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July

07-31-2014
Daniel Guerra and Aiza Rodriguez Added to Most Wanted Fugitives List
Statement for the Hearing Record: Office of Inspector General, U.S. Department of Health and Human Services, United States Senate, Special Committee on Aging: Admitted or Not? The Impact of Medicare Observation Status on Seniors
California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Services Provided in Central Los Angeles County (A-09-13-02012)
07-30-2014
The Department of Health and Human Services Designed Its Internal Controls Over Hurricane Sandy Disaster Relief Funds To Include Elements Specified by the Office of Management and Budget (A-02-13-02010)
California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Services Provided in Orange County (A-09-13-02044)
California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Services Provided in East Los Angeles County (A-09-13-02019)
Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2012 (A-18-14-30100)
07-29-2014
Testimony of John Hagg, Director of Medicaid Audits, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Oversight and Government Reform Subcommittee on Energy Policy, Health Care and Entitlements: Examining the Federal Government's Failure to Curb Wasteful State Medicaid Financing Schemes
Indiana State Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-07-13-00250)
07-28-2014
Nueva Estafa Dirigido a Las Familias de los Niños Migrantes
Fraud Alert: New Fraud Scheme Targeting Families of Unaccompanied Children
Some Michigan Child Care Home Providers Did Not Always Comply With State Health and Safety Licensing Requirements (A-05-13-00031)
Advisory Opinion 14-05
(concerning a pharmaceutical manufacturer's direct-to-patient product sales program that allows eligible patients to purchase one of the manufacturer's brand-name products for a fixed cash price from an online retail pharmacy vendor outside of any applicable prescription drug insurance benefit.)
07-25-2014
The Medicare Contractor for Jurisdiction 14 Overpaid Providers for Selected Outpatient Drugs (A-01-13-00504)
Medicare Compliance Review of Good Samaritan Hospital for Calendar Years 2010 and 2011 (A-09-13-02008)
The Medicare Contractor for Jurisdiction 13 Overpaid Providers for Selected Outpatient Drugs (A-02-13-01011)
07-24-2014
Updated Corporate Integrity Agreement List: 1 CIA Added
07-23-2014
Security Controls Over the Implementation of Personal Identity Verification Cards (PIV) at the Department of Health and Human Services (HHS) Were Inadequate Due to Lack of Some Essential Information Security Requirements (A-18-12-30410)
07-22-2014
The Rhode Island Medicaid Program Could Lower Payments for Selected Durable Medical Equipment and Supplies (A-01-13-00006)
Limitations in Manufacturer Reporting of Average Sales Price Data for Part B Drugs (OEI-12-13-00040)
07-16-2014
Testimony of Kay Daly, Assistant Inspector General, Office of Audit Services and Joyce Greenleaf, Regional Inspector General, Office of Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce, Subcommittee on Health: Failure To Verify: Concerns Regarding PPACA's Eligibility System
07-15-2014
Mathematical Statistician Opening In Washington, D.C.
New York Claimed Nonhospital-Based Continuing Day Treatment Services That Were Not in Compliance With Federal and State Requirements (A-02-12-01011)
New Jersey Did Not Comply With Recovery Act Requirements for Receiving Increased Federal Medicaid Assistance (A-02-11-01039)
Not All of Kansas's Controls for Its Child Care Subsidy Program Claims Were Effective (A-07-12-03182)
07-14-2014
Public Assistance Reporting Information System: State Participation in the Medicaid Interstate Match is Limited (OEI-09-11-00780)
Florida Made Some Payments for Pharmacy Items That Excluded Providers Had Prescribed (A-04-11-07024)
The University of North Carolina at Chapel Hill Did Not Always Claim Selected Costs Charged Directly to Department of Health and Human Services Awards in Accordance with Federal Requirements (A-04-13-01024)
07-11-2014
Solicitation of Information and Recommendations for Revising OIG's Non-Binding Criteria for Implementing Permissive Exclusion Authority Under Section 1128(b)(7) of the Social Security Act
Special Fraud Alert: Laboratory Payments to Referring Physicians
Virginia Improperly Claimed Federal Reimbursement for Most Reviewed Medicaid Payments to Piedmont Geriatric Hospital (A-05-12-00056)
Virginia Improperly Claimed Federal Reimbursement for Most Reviewed Medicaid Payments to Catawba Hospital (A-05-12-00055)
Louisiana Received More Than $7.1 Million in Unallowable Bonus Payments (A-04-14-08029)
07-10-2014
LEIE Database Updated with June 2014 Exclusions and Reinstatements
07-09-2014
Questionable Billing for Medicare Part B Clinical Laboratory Services (OEI-03-11-00730)
07-08-2014
Laws Prohibit the Use of HHS Grant Funds for Lobbying, but Limited Methods Exist To Identify Noncompliance (OEI-07-12-00620)
07-07-2014
Podcast: June OIG Monthly Update
07-03-2014
Updated Corporate Integrity Agreement List: 7 CIAs Closed
07-02-2014
Sandy De La Fe Added to Most Wanted Fugitives List
FDA Compliance Education on Prescription Drug Advertising and Promotion
South Carolina Did Not Always Accurately Report and Refund the Federal Share of Medicaid Collections for July 1, 2011, Through December 31, 2012 (A-04-13-00092)
Medicare Compliance Review of Swedish Medical Center - First Hill (A-09-13-02048)
University of California, San Diego, Generally Claimed Administrative and Clerical Payroll Costs Charged Directly to HHS Awards in Accordance with Federal Regulations (A-09-12-01001)
07-01-2014
Podcast: Early Enrollment Challenges in Health Insurance Marketplaces
Not All Internal Controls Implemented by the Federal, California, and Connecticut Marketplaces Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-09-14-01000)
Marketplaces Faced Early Challenges Resolving Inconsistencies With Applicant Data (OEI-01-14-00180)

