-11-02015)
- The University of Michigan Claimed Allowable Equipment Costs Under National Institutes of Health Grants (A-05-12-00075)
- Most of HealthNow New York, Inc.'s Medicare Part B Severance and Termination Costs Were Allowable (A-02-11-01020)
- 04-05-2013
- State False Claims Act Update
Georgia and California's False Claims Acts Reviewed - Florida Medicaid: Millions in Overpayments Not Refunded (A-04-11-08007)
- 04-04-2013
- April 2013 Recovery Act Quality Control Audit Review (under Audit Activities)
- 04-03-2013
- Podcast: Hospital Compliance Initiative
- Medicare Compliance Review of North Shore Medical Center for Calendar Years 2009 and 2010 (A-01-12-00506)
- Oklahoma Improperly Claimed Federal Reimbursement for Most Reviewed Medicaid Inpatient Psychiatric Hospital Service and Disproportionate Share Hospital Payments to Children's Recovery Center (A-05-12-00052)
- 04-02-2013
- Oversight of Private Health Insurance Submissions to the HealthCare.gov Plan Finder (OEI-03-11-00560)
- 04-01-2013
- Podcast: OIG Monthly Update
- Grace Healthcare, LLC Added to Corporate Integrity Agreement List
March
- 03-29-2013
- American Hospice Management Holdings, LLC Added to Corporate Integrity Agreement List
- 03-27-2013
- OIG's Chief Counsel Gregory Demske Promotes Compliance
- Surety Bonds Remain an Underutilized Tool To Protect Medicare From Supplier Overpayments (OEI-03-11-00350)
- 03-26-2013
- Special Fraud Alert: Physician-Owned Entities
- Advisory Opinion 13-01
(concerning the use of a hospital network as part of a Medicare Supplemental Health Insurance policy.) - New York Improperly Claimed Medicaid Reimbursement for Family-Based Treatment Rehabilitation Services (A-02-10-01024)
- Kai Heart, Inc. Added to Corporate Integrity Agreement List
- 03-22-2013
- Techota, LLC Added to Corporate Integrity Agreement List
- 03-21-2013
- Par Pharmaceutical Companies, Inc. and Par Pharmaceutical, Inc. Added to Corporate Integrity Agreement List
- 03-19-2013
- Testimony of Daniel R. Levinson, Inspector General, before the House Appropriations Committee, Subcommittee on Labor, Health and Human Services, Education, and Related Agencies - "Top Management Challenges at the Department of Labor, Health and Human Services and Education"
- View a Video of Daniel Levinson's March 19th Testimony
- Missouri Incorrectly Claimed Federal Reimbursement for Inpatient Claims With Sterilization and Delivery Procedures for Calendar Years 2009 and 2010 (A-07-12-01121)
- Group Health Incorporated Overstated Allocable Pension Costs for Plan Years 2007 and 2008 (A-07-12-00381)
- Palmetto GBA Claimed Substantially Allowable Costs on Its Part A Final Administrative Cost Proposals for Fiscal Years 2010 and 2011 (A-04-12-04027)
- Medicare Compliance Review of Saint Michael's Medical Center for the Period January 1, 2009, Through June 30, 2011 (A-02-12-01005)
- New Jersey's Medicaid Expenditure Claim Was Supported by Actual Recorded Expenditures (A-02-10-01013)
- Chicago Department of Family and Support Services Did Not Always Charge Allowable Costs to the Community Services Block Grant - Recovery Act Program (A-05-11-00083)
- 03-18-2013
- U.S. Department of Health and Human Services Met Many Requirements of the Improper Payments Information Act of 2002 but Was Not Fully Compliant (A-17-13-52000)
- 03-15-2013
- Updated OIG Guidelines for Evaluating State False Claims Act
- Todd Roberts and Roberts Physical and Aquatic Therapy, LLC Added to Corporate Integrity
Agreement List - 03-14-2013
- Advanced Diabetes Supply Submitted Claims for Diabetic Testing Supplies Without the KL Modifier in Accordance With Medicare Billing Requirements (A-09-12-02035)
- Florida Claimed Some Medicaid Administrative Costs That Did Not Comply With Program Requirements (A-04-10-00076)
- Missouri Claimed Federal Reimbursement for Unallowable Personal Care Services Claims Submitted by The Whole Person, Incorporated (A-07-11-03170)
- Sunset Park Health Council Did Not Always Claim Recovery Act Costs in Accordance With Federal Requirements (A-02-11-02018)
- InterCare Community Health Network Claimed Unallowable Costs Under Recovery Act Grants (A-05-11-00103)