June

06-30-2014
Pennsylvania Complied With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud (A-03-14-00202)
California Claimed Medicaid Reimbursement for Some Nonemergency Medical Transportation Services in Los Angeles County That Did Not Comply With Federal and State Requirements (A-09-12-02083)
06-25-2014
Updated Corporate Integrity Agreement List: 2 CIAs Added
06-25-2014
Testimony of Gary Cantrell, Deputy Inspector General for Investigations before the House Committee on Energy and Commerce Subcommittee on Oversight and Investigations on Medicare Program Integrity: Screening Out Errors, Fraud, and Abuse
Special Fraud Alert: Laboratory Payments to Referring Physicians
The Fraud Prevention System Identified Millions in Medicare Savings, but the Department Could Strengthen Savings Data by Improving Its Procedures (A-01-13-00510)
The Office of Community Services Did Not Fully Comply With Federal Monitoring and Reporting Requirements for the Community Services Block Grant Program (A-01-13-02505)
Inconsistencies in States' Reporting of the Federal Share of Medicaid Drug Rebates (A-06-13-00001)
Medicare Compliance Review of University of Washington Medical Center (A-09-13-02049)
06-24-2014
The U.S. Virgin Islands Department of Human Services May Not Have Provided Head Start Services to the Neediest Children (A-02-12-02002)
Noninstitutional Providers in New York State Did Not Always Reconcile Account Records With Credit Balances and Report the Associated Medicaid Overpayments to the State Agency (A-02-11-01036)
Medicare Compliance Reviews at Steward Health System Hospitals (A-01-14-00501)
06-23-2014
Medicare Market Shares of Mail Order Diabetes Test Strips Immediately Prior to the National Mail Order Program (OEI-04-13-00681)
06-19-2014
Updated Civil Monetary Penalties:
06-18-2014
SENTENCED: Child Support Deadbeats Glen Sheppard and Richard Wade
06-16-2014
Nebraska State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-07-14-00060)
Performance Data for the Senior Medicare Patrol Projects: June 2014 Performance Report (OEI-02-14-00140)
Medicare Market Share of Mail Order Diabetes Test Strips From July-September 2013 (OEI-04-13-00680)
06-13-2014
Medicare Compliance Review of University of Cincinnati Medical Center for Calendar Years 2010 and 2011 (A-05-12-00080)
06-12-2014
Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2014 (OEI-05-14-00170)
The Republic of Zambia, Ministry of Health, Did Not Always Manage the President's Emergency Plan for AIDS Relief Funds or Meet Program Goals in Accordance With Award Requirements (A-04-13-04004)
06-11-2014
Hector Martinez and Alexander Vasolla added to Most Wanted Deadbeats
Trailblazer Health Enterprises Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments as Required (A-07-10-02776)
06-10-2014
Podcast: California's Licensing Surveys of Nursing Homes Could Not Ensure the Quality of Care for Beneficiaries
CMS's Reliance on California's Licensing Surveys of Nursing Homes Could Not Ensure the Quality of Care Provided to Medicare and Medicaid Beneficiaries (A-09-12-02037)
The Centers for Medicare & Medicaid Services Paid Medicare Advantage Organizations for Services Provided to Beneficiaries Confined in Mental Health Facilities for Court-Ordered Purposes (A-07-13-06043)
Updated Corporate Integrity Agreement List: 5 CIAs Closed
06-06-2014
Average Manufacturer Price Determinations by Selected Drug Manufacturers Generally Were Consistent With Federal Requirements (A-06-13-00014)
CMS's Reliance on Illinois Licensure Requirements Could Not Ensure the Quality of Care Provided to Medicaid Hospice Beneficiaries (A-05-12-00028)
06-05-2014
Updated Corporate Integrity Agreement List: Ashland Hospital Corporation d/b/a King's Daughters Medical Center
06-04-2014
WANTED: Firas Alky and Errol Elrington
CAPTURED: Vivian Yusuf
LEIE Database Updated with May 2014 Exclusions and Reinstatements
Vulnerabilities in Medicare's Interrupted-Stay Policy for Long-Term Care Hospitals (OEI-04-12-00490)
Updated Civil Monetary Penalties:
06-03-2014
Indiana Incorrectly Reported Expenditures on the Form CMS-64 at the Enhanced Federal Medical Assistance Percentage Rate (A-05-14-00011)
06-02-2014
Podcast: May OIG Monthly Update
Ohio Did Not Always Properly Claim Medicaid Reimbursement for Hospice Claims (A-05-12-00087)
Acute-Care Hospitals in Texas Did Not Always Reconcile Invoice Records With Credit Balances and Refund to the State Agency the Associated Medicaid Overpayments (A-06-11-00060)

May

05-30-2014
State Requirements for Conducting Background Checks on Home Health Agency Employees (OEI-07-14-00131)
Pennsylvania's Gross Receipts Tax on Medicaid Managed Care Organizations Appears To Be an Impermissible Health-Care-Related Tax (A-03-13-00201)
Blue Cross Blue Shield Association Did Not Claim Some Allowable Medicare Postretirement Benefit Costs for Fiscal Years 2002 Through 2010 (A-07-14-00434)
Florida Medicaid Overpaid Hospitals for Some Inpatient Services That Medicare Paid (A-04-12-06158)
05-29-2014
Podcast: Improper Payments for Evaluation and Management Services Cost Medicare Billions in 2010
Improper Payments for Evaluation and Management Services Cost Medicare Billions in 2010 (OEI-04-10-00181)
Updated Civil Monetary Penalties:
05-28-2014
Updated: Georgia State False Claims Act Review
Podcast: Medicare Inappropriately Paid Hospitals' Inpatient Claims Subject to the Postacute Care Transfer Policy
Medicare Inappropriately Paid Hospitals' Inpatient Claims Subject to the Postacute Care Transfer Policy (A-09-13-02036)
05-27-2014
Spring 2014 Semiannual Report
05-23-2014
Updated Corporate Integrity Agreement List: 3 CIAs Added
05-22-2014
Updated Corporate Integrity Agreement List: 2 CIAs Added
05-21-2014
New Special Advisory Bulletin Provides Additional Guidance on Independent Charity Patient Assistance Programs for Federal Health Care Program Beneficiaries
Supplemental Special Advisory Bulletin: Independent Charity Patient Assistance Programs
05-20-2014
Testimony of Brian P. Ritchie, Acting Deputy Inspector General for Evaluation and Inspections before the House Committee on Oversight and Government Reform Subcommittee on Energy Policy, Health Care and Entitlements: Medicare Mismanagement: Oversight of the Federal Government Efforts to Recapture Misspent Funds
Testimony of Jodi D. Nudelman, Regional Inspector General for Office of Evaluation and Inspections before the House Committee on Ways and Means, Subcommittee on Health: Current Hospital Issues in the Medicare Program
05-16-2014
Mid Hudson Medical Group, P.C. Added to Corporate Integrity Agreement List
The Medicare Contractor for Jurisdiction 9 Overpaid Providers for Selected Outpatient Drugs (A-04-13-07038)
05-13-2014
Proposed Rule: Medicare and State Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Civil Monetary Penalty Rules
05-09-2014
Proposed Rule: Medicare and State Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Exclusion Authorities
Updated Civil Monetary Penalties:
The University of South Florida Did Not Always Claim Costs in Accordance With Federal Regulations (A-04-12-01016)
Idaho Did Not Bill Manufacturers for Rebates for Some Medicaid Physician-Administered Drugs (A-09-12-02079)
The Medicare Contractors for Jurisdiction H Overpaid Providers for Selected Outpatient Drugs (A-06-13-00010)
Morristown Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00036)
Mount Sinai Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00028)
Medicare Compliance Review of Robert Packer Hospital for Calendar Years 2009 Through 2011 (A-03-12-00003)
Compliance Review of Woburn Dialysis (A-01-12-00516)
05-08-2014
Medicare Compliance Review of Princeton Baptist Medical Center for Calendar Years 2010 and 2011 (A-04-12-00084)
Exclusions Waiver Added: Patrick Antoon M.D.
05-07-2014
LEIE Database Updated with April 2014 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: 2 CIAs Closed
05-06-2014
Video: Report Finds that Medicare Paid Millions to Deceased Beneficiaries
New York Claimed Unallowable Room-and-Board Costs Under Its Developmental Disabilities Waiver Program (A-02-12-01031)
05-05-2014
Podcast: April OIG Monthly Update
05-02-2014
Highmark Medicare Services, Inc., Understated Its Allocable Nonqualified Defined-Benefit Plan Pension Costs for Calendar Years 2008 Through 2011 (A-07-13-00431)
Highmark Medicare Services, Inc., Did Not Claim Some Allowable Nonqualified Defined-Benefit Plan Pension Costs for Fiscal Years 2003 Through 2009 (A-07-13-00430)
Highmark Medicare Services, Inc., Overstated Its Nonqualified Defined-Benefit Plan Medicare Segment Pension Assets and Overstated the Medicare Segment Excess Pension Liabilities as of January 1, 2012 (A-07-13-00429)
South Carolina Properly Obligated and Liquidated Targeted Funds Under the Child Care and Development Fund Program (A-04-13-01021)
Medicare Compliance Review of Duke University Hospital for the Period January 1, 2011, Through September 30, 2012 (A-04-13-04012)