- Blue Cross Blue Shield Association Did Not Claim Some Allowable Pension Costs For Fiscal Years 1997 Through 2010 (A-07-13-00411)
- Blue Cross Blue Shield Association Understated the Medicare Segment Pension Assets for the Period of January 1, 1997, to January 1, 2011 (A-07-13-00410)
- Postretirement Benefit Costs Claimed by United Government Services for October 1, 2001, Through December 31, 2006, Were Reasonable and Allowable (A-07-12-00399)
- Southeastern Tidewater Opportunity Project, Inc., Head Start Program Claimed Unallowable Costs for Grant Year April 1, 2010, Through March 31, 2011 (A-03-11-00501)
- Wayne State University Claimed Allowable Costs Under Recovery Act Grants (A-05-11-00096)
- Recovery Act Costs Claimed by SouthEast Lancaster Health Services, Inc., Were Generally Allowable (A-03-12-00350)
- 03-11-2013
- January Recovery Act Oversight Monthly Report Posted
- 03-08-2013
- Atrium Medical Center Added to Corporate Integrity Agreement List
- Fall 2013 Legal Extern Program Announced
- 03-07-2013
- LEIE Database Updated with February 2013 Exclusions and Reinstatements
- Co-Located Long-Term Care Hospitals Remain Unidentified, Resulting in Potential Overpayments (OEI-04-12-00491)
- 03-06-2013
- Osman Yousif, Amir Elamin, Mudar Ismail, and Elsiddig Elfaki Added to Most Wanted Fugitives List
- 03-05-2013
- Podcast: Oversight of Medicare Prescription Drug Decisions
- Gaps in Oversight of Conflicts of Interest in Medicare Prescription Drug Decisions (OEI-05-10-00450)
- Updated Civil Monetary Penalties:
- 03-04-2013
- WANTED: Pawel Steczkowski | Child Support Enforcement
- Podcast: OIG Monthly Update
- State Medicaid Fraud Control Units FY 2012 Grant Expenditures & Statistics
- Williston Rescue Squad, Inc. Added to Corporate Integrity Agreement List
- 03-01-2013
- CAPTURED: Orisbel Hernandez | OIG Most Wanted Fugitives
- Neighborhood House Association Claimed Allowable Head Start Costs but Did Not Maintain Adequate Internal Controls Related to Personnel, Facilities, and Subcontracts (A-09-11-01015)
February
- 02-28-2013
- Spotlight On Skilled Nursing Facilities
- Podcast: Skilled Nursing Facilities Often Fail to Meet Care Planning and Discharge Planning Requirement
- Skilled Nursing Facilities Often Fail To Meet Care Planning and Discharge Planning Requirements (OEI-02-09-00201)
- Norwalk Hospital Did Not Comply With Medicare Inpatient Rehabilitation Facility Documentation Requirements (A-01-11-00531)
- Connecticut Properly Obligated and Liquidated Targeted Funds Under the Child Care and Development Fund Program (A-01-12-02505)
- TrailBlazer Mostly Claimed Medicare Part A Administrative Costs in Accordance With Federal Requirements (A-06-10-00108)
- Hawaii Claimed Unallowable Community Services Block Grant Costs for Honolulu Community Action Program, Inc.'s Expenditures Under the Recovery Act (A-09-11-01007)
- 02-27-2013
- CAPTURED: Jorge Reyes | OIG Most Wanted Fugitives
- Asher Vanounu Added to Most Wanted Fugitives List
- 02-26-2013
- Medicare Contractors' Payments in Jurisdiction 1 for Full Vials of Herceptin Were Often Incorrect (A-09-12-02069)
- The Centers for Disease Control and Prevention's South Africa Office Did Not Always Properly Monitor Recipients' Use of the President's Emergency Plan for AIDS Relief Funds (A-04-12-04022)
- Review of Louisiana Medicaid Personal Care Services Provided by Immaculate Heart of Mary-PCS Audit (A-06-09-00106)
- The University of Minnesota Claimed Allowable Equipment Costs Under National Institutes of Health Grants (A-05-12-00077)
- The Medicare Contractor's Payments in 26 States from the WPS Legacy Workload for Full Vials of Herceptin Were Often Incorrect (A-05-11-00114)
- Family Health Centers of San Diego, Inc., Claimed Unallowable and Inadequately Documented Costs for Health Resources and Services Administration Grants Under the Recovery Act (A-09-11-01010)
- Agriculture and Labor Program, Inc., Did Not Always Charge Allowable Costs to the Community Services Block Grant - Recovery Act Program (A-04-11-01010)
- 02-25-2013
- Updated Corporate Integrity Agreement List: Three CIAs Added
- Comparison of Average Sales Prices and Average Manufacturer Prices: An Overview of 2011 (OEI-03-12-00670)
- 02-21-2013
- Most States Anticipate Implementing Streamlined Eligibility and Enrollment by 2014 (OEI-07-10-00530)
- 02-20-2013
- The Centers for Medicare & Medicaid Services Collected the Majority of Medicaid Overpayments but Millions Remain Uncollected (A-05-11-00071)
- Anush Sahakyan and Karo Blkhoyan Added to Most Wanted Fugitives List
- Part B Payments for Drugs Infused Through Durable Medical Equipment (OEI-12-12-00310)
- 02-15-2013
- Indiana Improperly Claimed Federal Reimbursement for All Reviewed Medicaid Inpatient Psychiatric Hospital Service Payments to Logansport State Hospital (A-05-12-00042)
- Acute Care Hospitals in Georgia Did Not Always Reconcile Invoice Records With Credit Balances and Report the Associated Medicaid Overpayments to the State Agency (A-04-12-04021)
- Massachusetts Medicaid Payments to Weymouth Health Care Center Did Not Always Comply With Federal and State Requirements (A-01-12-00016)
- 02-13-2013
- Podcast: REMS Plans Assess Risky Drugs
- FDA Lacks Comprehensive Data To Determine Whether Risk Evaluation and Mitigation Strategies Improve Drug Safety (OEI-04-11-00510)
- 02-11-2013
- FY 2012 Health Care Fraud and Abuse Control Program Report
- 02-08-2013
- December Recovery Act Oversight Monthly Report Posted
- 02-07-2013
- WakeMed Raleigh Campus Added to Corporate Integrity Agreement List
- 02-06-2013
- LEIE Database Updated with January 2013 Exclusions and Reinstatements
- Tigran Asaryan Added to Most Wanted Fugitives List
- Updated Civil Monetary Penalties:
- 02-05-2013
- Podcast: OIG Monthly Update
- Updated Corporate Integrity Agreement List: Seven CIAs Closed
- Blue Cross Blue Shield of Tennessee Overclaimed Postretirement Benefit Costs for Fiscal Years 1992 Through 2009 (A-07-12-00403)
- Nursing Facilities in Missouri Did Not Reconcile Invoice Records With Credit Balances and Report the Associated Medicaid Overpayments to the State Agency (A-07-11-03169)
- The Medicare Contractors' Payments in Jurisdiction 10 for Full Vials of Herceptin Were Often Incorrect (A-04-12-03070)
- Massachusetts Medicaid Payments to Essex Park Rehabilitation and Nursing Center Did Not Always Comply With Federal and State Requirements (A-01-12-00015)
- 02-04-2013
- Spotlight On Grants Management and Oversight
- The Republic of Namibia, Ministry of Health and Social Services, Did Not Always Manage the President's Emergency Plan for AIDS Relief Funds or Meet Program Goals in Accordance With Award Requirements (A-04-12-04019)
- 02-01-2013
- Deadbeat Arrested: Dennis Thomas
- Arkansas Generally Supported Its Claim for Federal Medicaid Reimbursement (A-06-10-00098)
- Neighborhood Diabetes, Inc., Submitted Claims for Diabetic Testing Supplies Without the KL Modifier in Accordance With Medicare Billing Requirements (A-09-11-02073)
- Independent Attestation Review: National Institute on Alcohol Abuse and Alcoholism Assertions Concerning Drug Control Accounting for Fiscal Year 2012 (A-03-13-00359)
- Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2012 Performance Summary Report for National Drug Control Activities (A-03-13-00358)
- Independent Attestation Review: Indian Health Services Fiscal Year 2012 Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-13-00356)
- Independent Attestation Review: Substance Abuse and Mental Health Services Administration's Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions for Fiscal Year 2012 (A-03-13-00352)
- Independent Attestation Review: Health Resources and Services Administrations Drug Control Accounting for Fiscal Year 2012 (A-03-13-00357)
- Independent Attestation Review: Indian Health Services Assertions Concerning Drug Control Accounting for Fiscal Year 2012 (A-03-13-00355)
- Independent Attestation Review: National Institutes of Health Fiscal Year 2012 Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-13-00354)
- Independent Attestation Review: National Institute on Drug Abuses Assertions Concerning Drug Control Accounting for Fiscal Year 2012 (A-03-13-00353)
- Independent Attestation Review: Substance Abuse and Mental Health Services Administration Assertions Concerning Drug Control Accounting for Fiscal Year 2012 (A-03-13-00351)