April

04-30-2014
Testimony of Gloria Jarmon, Deputy of Inspector General for Audit Services, before the House Committee on Ways and Means Subcommittee on Health: Ideas to Improve Medicare Oversight to Reduce Waste, Fraud, and Abuse
Compounded Drugs Under Medicare Part B: Payment and Oversight (OEI-03-13-00270)
04-29-2014
Exclusions Waiver Added: Juan A. Tosado-Polanco, M.D.
Oregon Claimed Unallowable Federal Medicaid Reimbursement by Not Billing Manufacturers for Rebates for Some Physician-Administered Drugs (A-09-12-02080)
Medicare Compliance Review of Sutter Medical Center, Sacramento (A-09-13-02024)
The Medicare Contractors for Jurisdiction 6 Overpaid Providers for Selected Outpatient Drugs (A-06-13-00013)
Medicare Compliance Review of Massachusetts General Hospital for Calendar Years 2010 and 2011 (A-01-12-00520)
04-25-2014
Medicare Improperly Paid Medicare Advantage Organizations Millions of Dollars for Unlawfully Present Beneficiaries for 2010 Through 2012 (A-07-13-01125)
Georgia Did Not Always Accurately Report and Refund the Federal Share of Medicaid Collections for Calendar Years 2008 Through 2011 (A-04-12-00085)
04-23-2014
The National Institute of Environmental Health Sciences Generally Administered Its Superfund Appropriations During Fiscal Year 2012 in Accordance With Federal Requirements (A-04-13-01025)
04-22-2014
Vulnerabilities in the HHS Small Business Innovation Research Program (OEI-04-11-00530)
04-21-2014
Some Connecticut Child Day Care Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-01-13-02506)
Annual Fee on Branded Prescription Drug Companies Under the Affordable Care Act (OEI-03-12-00560)
04-17-2014
Podcast: Reducing Hospital Outpatient Department Payment Rates for Ambulatory Surgical Center-Approved Procedures to Ambulatory Surgical Center Payment Rates Could Save Billions
Medicare and Beneficiaries Could Save Billions If CMS Reduces Hospital Outpatient Department Payment Rates for Ambulatory Surgical Center-Approved Procedures to Ambulatory Surgical Center Payment Rates (A-05-12-00020)
Utah State Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-09-13-00490)
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 2013 (A-17-14-52000)
04-16-2014
Audio and Video: 2014 Health Care Compliance Association Compliance Institute Keynote Address
Advisory Opinion 14-04
(concerning the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.)
The University of Zambia School of Medicine Did Not Always Manage President's Emergency Plan for AIDS Relief Funds or Meet Program Goals in Accordance With Award Requirements (A-04-13-04010)
Maryland Underreported the Federal Share of Medicaid Overpayment Collections (A-03-11-00208)
Colorado Claimed Unallowable Medicaid Inpatient Supplemental Payments (A-07-13-04206)
Medicare Improperly Paid Providers Millions of Dollars for Entitlement-Terminated Beneficiaries Who Received Services During 2010 Through 2012 (A-07-13-01127)
The Medicare Contractor for Jurisdiction 10 Overpaid Providers for Selected Outpatient Drugs (A-04-13-00090)
04-15-2014
Alliance Rehabilitation LLC Addedrate Integrity Agreement List
04-14-2014
Offshore Outsourcing of Administrative Functions by State Medicaid Agencies (OEI-09-12-00530)
Texas State Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-06-13-00300)
04-10-2014
Podcast: Limited Compliance With Medicare's Home Health Face-To-Face Requirement
Limited Compliance With Medicare's Home Health Face to Face Documentation Requirements (OEI-01-12-00390)
04-09-2014
New Widget: Report Fraud
Oakwood Hospital and Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00032)
04-08-2014
Podcast: Durable Medical Equipment Competitive Bidding Round 1 Rebid Program
CMS Generally Met Requirements in the Durable Medical Equipment Competitive Bidding Round 1 Rebid Program (A-05-12-00067)
Not All of Nebraska's Controls for Its Child Care Subsidy Program Claims Were Effective (A-07-11-03167)
Arizona Improperly Claimed Some Child Care and Development Targeted Funds (A-09-12-01004)
LEIE Database Updated with March 2014 Exclusions and Reinstatements
Advisory Opinion 14-03
(concerning a laboratory's arrangement with an electronic health record services vendor under which the laboratory pays a per-order fee for each test order the vendor transmits to the laboratory.)
Notice of Termination for Advisory Opinion 11-18
  • Terminated Advisory Opinion 11-18
    (concerning an online service that would facilitate the exchange of information between health care practitioners, providers, and suppliers.)
04-07-2014
Questionable Billing for Medicare Electrodiagnostic Tests (OEI-04-12-00420)
Iowa Has Shifted Medicare Cost-Sharing for Dual Eligibles to the Federal Government (OEI-07-13-00480)
04-04-2014
Medicaid Integrity Program Report for FY 2013
Updated Civil Monetary Penalties:
04-03-2014
OIG Excludes Pediatric Dental Management Chain From Participation in Federal Health Care Programs
04-02-2014
Updated Corporate Integrity Agreement List: 2 CIAs Closed
04-01-2014
CVS Caremark Corporation Added to Corporate Integrity Agreement List
New Jersey Claimed Excessive Medicaid Disproportionate Share Hospital Payments to Four Hospitals (A-02-10-01042)
Highmark Medicare Services, Inc., Overstated Its Allocable Pension Costs for Calendar Years 2008 Through 2011 (A-07-13-00416)
Highmark Medicare Services, Inc., Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2003 Through 2009 (A-07-13-00415)
Highmark Medicare Services, Inc., Understated Its Medicare Segment Pension Assets and Understated the Medicare Segment Excess Pension Liabilities as of January 1, 2012 (A-07-13-00414)
Weaknesses in Idaho's Information System General Controls Over Its Medicaid Claims Processing System Increase Vulnerabilities (A-09-12-03009)