January
- 01-29-2013
- Won Suk Lee Added to Most Wanted Fugitives List
- 01-28-2013
- Arizona Improperly Claimed Federal Reimbursement for Medicaid School-Based Administrative Costs (A-09-11-02020)
- Arkansas Inappropriately Received Medicaid Family Planning Funding for Federal Fiscal Years 2006 Through 2010 (A-06-11-00022)
- 01-25-2013
- FOIA FY 2012 Annual Report
- 01-24-2013
- Podcast: Unlawfully Present and Incarcerated Medicare Patients
- Medicare Improperly Paid Providers Millions of Dollars for Incarcerated Beneficiaries Who Received Services During 2009 Through 2011 (A-07-12-01113)
- Medicare Improperly Paid Providers Millions of Dollars for Unlawfully Present Beneficiaries Who Received Services During 2009 Through 2011 (A-07-12-01116)
- Medicare Payments to New York Rehabilitative Services, LLC, for Lower Limb Prosthetic Services Generally Complied With Certain Federal Requirements (A-02-12-01002)
- Medicare Compliance Review of Baton Rouge General Medical Center for Calendar Years 2009 and 2010 (A-06-11-00065)
- 01-22-2013
- Updated Corporate Integrity Agreement List: One CIA Added
- 01-18-2013
- Trio Involved in $40 Million, Nationwide Medicare Scam
- Medicare Compliance Review of California Pacific Medical Center, Pacific Campus, for Calendar Years 2009 and 2010 (A-09-12-02027)
- The Medicare Contractor's Payments to Providers in Jurisdiction 9 for Full Vials of Herceptin Were Often Incorrect (A-04-12-06146)
- 01-16-2013
- Kenneth Jones Named Most Wanted Deadbeat
- 01-15-2013
- Vulnerabilities in CMS's and Contractors' Activities To Detect and Deter Fraud in Community
Mental Health Centers (OEI-04-11-00101) - Medicaid Third-Party Liability Savings Increased, But Challenges Remain (OEI-05-11-00130)
- 01-14-2013
- HIV Testing in HRSA-Funded Health Center Sites (OEI-06-10-00290)
- Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2010 (A-18-12-30100)
- TrailBlazer Claimed Medicare Part B Administrative Costs in Accordance With Federal Requirements (A-06-10-00109)
- 01-10-2013
- January 2013 Recovery Act Quality Control Audit Review (under Audit Activities)
- LEIE Database Updated with December 2012 Exclusions and Reinstatements
- November Recovery Act Oversight Monthly Report Posted
- Solicitation of New Safe Harbors and Special Fraud Alerts
- American Sleep Medicine, LLC
- MEDIC Benefit Integrity Activities in Medicare Parts C and D (OEI-03-11-00310)
- 01-09-2013
- You Can Make A Difference: Office of Audit Services Recruiting Brochure
- 01-08-2013
- Pedro Perez Added to Most Wanted Fugitives List
- Raed Almasri Added to Most Wanted Fugitives List
- GGNSC Holdings LLC Added to Corporate Integrity Agreement List
- Lower Limb Prosthetics Claims Paid to Premier Prosthetics and Orthotics Were Not Always Supported by Adequate Documentation (A-07-12-05026)
- Medicare Contractors' Payments in Jurisdictions 15 to Providers for Full Vials of Herceptin Were Often Incorrect (A-05-12-00017)
- California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Services Provided in San Diego County (A-09-11-02040)
- The UAW Retiree Medical Benefits Trust Properly Claimed Early Retiree Reinsurance Program Reimbursements (A-05-11-00108)
- The Chicago Regional Council of Carpenters Welfare Fund Properly Claimed Early Retiree Reinsurance Program Reimbursements (A-05-11-00109)
- 01-07-2013
- Podcast: OIG Monthly Update
- Advisory Opinion 12-22
(concerning an arrangement in which a hospital pays a cardiology group compensation that includes a performance bonus based on implementing certain patient service, quality, and cost savings measures associated with procedures performed at the hospital's cardiac catheterization laboratories.) - Updated Corporate Integrity Agreement List: Seven CIAs Closed
- 01-04-2013
- CAPTURED: Leonard Nwafor | OIG Most Wanted Fugitives
- 01-03-2013
- Advisory Opinion 12-21
(concerning a Federally qualified health center's proposal to offer grocery store gift cards to certain patients in capitated managed care plans as an incentive to receive health screenings or other clinical services.)
December
- 12-31-2012
- Community Living Assistance Services and Supports Program: 2012 Report to Congress (OEI-04-11-00451)
- Louisiana State Medicaid Fraud Control Unit: 2012 Onsite Review (OEI-09-12-00010)
- 12-27-2012
- Comparison of Second-Quarter 2012 Average Sales Prices and Average Manufacturer Prices: Impact on Medicare Reimbursement for Fourth Quarter 2012 (OEI-03-13-00100)
- 12-26-2012
- Pennsylvania Claimed Unallowable Medicaid Administrative Costs for the Regional Housing Coordinator Initiative (A-03-11-00210)
- The Medicare Contractor's Payments in Jurisdictions 6 and 8 for Full Vials of Herceptin Were Often Incorrect (A-05-11-00112)
- Connecticut Title IV-E Training Costs Did Not Always Comply With Federal Requirements (A-01-12-02500)
- Limited Supplier Solicitation of Prescribing Physicians Under Medicare DMEPOS Competitive Bidding Program (OEI-06-11-00081)
- 12-21-2012
- Review of Medicare Outpatient Billing for Selected Drugs at St. Joseph Hospital (A-09-12-02039)
- Medicare Compliance Review of New York University Langone Medical Center for the Period July 1, 2008, Through December 31, 2010 (A-02-11-01043)
- Providers Did Not Correctly Bill Medicare Part B for the Oral Form of the Drug Emend (A-07-11-04181)
- Medicare Compliance Review of Hoag Memorial Hospital Presbyterian for Calendar Years 2008 Through 2011 (A-09-12-02012)
- Medicare Compliance Review of Rhode Island Hospital for Calendar Years 2010 and 2011 (A-01-12-00510)
- 12-20-2012
- Podcast: Home Health Agency Oversight
- CMS and Contractor Oversight of Home Health Agencies (OEI-04-11-00220)
- Amgen Inc. Added to Corporate Integrity Agreement List
- 12-19-2012
- Medicare Supplier Acquisition Costs for L0631 Back Orthoses (OEI-03-11-00600)
- Advisory Opinion 12-20
(concerning a hospital's proposal to provide free access to an electronic interface to community physicians and physician practices that would allow those physicians and practices to transmit orders for certain services to, and receive the results of those services from, the hospital.) - 12-17-2012
- Captured: Most Wanted Deadbeat Robert Sand
- The Department of Health and Human Services Has Implemented Predictive Analytics Technologies But Can Improve Its Reporting on Related Savings and Return on Investment (A-17-12-53000)
- 12-13-2012
- Comparison of First-Quarter 2012 Average Sales Prices and Average Manufacturer Prices: Impact on Medicare Reimbursement for Third Quarter 2012 (OEI-03-12-00730)
- New York Improperly Claimed Medicaid Reimbursement for Some Home Health Services Claims Submitted by Certified Home Health Agencies in New York City (A-02-10-01022)
- Risk Adjustment Data Validation of Payments Made to PacifiCare of California for Calendar Year 2007 (Contract Number H0543) (A-09-09-00045)
- Medicare Contractors' Payments Made to Providers Currently Assigned to Jurisdiction 4 for Full Vials of Herceptin Were Often Incorrect (A-06-12-00001)
- Massachusetts Generally Implemented Recommendations From Prior Review of Claims for Hospital Outpatient Clinical Laboratory Services (A-01-12-00005)
- Medicare Compliance Review of Hartford Hospital for Calendar Years 2009 and 2010 (A-01-11-00533)
- Medical Services of America Did Not Always Have Required Documentation on File to Support Its Medicare Claims (A-04-11-04010)
- Review of Medicare Outpatient Billing for Selected Drugs at St. Luke's Boise Medical Center (A-09-12-02043)
- Review of Medicare Outpatient Billing for Selected Drugs at Sky Lakes Medical Center (A-09-12-02061)
- Most of Pinnacle's Medicare Part B Administrative Costs Reported for Fiscal Years 2008 and 2009 Were Allowable (A-06-11-00045)
- 12-12-2012
- LEIE Database Updated with November 2012 Exclusions and Reinstatements
- 12-11-2012
- Home and Community-Based Services in Assisted Living Facilities (OEI-09-08-00360)
- 12-10-2012
- CAPTURED: Elizabet Martinez and Lazaro Betancourt | OIG Most Wanted Fugitives
- October Recovery Act Oversight Monthly Report Posted
- 12-07-2012
- Advisory Opinion 12-19
(concerning four proposed arrangements involving a pharmacy company's provision of items and services to community homes in which its customers reside.) - Updated Civil Monetary Penalties:
- 12-06-2012
- CAPTURED: Juan Heredia | OIG Most Wanted Fugitives
- Advisory Opinion 12-18
(concerning a proposed arrangement whereby three municipalities will reciprocally waive the otherwise applicable cost-sharing obligations of each other's bona fide residents when providing backup emergency medical services transportation to such individuals in certain circumstances.) - Central City Concern, a Health Resources and Services Administration Grantee, Claimed Some Inadequately Documented Costs Under the Recovery Act (A-09-11-01009)
- The Centers for Disease Control and Prevention's Namibia Office Did Not Always Properly Monitor Recipients' Use of the President's Emergency Plan for AIDS Relief Funds (A-04-12-04020)
- 12-05-2012
- Compendium of Unimplemented Recommendations: December 2012 Edition
- Medicare Compliance Review of Tufts Medical Center for Calendar Years 2009 and 2010 (A-01-12-00503)
- Almost All of Pinnacle's Medicare Part A Administrative Costs Reported for Fiscal Years 2008 and 2009 Were Allowable (A-06-11-00044)
- 12-04-2012
- Podcast: Preventive Screenings for Medicaid Children
- Updated Corporate Integrity Agreement List: Three CIAs Closed
- 12-03-2012
- Review of Medicare Outpatient Billing for Selected Drugs at University of California, Irvine, Medical Center (A-09-12-02063)
- Review of Medicare Outpatient Billing for a Selected Drug at Arroyo Grande Community Hospital (A-09-12-02064)
- Iowa Did Not Properly Pay Some Medicare Part A and Part B Deductibles and Coinsurance (A-07-12-03178)
- The Medicare Contractor's Payments in Jurisdiction 3 for Full Vials of Herceptin Were Often Incorrect (A-07-12-04186)
- Podcast: OIG Monthly Update
November
- 11-30-2012
- HHS Public Health and Medical Services Emergency Support Preparedness (OEI-04-11-00260)
- 11-29-2012
- 3 Fugitives Arrested in Miami for Multiple Scams Involving $24.3 Million
- Early Assessment Finds That CMS Faces Obstacles in Overseeing the Medicare EHR Incentive Program (OEI-05-11-00250)
- 11-28-2012
- Updated Civil Monetary Penalties:
- 11-27-2012
- Fall 2012 Semiannual Report to Congress
- Semiannual Report News Release:
OIG Reports $6.9 Billion in Expected Recoveries Among FY 2012 Accomplishments - Updated Corporate Integrity Agreement List: New CIAs Added
- Washington State's Medicaid False Claims Act Reviewed
- Tennessee's Amended Medicaid False Claims Act Reviewed
- 11-26-2012
- Patricia Chisanga Added to Most Wanted Fugitives List
- Assessment of Hospital Reporting of Present on Admission Indicators on Medicare Claims (OEI-06-09-00310)
- Community Medical and Dental Care, Inc., Did Not Meet Select Financial Performance Measures and Claimed Unallowable Federal Grant Expenditures (A-02-11-02001)
- 11-23-2012
- LifeCenter Northwest Did Not Fully Comply With Medicare Requirements for Reporting Organ Statistics in Its Fiscal Year 2009 Medicare Cost Report (A-09-11-02039)
- The Emergency Medical Services Authority of Oklahoma City Billed and Was Paid for Advanced Life Support Transports That Were Not Medically Necessary (A-06-11-00050)
- Medicare Made Payments to United Healthcare of Wisconsin, Inc. Under Part D for Drugs That Were Already Covered Under Part C (A-05-11-00051)
- Least Costly Alternative Policies: Impact on Prostate Cancer Drugs Covered Under Medicare Part B (OEI-12-12-00210)
- 11-20-2012
- Medicare Compliance Review of the University of Iowa Hospital for Calendar Years 2009 and 2010 (A-07-12-05023)
- Noninstitutional Providers in North Carolina Did Not Reconcile Invoice Records With Credit Balances and Report the Associated Medicaid Overpayments to the State Agency (A-04-11-04016)
- Review of Medicare Outpatient Billing for a Selected Drug at Community Hospital Long Beach Memorial (A-09-12-02065)
- Review of Medicare Outpatient Billing for a Selected Drug at Banner Baywood Medical Center (A-09-12-02062)
- The Medicare Contractor's Payments in Jurisdiction 2 for Full Vials of Herceptin Were Often Incorrect (A-09-12-02003)
- 11-19-2012
- 2012 Top Management and Performance Challenges
- The New Jersey Department of Human Services Claimed Medicaid Disproportionate Share Hospital Payments to Five Hospitals That Did Not Meet Federal Eligibility Requirements (A-02-09-01017)