March

03-31-2014
Podcast: March OIG Monthly Update
The California Medicaid Program Could Significantly Lower Payment Rates for Selected Durable Medical Equipment (A-09-13-02028)
03-28-2014
CMS Did Not Always Correctly Make Clinic Visit Payments to Hospitals (A-04-12-06154)
Medicare Contractors for Jurisdiction 8 Overpaid Providers for Selected Outpatient Drugs (A-05-13-00012)
03-27-2014
CMS System for Sharing Information About Terminated Providers Needs Improvement (OEI-06-12-00031)
The University Teaching Hospital (in Zambia) Generally Managed the President's Emergency Plan for AIDS Relief Funds and Met Program Goals in Accordance With Award Requirements (A-04-13-04005)
Medicare Often Made Overpayments to New England Home Health Agencies for Claims Without Required Outcome and Assessment Information Set Data for Calendar Year 2010 (A-01-12-00508)
Medicare Compliance Reviews at Hospitals in Christus Health System (A-06-14-00027)
University Hospitals Case Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00031)
Medicare Compliance Review of Bryan Medical Center for Calendar Years 2010 and 2011 (A-07-12-05036)
Medicare Contractors for Jurisdiction 15 Overpaid Providers for Selected Outpatient Drugs (A-05-13-00013)
Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Allocable Postretirement Benefit Costs and Overstated Its Other Segment Allocable Postretirement Benefit Costs for Calendar Years 2006 Through 2010 (A-07-13-00422)
Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs for Fiscal Years 2006 Through 2010 (A-07-13-00421)
Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Postretirement Benefit Assets as of January 1, 2011 (A-07-13-00420)
03-26-2014
Podcast: Questionable Billing for Medicaid Pediatric Dental Services in New York
Questionable Billing for Medicaid Pediatric Dental Services in New York (OEI-02-12-00330)
Testimony of Brian Martens, Assistant Special Agent in Charge, Miami Region before the Senate Special Committee on Aging: Preventing Medicare Fraud: How Can We Best Protect Seniors and Taxpayers
03-25-2014
Update: Medicare Payments for End Stage Renal Disease Drugs (OEI-03-12-00550)
Testimony of Gloria Jarmon, Deputy Inspector General for Audit Services, before the House Committee on Education and Workforce, Subcommittee on Early Childhood, Elementary, and Secondary Education: The Foundation for Success: Strengthening the Child Care and Development Block Grant Program.
03-24-2014
The Medicare Contractor for Jurisdiction 5 Overpaid Providers for Selected Outpatient Drugs (A-07-13-04201)
03-21-2014
American Family Care, Inc. Added to Corporate Integrity Agreement List
03-20-2014
Hurricane Sandy Grant and Contract Vulnerabilities
WANTED: Nuritsa Grigoryan
Joseph Stroup Named Most Wanted Deadbeat
Saint Joseph London Added to Corporate Integrity Agreement List
03-18-2014
Compendium of Priority Recommendations: March 2014 Edition
Minnesota State Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-06-13-00200)
03-18-2014
Spotlight On... Diabetes Test Strips
State Medicaid Agencies Can Significantly Reduce Medicaid Costs for Diabetic Test Strips (A-05-13-00033)
Results of Reviews at Three Suppliers of Diabetic Testing Supplies (A-09-13-02032)
Comparing Average Sales Prices and Average Manufacturer Prices for Medicare Part B Drugs: An Overview of 2012 (OEI-03-13-00570)
Penetration Test of the Indian Health Service's Computer Network (A-18-13-30330)
Michigan Claimed Improper Medicaid Reimbursement for Some Medicare Part B Premiums (A-05-12-00035)
Maine Did Not Always Claim Federal Medicaid Reimbursement for Clinical Diagnostic Laboratory Services in Accordance With Requirements (A-01-13-00005)
03-14-2014
Updated: Nevada State False Claims Act Review
Halifax Hospital Medical Center Added to Corporate Integrity Agreement List
Updated Civil Monetary Penalties:
03-13-2014
OpEd Column: Why Aren't Doctors Drug Tested?
ARRESTED: John Crosslin
03-12-2014
Podcast: Medicaid Rates for Residential Habilitation Services Provided at New York State-Operated Residences
Physician Agrees to $1.5 Million Payment and 15-Year Exclusion To Settle Civil Monetary Penalty Case
Medicaid Rates for Residential Habilitation Services Provided at New York State-Operated Residences Are Excessive (A-02-13-01008)
03-11-2014
Updated Civil Monetary Penalties:
03-10-2014
Updated Corporate Integrity Agreements: 3 New CIAs Added
Butler Memorial Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00014)
Medicare Compliance Review of Nebraska Medical Center for Calendar Years 2010 and 2011 (A-07-12-05037)
Medicaid Fraud Control Units Fiscal Year 2013 Annual Report (OEI-06-13-00340)
Medicaid Fraud Control Units 2013 Statistics Interactive Map and Chart
03-07-2014
Updated Corporate Integrity Agreements: 6 Closed, 1 Modified
FY 2015 Congressional Budget Justification
Operating Plan for FY 2014
Medicare Compliance Review of Christus Santa Rosa Hospital for the Period January 1, 2010, Through June 30, 2012 (A-06-12-00068)
Medicare Compliance Review of Christus Hospital - St. Elizabeth for the Period January 1, 2010, Through June 30, 2012 (A-06-13-00020)
Medicare Compliance Review of Christus St. Frances Cabrini Hospital for the Period January 1, 2010, Through June 30, 2012 (A-06-13-00019)
03-06-2014
LEIE Database Updated with February 2014 Exclusions and Reinstatements
High-Risk Security Vulnerabilities Identified During Reviews of Information Technology General Controls at State Medicaid Agencies (A-07-14-00433)
03-05-2014
03-04-2014
Testimony of Robert A. Vito, Regional Inspector General for Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Health: Keeping the Promise: How Better Managing Medicare Can Protect Seniors
Less Than Half of Part D Sponsors Voluntarily Reported Data on Potential Fraud and Abuse (OEI-03-13-00030)
CMS Regularly Reviews Part C Reporting Requirements Data, But Its Followup and Use of the Data Are Limited (OEI-03-11-00720)
03-03-2014
Podcast: Adverse Events in Skilled Nursing Facilities
Adverse Events in Skilled Nursing Facilities: National Incidence Among Medicare Beneficiaries (OEI-06-11-00370)
Medicare Compliance Review of Good Samaritan Medical Center (A-01-13-00501)

February

02-27-2014
Updated Corporate Integrity Agreement List: Three New CIAs Added
WellSpan York Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00015)
Ben Taub Hospital Claimed Unallowable Medicare Reimbursement for Hospital Outpatient Dental Services (A-06-13-00004)
02-26-2014
Health Care Fraud and Abuse Control Program Report Fiscal Year 2013
Captured Fugitive: Ernesto Hernandez
Review Of The Food And Drug Administration's Computer Monitoring Of Certain Employees In Its Center For Devices And Radiological Health (OIG-12-14-01)
02-25-2014
Updated Civil Monetary Penalties:
02-24-2014
2014 Fall OIG Legal Extern Position
Endo Pharmaceuticals Inc. Added to Corporate Integrity Agreement List
02-21-2014
EndoGastric Solutions, Inc. Added to Corporate Integrity Agreement List
Palmetto Health Baptist Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00029)
State False Claim Act Reviews Updated: New York
02-20-2014
Advisory Opinion 14-02
(concerning the use of "preferred hospital" networks as part of certain Medicare Supplemental Health Insurance ("Medigap") policies.)
Drug Testing Company to Pay $5 Million Civil Money Penalty Settlement
Medicus Laboratories Added to Corporate Integrity Agreement List
02-19-2014
Podcast: Expanding the DRG Window
Medicare and Beneficiaries Could Realize Substantial Savings If the DRG Window Were Expanded (OEI-05-12-00480)
02-14-2014
Yousef Kurdy added to Most Wanted Fugitives List
Pleaded Guilty: Randy Lee Essary
Compliance Review of Lowell General Hospital's Methuen Dialysis Facility (A-01-12-00517)
South Carolina Medicaid Overpaid Hospitals for Some Inpatient Services That Medicare Paid (A-04-11-06145)
02-12-2014
New York State Made Unallowable Medicaid Fee-for-Service Payments for Beneficiaries Also Enrolled in Medicaid Managed Care (A-02-12-01007)
Medicare Compliance Review of UMass Memorial Medical Center for Calendar Years 2010 and 2011 (A-01-13-00503)
The Medicare Contractors for Jurisdiction 12 Overpaid Providers for Selected Outpatient Drugs (A-03-13-00012)
The Medicare Contractors for Jurisdiction 11 Overpaid Providers for Selected Outpatient Drugs (A-03-13-00011)
Medicare Compliance Review of Baylor All Saints Medical Center at Fort Worth for Calendar Years 2010 and 2011 (A-06-12-00030)
Kentucky Did Not Pay Some Line Items on Medicaid Claims in Accordance With Its Medicaid National Correct Coding Initiative Methodologies (A-04-13-06166)
Review of Douglas Consulting and Computer Services, Inc., Claimed Costs for Calendar Years 2008 Through 2011 (A-03-12-03302)
02-11-2014
Mercy Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00033)
Utah Did Not Properly Pay Some Medicare Deductibles and Coinsurance (A-07-13-03191)
TrailBlazer Claimed Medicare Part B Administrative Costs in Accordance With Federal Requirements (A-06-13-00016)
The Minnesota Medicaid Program Could Significantly Lower Payment Rates for Selected Durable Medical Equipment and Supplies (A-05-13-00015)
02-10-2014
Medicare Improperly Paid Millions of Dollars for Prescription Drugs Provided to Incarcerated Beneficiaries During 2006 Through 2010 (A-07-12-06035)
Missouri Did Not Always Correctly Claim Costs for Medicaid Family Planning Drugs for Calendar Years 2009 and 2010 (A-07-12-01118)
The Medicare Contractors for Jurisdiction E Overpaid Providers for Selected Outpatient Drugs (A-09-13-02009)
The Medicare Contractor for Jurisdiction F Overpaid Providers for Selected Outpatient Drugs (A-09-13-02003)
Christus Saint Vincent Regional Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00035)
02-07-2014
LEIE Database Updated with January 2014 Exclusions and Reinstatements
Medicare Compliance Review of Medical University of South Carolina for the Period January 1, 2011, Through June 30, 2012 (A-04-13-03075)
02-06-2014
OIG Outlook 2014
02-05-2014
Podcast: Contract Pharmacy Arrangements in the 340B Drug Discount Program
Contract Pharmacy Arrangements in the 340B Program (OEI-05-13-00431)
Freedom of Information Act (FOIA) Annual Report FY 2013
Updated Corporate Integrity Agreement List: CIAs Closed
02-03-2014
Podcast: January OIG Monthly Update
Captured Fugitive: Hector Hernandez

January

01-31-2014
OIG Releases 2014 Work Plan
Letter to Office of Management and Budget Director to Meet Requirements of Government Charge Card Abuse Prevention Act of 2012 Regarding Agency Progress Implementing Recommendations on Charge-Card-Related Findings (A-04-14-06173)
Disclosure and Accounting of Protected Records by CMS Between 2006 and 2011 (OEI-09-11-00430)
01-30-2014
Podcast: World Trade Center Health Program
World Trade Center Health Program: CDC Should Strengthen Efforts To Monitor and Evaluate Clinic Compliance With Contract Terms (A-02-11-02003)
Progress in Electronic Health Record Implementation Through HRSA Grants to Health Center Controlled Networks (OEI-09-11-00380)
Michigan State Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-09-13-00070)
01-27-2014
State Medicaid Program Efforts to Control Costs for Disposable Incontinence Supplies (OEI-07-12-00710)
01-24-2014
Over Four Million Medicare Summary Notices Mailed to Beneficiaries Were Not Delivered in 2012 (OEI-03-12-00600)
01-23-2014
Abubakar Durrani added to Most Wanted Fugitives List
01-22-2014
Medicaid Fraud Control Units 2014 Budget Calendar
Korban, Elie H., M.D. Added to Corporate Integrity Agreement List
Advisory Opinion 14-01
(concerning contracts under which a placement agency is compensated for referring new residents to senior communities where they may eventually receive services paid for by Federal health care programs.)
01-17-2014
Jersey City, New Jersey, Did Not Always Comply With Early Retiree Reinsurance Program Requirements  (A-05-12-00039)
Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2011 (A-18-13-30100)
Medicare Compliance Review of Memorial Hospital for Calendar Years 2010 and 2011 (A-07-13-01124)
Medicare Compliance Review of Morton Hospital for Calendar Years 2010 and 2011 (A-01-13-00500)
01-16-2014
Medicare Claims Administration Contractors' Error Rate Reduction Plans (OEI-09-12-00090)
Podcast: Review of Maryland's Federal Medicaid Withdrawals
01-15-2014
Microport Orthopedic, Inc. Added to Corporate Integrity Agreement List
01-13-2014
Medicare Payments for Vacuum Erection Systems Are More Than Twice as Much as the Amounts Paid for the Same or Similar Devices by Non-Medicare Payers (A-07-12-05024)
Sharma, Ravi, M.D. Added to Corporate Integrity Agreement List
01-10-2014
Kentucky Did Not Correctly Calculate Payment Rates for Private Facilities or Report Cost Settlement Adjustments to CMS (A-04-12-08018)
Noridian Healthcare Solutions, LLC, Overstated Its Allocable Pension Costs for Calendar Years 2006 Through 2010 (A-07-13-00419)
Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2006 Through 2010 (A-07-13-00418)
Medicare Compliance Review of Heartland Regional Medical Center for Calendar Years 2010 and 2011 (A-07-12-01120)
Texas' Experience Rebate Provision in Managed Care Contracts Were Administered in Accordance with Federal, State, and Contractual Requirements (A-06-13-00002)
01-09-2014
Podcast: Medicare Administrative Contractors' Performance
Medicare Administrative Contractors' Performance (OEI-03-11-00740)
Pennsylvania Generally Claimed Allowable Community Services Block Grant Recovery Act Costs for Community Action Program of Lancaster County (A-03-12-00250)
Medicare Could Have Saved Millions if Organ Procurement Organizations Had Correctly Reported Procurement of Double Lungs as Two Organs (A-09-12-02085)
Most of New Jersey's Claims for Medicaid Supported Employment Services Were Unallowable (A-02-12-01009)
CMS Should Improve Oversight for the Transfer of True Out-of-Pocket Costs Between Part D Plans (A-05-12-00053)
01-08-2014
Podcast: Fraud Safeguards in Electronic Health Records
CMS and Its Contractors Have Adopted Few Program Integrity Practices To Address Vulnerabilities in EHRs (OEI-01-11-00571)
Local Coverage Determinations Create Inconsistency in Medicare Coverage (OEI-01-11-00500)
LEIE Database Updated with December 2013 Exclusions and Reinstatements
01-07-2014
Diabetes Durable Medical Equipment Supplier, Telemarketing Company, and Their Owner-Executives Agree to Exclusions in Settlements with OIG
01-06-2014
Podcast: December 2013 OIG Update
Updated Corporate Integrity Agreement List: 1 CIA Closed