- 11-15-2012
- Portfolio: Personal Care Services: Trends, Vulnerabilities, and Recommendations for Improvement
- Podcast: Personal Care Services
- Spotlight: Medicaid Personal Care Services
- Improvements Are Needed at the Administrative Law Judge Level of Medicare Appeals (OEI-02-10-00340)
- 11-13-2012
- Inappropriate Payments to Skilled Nursing Facilities Cost Medicare More Than a Billion Dollars in 2009 (OEI-02-09-00200)
- Podcast: Skilled Nursing Facilities
- 11-09-2012
- Vivian Yusuf Added to Most Wanted Fugitives List
- Advisory Opinion 12-17
(concerning a proposal for a hospice to establish a volunteer program to provide non-skilled services to terminally ill patients who do not qualify for hospice care.) - 11-08-2012
- Supplier Billing for Diabetes Test Strips and Inappropriate Supplier Activities in Competitive Bidding Areas (OEI-04-11-00760)
- Blue Cross Blue Shield of Tennessee Did Not Claim Some Allowable Restoration Supplemental Executive Retirement Plan Costs for Fiscal Years 2008 and 2009 (A-07-12-00394)
- Review of Medicare Outpatient Billing for Selected Drugs at Doctors Medical Center (A-09-12-02041)
- Review of Medicare Outpatient Billing for Selected Drugs at Oroville Hospital (A-09-12-02040)
- Review of Medicare Part D Prescription Drug Event Data for Schedule II Drugs at Humana Insurance Company (A-09-12-02031)
- 11-07-2012
- Updated Corporate Integrity Agreement List: Four CIAs Closed
- LEIE Database Updated with October 2012 Exclusions and Reinstatements
- 11-05-2012
- Podcast: OIG Monthly Update
- Advisory Opinion 12-16
(concerning a proposal to waive cost-sharing amounts on a non-routine, unadvertised basis for insured patients, including Federal health care program beneficiaries, based on individualized determinations of financial need.) - Blackstone Medical Inc. Added to Corporate Integrity Agreement List as part of
Orthofix International, N.V. - 11-01-2012
- Manuel Lopez added to Most Wanted Fugitives List
- October 2012 Recovery Act Quality Control Audit Review (under Audit Activities)
October
- 10-31-2012
- Rajindera Sachdeva added to Most Wanted Fugitives List
- 10-30-2012
- Advisory Opinion 12-15
(concerning an existing arrangement under which a hospital pays a per diem fee to physicians for providing on-call coverage for the hospital's emergency department.) - The Medicare Contractor's Payments in Jurisdiction 5 for Full Vials of Herceptin Were Often Incorrect (A-07-12-04187)
- Review of Medicare Outpatient Billing for Selected Drugs at Swedish Medical Center - First Hill (A-09-12-02042)
- Review of Medicare Outpatient Billing for Selected Drugs at Ronald Reagan UCLA Medical Center (A-09-12-02050)
- 10-26-2012
- Jose Argos added to Most Wanted Fugitives List
- Boehringer Ingelheim Pharmaceuticals, Inc. Added to Corporate Integrity Agreement List
- September Recovery Act Oversight Monthly Report Posted
- Medicare Compliance Review of Intermountain Medical Center for Calendar Years 2009 and 2010 (A-07-12-01108)
- Medicare Compliance Review of North Kansas City Hospital for Calendar Years 2009 and 2010 (A-07-12-01115)
- Most of the Costs Claimed by Washington University in St. Louis Under American Recovery and Reinvestment Act of 2009 Grant Numbers 2R01HD036904-06A2, 3R01HD036904-07S1, and 5R01HD036904-07 Were Allowable (A-07-12-02778)
- 10-25-2012
- Poul Thorsen added to Most Wanted Fugitives list
- Medicare Compliance Review of Wing Memorial Hospital for Calendar Years
2009 and 2010 (A-01-11-00536) - 10-24-2012
- OIG Outlook 2013 Video Program Now Available
- 10-23-2012
- CAPTURED: Orlando Mena, Akim Mena, and Xiomara Rodriguez | OIG Most Wanted Fugitives
- CAPTURED: Ordiel Gonzalez | OIG Most Wanted Fugitives
- Medicare Compliance Review of The University of Alabama at Birmingham Hospital for Calendar Years 2009 and 2010 (A-04-11-00080)
- Community Health Network, Inc., Had Significant Liabilities On December 31, 2011 (A-04-11-03539)
- New Hampshire Did Not Always Correctly Claim Medicaid Payments for School-Based Transportation Services (A-01-11-00008)
- Texas Did Not Always Comply With Federal and State Requirements Regarding the Medicare Buy-In Program (A-06-10-00070)