December

12-27-2013
Vermont Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-02-13-00360)
Final Rule: Medicare and State Health Care Programs: Fraud and Abuse; Electronic Health Records Safe Harbor Under the Anti-Kickback Statute
Solicitation of New Safe Harbors and Special Fraud Alerts
12-23-2013
Fall 2013 Semiannual Report
Services Provided at Critical Access Hospitals in 2011 Report (OEI-05-12-00081)
The ESRD Beneficiary Grievance Process Report (OEI-01-11-00550)
Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Pension Assets as of January 1, 2011 (A-07-13-00417)
Colorado Did Not Properly Pay Some Medicare Part B Deductibles and Coinsurance (A-07-13-03189)
Georgia Did Not Pay Some Line Items on Medicaid Claims in Accordance With Its Medicaid National Correct Coding Initiative Methodologies (A-04-12-06159)
Hawaii Did Not Comply With Some Provisions of the QUEST Expanded Medicaid Demonstration Project When Determining Eligibility for Federal Reimbursement of Uncompensated Care Costs (A-09-12-02084)
12-20-2013
Podcast: Reviews of Clinicians Tied to High Cumulative Payments Could Strengthen Medicare Integrity Efforts
Reviews of Clinicians Associated With High Cumulative Payments Could Improve Medicare Program Integrity Efforts (A-01-11-00511)
Maryland Withdrew Excessive Federal Medicaid Funds for Fiscal Years 2009 Through 2011 (A-06-12-00051)
Delegation of Authority
12-18-2013
Spotlight On Fighting Fraud at Community Mental Health Centers
12-17-2013
2013 Top Management & Performance Challenges
12-13-2013
Updated Corporate Integrity Agreement List: 3 CIAs Closed
12-10-2013
LEIE Database Updated with November 2013 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: Three New CIAs Added
Not All Recommended Fraud Safeguards Have Been Implemented in Hospital EHR Technology (OEI-01-11-00570)
Medicare Compliance Review of St. Vincent's Medical Center for Calendar Years 2009 and 2010 (A-04-12-08013)
Medicare Compliance Review of St. Elizabeth's Medical Center for Calendar Years 2010 and 2011 (A-01-12-00528)
The Council on Rural Service Programs, Inc., Claimed Unallowable Head Start Costs (A-05-12-00089)
12-05-2013
Noridian Healthcare Solutions, LLC, Inappropriately Paid Hospitals' Medicare Claims Subject to the Postacute Care Transfer Policy in Jurisdiction 2 (A-09-13-02035)
12-04-2013
Medicare Compliance Review of JFK Medical Center for Calendar Years 2009 and 2010 (A-04-12-07032)
The Office for Civil Rights Did Not Meet All Federal Requirements in Its Oversight and Enforcement of the Health Insurance Portability and Accountability Act Security Rule (A-04-11-05025)
12-03-2013
November 2013 OIG Monthly Update
12-02-2013
Advisory Opinion 13-19
(concerning patient assistance programs that provide funding for premium assistance and certain other medical expenses to [disease redacted] patients in financial need.)
Maryland Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-03-12-00200)

November

11-29-2013
Podcast: Contractors Overpaid Millions to Providers for Herceptin
Medicare Contractors Nationwide Overpaid Millions to Providers for Full Vials of Herceptin (A-05-13-00024)
Connecticut Often Did Not Comply With Federal Adoption Assistance Requirements (A-01-12-02507)
11-27-2013
Advisory Opinion 13-18
(concerning an ambulance supplier's response to a request for proposals for the provision of all emergency ambulance services.)
Medicare Compliance Review of Mercy Medical Center in Mason City for Calendar Years 2010 and 2011 (A-07-12-05030)
Diep Chiropractic Wellness, Inc., Received Unallowable Medicare Payments for Chiropractic Services (A-09-12-02072)
New York Claimed Some Unallowable Costs for Assistive Technology Services Under the State's Developmental Disabilities Waiver Program (A-02-10-01039)
Medicare Compliance Review of Mercy Medical Center in Des Moines for Calendar Years 2009 and 2010 (A-07-12-05028)
Parkland Health and Hospital System Claimed Unallowable Medicare Reimbursement for Hospital Outpatient Dental Services (A-06-13-00003)
11-25-2013
November 1, 2013 Amendment to the CIA Synthes, Inc.
11-22-2013
Captured Fugitive Update: Francisco Chavez Pleads Guilty
Arkansas Properly Reported the Affordable Care Act Portion of Medicaid Drug Rebates (A-06-13-00034)
Medicare Compliance Review of University of Utah Hospital for Calendar Years 2009 and 2010 (A-07-12-01107)
Oregon Generally Claimed Federal Medicaid Reimbursement for Money Follows the Person Program Expenditures in Compliance With Federal and State Requirements but Internal Controls Should Be Strengthened (A-09-12-02049)
11-21-2013
OIG Strategic Plan 2014-2018
Advisory Opinion 13-17
(concerning a proposal to use tax revenues to cover out-of-pocket amounts owed for county-operated emergency ambulance services received by non-residents.)
11-20-2013
Lynch Ambulance/Filyn Corporation, and The Vision Center/Sabine Optical Laboratories, Inc. Added to Corporate Integrity Agreement List
11-19-2013
Podcast: Nursing Home Resident Hospitalizations Merit Additional Monitoring
Medicare Nursing Home Resident Hospitalization Rates Merit Additional Monitoring (OEI-06-11-00040)
11-18-2013
Ohio Exceeded the 5-Percent Limit for Claiming Child Care Development Fund Administrative Expenditures  (A-05-13-00014)
11-14-2013
Podcast: Federal News Radio: Incorporating Risk Management and Assessment to Maximize Resources and Results
Medicare Hospital Outlier Payments Warrant Increased Scrutiny (OEI-06-10-00520)
Biospecimen Research: Meeting Basic Human Subjects Protection Requirements and Communicating Informational (OEI-01-11-00520)
Advisory Opinion 13-16
(concerning a health insurer's proposal to pay the Medicare Part B premium costs for Medicare-eligible individuals with End-Stage Renal Disease who are enrolled in a group health plan offered by the insurer and receiving dialysis services.)
11-13-2013
State and CMS Oversight of the Medicaid Managed Care Credentialing Process (OEI-09-10-00270)
State False Claim Act Reviews Updated: Minnesota and Delaware
11-12-2013
Advisory Opinion 13-15
(concerning an anesthesia services provider's proposal to contract with a psychiatry practice group to provide anesthesia services in connection with electroconvulsive therapy procedures at a hospital.)
11-08-2013
Updated Civil Monetary Penalties:
11-07-2013
Closed Corporate Integrity Agreement: Walgreen Co. and First Amendment to the CIA
August and September Recovery Act Oversight Reports Posted
11-06-2013
LEIE Database Updated with October 2013 Exclusions and Reinstatements
Advanced Cardiology Center, Choudry, Mubashar, M.D., Ijaz, Moshin, M.D., Lal, Pankaj, M.D. Added to Corporate Integrity Agreement List
11-05-2013
Podcast: Child Care and Development Fund: Monitoring of Licensed Child Care Providers
Child Care and Development Fund: Monitoring of Licensed Child Care Providers (OEI-07-10-00230)
11-04-2013
Podcast: October OIG Monthly Update
Johnson & Johnson Added to Corporate Integrity Agreement List
11-01-2013
National Government Services, Inc., Understated Its Medicare Segment Pension Assets as of January 1, 2010 (A-07-13-00408)
National Government Services, Inc., Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2003 Through 2006 (A-07-13-00409)
Costs Claimed by Johns Hopkins Bayview Medical Center Under National Institutes of Health Contract Number HHSN292200900002C Were Generally Allowable. (A-03-12-03300)

October

10-31-2013
Podcast: Medicare Payments Made on Behalf of Deceased Beneficiaries in 2011
Medicare Payments Made on Behalf of Deceased Beneficiaries in 2011 (OEI-04-12-00130)
Medicare Improperly Paid Millions of Dollars for Prescription Drugs Provided to Unlawfully Present Beneficiaries During 2009 Through 2011 (A-07-12-06038)
National Government Services, Inc., Paid Unallowable Lower Limb Prosthetics Claims (A-07-13-05039)
Medicare Compliance Review of Mary Washington Hospital for Calendar Years 2009 Through 2011 (A-03-12-06106)
10-29-2013
Virginia Properly Obligated and Liquidated Most Targeted Funds Under the Child Care and Development Fund Program (A-03-12-00251)
Colorado Improperly Claimed Some Medicaid Costs for Hospice Services Provided by Evercare Hospice & Palliative Care (A-07-13-04204)
Medicare Compliance Review Of MedStar Washington Hospital Center (A-03-12-06103)
Louisiana Improperly Claimed Some Child Care and Development Fund Targeted Funds (A-06-12-00057)
Wayne State University Claimed Allowable Costs Under National Institutes of Health Grant No. R01NS039860 (A-05-13-00041)
State False Claim Act Reviews Updated: Colorado, Montana, and Rhode Island
10-25-2013
New York Improperly Claimed Medicaid Reimbursement for Orthodontic Services to Beneficiaries in New York City (A-02-11-01003)
Economic Opportunity Commission of Nassau County, Inc., Claimed Some Unallowable Head Start Costs (A-02-12-02003)
Information Security Weaknesses Pose Risk to Operations and the Mission of the Substance Abuse and Mental Health Services Administration (SAMHSA) (A-18-12-30420)
Exclusion Authority FAQ Update
10-24-2013
Spinal Devices Supplied by Physician-Owned Distributors: Overview of Prevalence and Use (OEI-01-11-00660)
New York State Claimed Unallowable Community Services Block Grant Recovery Act Costs for Action for a Better Community, Inc.  (A-02-11-02020)
10-23-2013
Neighborhood Centers, Inc., Claimed Unallowable Head Start Costs (A-06-11-00055)
Nevada State Medicaid Fraud Control Unit: 2012 Onsite Review (OEI-09-12-00450)
10-22-2013
Five Fugitives Added to OIG's Most Wanted List
Advisory Opinion 13-14
(concerning a proposal whereby a county would not bill bona fide county residents otherwise applicable cost-sharing amounts due in connection with emergency ambulance services provided by the local fire department and a volunteer rescue company, but would instead use tax revenues to cover the unpaid cost-sharing amounts.)
10-21-2013
Podcast: Family Day Care Home Providers and State Health and Safety License Requirements
10-18-2013
2014 Spring OIG Legal Extern Position
Montana State Medicaid Fraud Control Unit: 2012 Onsite Review (OEI-09-12-00700)
10-15-2013
Advisory Opinion 13-13
(concerning a non-profit community health services organization's proposal to begin billing Medicaid for dental services provided to its patients, while continuing to provide free dental services to uninsured and underinsured financially needy children.)
Scott Ellender, O.D. Added to Corporate Integrity Agreement List
HealthNow New York, Inc., Did Not Claim Some Allowable Medicare Part B Pension Costs for Fiscal Years 2007 Through 2009 (A-07-13-00426)
HealthNow New York, Inc., Understated Its Medicare Part B Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Excess Pension Liabilities as of January 1, 2009 (A-07-13-00425)
Medicare Compliance Review of UPMC Presbyterian Shadyside for Calendar Years 2008 Through 2011 (A-03-12-06105)
10-10-2013
Medicare Compliance Review of University of Wisconsin Hospital and Clinics for Calendar Years 2008 Through 2010 (A-05-12-00030)
10-09-2013
Questionable Billing for Polysomnography Services (OEI-05-12-00340)
Updated Civil Monetary Penalties:
10-08-2013
LEIE Database Updated with September 2013 Exclusions and Reinstatements
Medicare Compliance Review of University of Miami Hospital (A-04-12-07033)
10-07-2013
West Virginia State Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-07-13-00080)
10-04-2013
Updated Corporate Integrity Agreement List: CIAs Closed
10-03-2013
Podcast: First Level of the Medicare Appeals Process
The First Level of the Medicare Appeals Process, 2008-2012: Volume, Outcomes, and Timeliness (OEI-01-12-00150)
Indiana Claimed Medicaid Reimbursement for High-Dollar Inpatient Services That Were Unallowable (A-05-11-00040)
10-01-2013
Connecticut Family Day Care Home Providers Did Not Always Comply With State Health and Safety Licensing Requirements (A-01-12-02504)
New York State Improperly Claimed Medicaid Reimbursement for Some Home Health Services Claims Submitted by Certified Home Health Agencies (A-02-11-01008)
Oklahoma Complied With the Federal Medicaid Requirements for Billing Manufacturers for Rebates for Physician-Administered Drugs (A-06-12-00059)

September

09-30-2013
Podcast: September OIG Monthly Update
09-25-2013
Utilization of Medicare Ambulance Transports, 2002-2011 (OEI-09-12-00350)
Medicare Incorrectly Paid Hospitals for Beneficiaries Who Had Not Received 96 or More Hours of Mechanical Ventilation (A-09-12-02066)
Illinois Did Not Always Properly Claim Medicaid Reimbursement for Hospice Claims (A-05-12-00029)
09-24-2013
New Widget: Beware of Health Insurance Marketplace Scams
09-23-2013
Captured Fugitive: Peter Pedro Egede
Arkansas State Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-06-12-00720)
09-20-2013
FDA's Clearance of Medical Devices Through the 510(k) Process (OEI-04-10-00480)
Bravo Health Pennsylvania, Inc. (Contract H3949), Submitted Many Diagnoses to the Centers for Medicare & Medicaid Services That Did Not Comply With Federal Requirements for Calendar Year 2007 (A-03-09-00003)
Wisconsin Improperly Claimed Federal Medicaid Reimbursement for Most Residential Care Center Payments (A-05-07-00036)
Medicaid Hospice General Inpatient Payments to Home and Hospice Care of Rhode Island Did Not Always Meet Federal and State Requirements (A-01-13-00002)
Tallahassee Memorial HealthCare, Inc., Submitted Incomplete Quality Measure Data to CMS (A-04-11-08002)
Wayne State University Claimed Allowable Costs Under National Institutes of Health Grant No. R01NS064976 (A-05-13-00040)
09-19-2013
Podcast: Transformed Medicaid Statistical Information System
Early Outcomes Show Limited Progress for the Transformed Medicaid Statistical Information System (OEI-05-12-00610)
New Jersey Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-02-13-00020)
Updated Corporate Integrity Agreement List: Three New CIAs Added
09-18-2013
LEIE Database Updated with August 2013 Exclusions and Reinstatements
Consumer Alert: Consumer Fraud in the Health Insurance Marketplace
Podcast: Consumer Fraud in the Health Insurance Marketplace
09-16-2013
Captured Fugitive: Carmen Gonzalez
09-13-2013
Maryland Claimed Costs for Unallowable Room and Board and Other Residential Habilitation Costs Under Its Community Pathways Waiver Program (A-03-12-00203)
09-12-2013
July Recovery Act Oversight Monthly Report Posted
Updated Civil Monetary Penalties:
09-11-2013
Testimony of Kay Daly, Assistant Inspector General for Audit Services, before the House Committee on Homeland Security, Subcommittee on Cybersecurity, Infrastructure Protection and Security Technologies - "The Threat to Americans' Personal Information: A Look Into the Security and Reliability of the Health Exchange Data Hub"
Medicare Compliance Review of Sanford Medical Center in Fargo for Calendar Years 2010 and 2011 (A-07-12-05031)
New Jersey Medicaid Program Could Achieve Savings by Reducing Home Blood-Glucose Test Strip Prices (A-02-12-01010)
New York Claimed Hospital-Based Continuing Day Treatment Services That Were Not in Compliance With Federal and State Requirements (A-02-11-01038)
09-10-2013
Medicare Could Collect Billions If Pharmaceutical Manufacturers Were Required To Pay Rebates for Part B Drugs (OEI-12-12-00260)
Medicare Compliance Review of Southcoast Hospitals Group for Calendar Years 2010 and 2011 (A-01-12-00523)
Medicare Compliance Review of Tulane Medical Center of New Orleans for Calendar Years 2010 and 2011 (A-06-12-00034)
Medicare Compliance Review of St. Joseph Regional Health Center for Calendar Years 2009 and 2010 (A-06-12-00029)
Salary and Nonsalary Costs Claimed by the University of Texas Southwestern Medical Center Were Allowable (A-06-11-00018)
Durable Medical Equipment Claims Paid by Noridian Healthcare Solutions, LLC, Did Not Always Meet the Requirements of the Local Coverage Determination for Lower Limb Prostheses (A-07-12-05035)
National Health Laboratory Service Did Not Always Manage President's Emergency Plan for AIDS Relief Funds or Meet Program Goals in Accordance With Award Requirements (A-05-12-00024)
The South African National Department of Health Did Not Always Manage President's Emergency Plan for AIDS Relief Funds or Meet Program Goals in Accordance With Award Requirements (A-05-12-00022)
Aurum Institute for Health Research Did Not Always Manage President's Emergency Plan for AIDS Relief Funds or Meet Program Goals in Accordance With Award Requirements (A-05-12-00021)
Massachusetts Medicaid Payments to Golden Living Centers Did Not Comply with Federal and State Requirements (A-01-13-00007)
09-09-2013
Imagimed, LLC Added to Corporate Integrity Agreement List
09-06-2013
Medicaid DMEPOS Costs May be Exceeding Medicare Costs in Competitive Bidding Areas (OEI-06-13-00470)
09-04-2013
Podcast: Recovery Audit Contractors and Improper Payments
Medicare Recovery Audit Contractors and CMS's Actions To Address Improper Payments, Referrals of Potential Fraud, and Performance (OEI-04-11-00680)
Updated Corporate Integrity Agreement List: CIAs Closed
09-03-2013
OIG Most Wanted Fugitives Update:
Podcast: OIG Monthly Update