- Massachusetts Medicaid Payments to Millbury Health Care Center Did Not Always Comply With Federal and State Requirements (A-01-12-00010)
- 10-22-2012
- Arrested: Doctor Fails to Pay More Than $1 Million in Child Support
- New Hampshire Medicaid Fraud Control Unit: 2012 Onsite Review (OEI-02-12-00180)
- 10-18-2012
- OIG Outlook 2013 Preview Updates Added
- South Carolina State Medicaid Fraud Control Unit: 2011 Onsite Review (OEI-09-11-00610)
- 10-16-2012
- Analyzing Changes to Medicaid Federal Upper Limit Amounts (OEI-03-11-00650)
- Advisory Opinion 12-14
(concerning a rewards program under which consumers would earn gasoline discounts based on the amount they spend on purchases in retail supermarkets, including cost-sharing amounts paid in connection with items covered by Federal health care programs purchased in the in-store pharmacies.) - 10-15-2012
- Awards Recognize Accomplishments of the Inspector General Community
- Updated Corporate Integrity Agreement List: 1 CIA Closed
- 10-12-2012
- Risk Adjustment Data Validation of Payments Made to Excellus Health Plan, Inc., for Calendar Year 2007 (Contract Number H3351) (A-02-09-01014)
- Axerion Therapeutics Generally Claimed Allowable Recovery Act Grant Costs (A-01-11-02509)
- 10-11-2012
- OIG Outlook 2013 Update
- CMS Has Not Promulgated Regulations To Establish Payment Requirements for Prosthetics and Custom-Fabricated Orthotics (OEI-07-10-00410)
- 10-10-2012
- CMS Response to Breaches and Medical Identity Theft (OEI-02-10-00040)
- Updated Civil Monetary Penalties:
- 10-09-2012
- LEIE Database Updated with September 2012 Exclusions and Reinstatements
- Criminal Convictions for Nurse Aides With Substantiated Findings of Abuse, Neglect, and Misappropriation (OEI-07-10-00422)
- Focus on Compliance: The Next Generation of Corporate Integrity Agreements
- 10-05-2012
- Video: IG Daniel R. Levinson Speaks at Medicare Fraud Strike Force Takedown Press Conference
- Advisory Opinion 12-13
(concerning a proposal by a hearing aid supplier to begin billing Medicare for certain audiometric testing, while continuing to offer free hearing tests to prospective hearing aid customers.) - Wyoming Medical Center Added to Corporate Integrity Agreement List
- West Virginia Improperly Claimed Some Personal Care Services Under Its Medicaid State Plan (A-03-11-00204)
- Case Western Reserve University Claimed Allowable Equipment Costs Under NIH Grants (A-05-12-00074)
- Maryland Claimed Medicaid Administrative Costs for Unallowable Remedial and Training Services for the Maryland Poison Center (A-03-12-00204)
- The Child Development Council of Acadiana, Inc.'s, Financial Management Practices and Systems Did Not Always Meet Federal Requirements (A-06-11-00031)
- University of Wisconsin-Madison Claimed Allowable Costs Under Recovery Act Grants (A-05-11-00102)
- Consejo de Salud de Puerto Rico, Inc., Did Not Always Claim Recovery Act Costs in Accordance With Federal Requirements (A-02-11-02011)
- Northeast Florida Community Action Agency, Inc., Did Not Always Charge Allowable Costs to the Community Services Block Grant - Recovery Act Program (A-04-11-01004)
- 10-03-2012
- Podcast: Dietary Supplements
- Dietary Supplements: Structure/Function Claims Fail To Meet Federal Requirements (OEI-01-11-00210)
- Dietary Supplements: Companies May Be Difficult To Locate in an Emergency (OEI-01-11-00211)
- 10-02-2012
- OIG Releases 2013 Work Plan
- Upcoming Webcast Will Highlight OIG's 2013 Priorities
- Updated Corporate Integrity Agreement List: Eight CIAs Closed
- Medicare Compliance Review of Maine Medical Center for Calendar Years 2009 and 2010 (A-01-11-00535)
- Risk Adjustment Data Validation of Payments Made to Paramount Care, Inc., for Calendar Year 2007 (Contract Number H3653) (A-05-09-00044)
- New Jersey Did Not Always Claim Federal Medicaid Reimbursement for Personal Care Services Made by Bayada Nurses, Inc., in Accordance With Federal and State Requirements (A-02-10-01001)
- New Jersey Generally Reported Medicaid Overpayments in Accordance With Federal Regulations (A-02-10-01009)
- 10-01-2012
- Podcast: OIG Monthly Update
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