August

08-30-2013
GAO Forum Highlights Report: Data Analytics For Oversight and Law Enforcement
Medicaid Drug Pricing in State Maximum Allowable Cost Programs (OEI-03-11-00640)
Frequency of Medicare Recertification Surveys for Hospices Is Unimproved (OEI-06-13-00130)
08-29-2013
Dixan Barcelo and Alfredo Barcelo Added to Most Wanted Fugitives List
08-28-2013
Alabama Received Millions in Unallowable Performance Bonus Payments Under the Children's Health Insurance Program Reauthorization Act (A-04-12-08014)
08-27-2013
Inappropriate and Questionable Medicare Billing for Diabetes Test Strips (OEI-04-11-00330)
Advisory Opinion 13-12
(concerning use of a "preferred hospital" network as part of certain Medicare Supplemental Health Insurance ("Medigap") policies.)
08-23-2013
Park Avenue Medical Associates, P.C. Added to Corporate Integrity Agreement List
08-21-2013
Advisory Opinion 13-11
(concerning two proposed arrangements involving the provision of emergency medical services for a township.)
Work Plan Update
08-20-2013
Barrio Comprehensive Family Health Care Center, Inc., Did Not Always Follow Federal Regulations (A-06-11-00067)
08-16-2013
Advisory Opinion 13-10
(concerning a proposal to contract with hospitals to provide services to patients with certain diagnoses following hospital discharge with the goal of reducing preventable hospital readmissions.)
Durable Medical Equipment Claims Paid by National Heritage Insurance Company, Inc., Did Not Always Meet the Requirements of the Local Coverage Determination for Lower Limb Prostheses (A-07-13-05040)
Washington State Claimed a Small Amount of Unallowable Medicaid Reimbursement for Home Health Services That Exceeded the Maximum Allowable Number of Reimbursable Visits (A-09-12-02056)
Palmetto GBA Claimed Substantially Allowable Costs on Its Part B Final Administrative Cost Proposals for Fiscal Years 2010 and 2011 (A-04-13-04008)
New Jersey Did Not Always Claim Medicaid Reimbursement for Medicare Part B Premiums in Accordance with Federal Requirements (A-02-10-01025)
New York Complied With Federal Requirements to Report Medicaid Overpayment Collections for the Quarter Ended September 30, 2011 (A-02-12-01020)
Not All Community Services Block Grant Costs Claimed on Behalf of the Carbon County Community Action Committee for the Period October 1, 2008, Through September 30, 2010, Were Allowable (A-07-11-02766)
08-15-2013
Most Critical Access Hospitals Would Not Meet the Location Requirements If Required To Re-enroll in Medicare (OEI-05-12-00080)
Podcast: Critical Access Hospital Designations
08-14-2013
Podcast: Federal News Radio: CMS's Implementation of the Data Services Hub
08-12-2013
2014 Summer OIG Law Clerk Program
National Government Services Claimed Allowable Administrative Costs for Fiscal Years 2008 and 2009 under Medicare Contract 00130 (A-05-12-00037)
Medicare Compliance Review of the Hospital of the University of Pennsylvania for Calendar Years 2008 Through 2011 (A-03-12-06104)
08-08-2013
LEIE Database Updated with July 2013 Exclusions and Reinstatements
Hernando-Pasco Hospice Added to Corporate Integrity Agreement List
08-07-2013
June Recovery Act Oversight Monthly Report Posted
08-06-2013
2013 HHS OIG Recovery Act Implementation and Work Plan
Medicare Could Save Millions by Strengthening Billing Requirements for Canceled Elective Surgeries (A-01-12-00509)
08-05-2013
Observations Noted During the OIG Review of CMS's Implementation of the Health Insurance Exchange-Data Services Hub (A-18-13-30070)
Podcast: OIG Monthly Update
Updated Civil Monetary Penalties:
08-02-2013
State False Claims Act Review Letters Updated: Massachusetts and Tennessee
Updated Corporate Integrity Agreement List: CIAs Closed
08-01-2013
Spotlight On Bad Bargains for Federal Health Programs
The Centers for Medicare & Medicaid Services Awarded Consumer Operated and Oriented Plan Program Loans in Accordance With Federal Requirements, and Continued Oversight Is Needed (A-05-12-00043)
The Southern African Catholic Bishops' Conference AIDS Office Generally Managed President's Emergency Plan for AIDS Relief Funds and Met Program Goals in Accordance With Award Requirements Audit  (A-05-12-00023)
Medicare Compliance Review of Community Medical Center for Calendar Years 2010 and 2011 (A-07-12-01119)

July

07-30-2013
Hospitals' Use of Observation Stays and Short Inpatient Stays for Medicare Beneficiaries (OEI-02-12-00040)
07-24-2013
Lymphedema and Wound Care Institute Added to Corporate Integrity Agreement List
07-23-2013
Advisory Opinion 13-09
(concerning a proposal to offer members of a group purchasing organization ("GPO") an equity interest in the GPO's parent organization in exchange for the member: (1) extending its contract with the GPO for five to seven years; (2) committing not to decrease purchasing volume; and (3) relinquishing its right to a portion of the administrative fees that would otherwise have been passed through to the members.)
07-22-2013
Performance Data for the Senior Medicare Patrol Projects: July 2013 Performance Report (OEI-02-13-00170)
07-19-2013
CGS Administrators, LLC, Paid Unallowable Lower Limb Prosthetics Claims (A-06-12-00055)
Medicare Compliance Review of University of Kansas Hospital for Calendar Years 2009 and 2010 (A-07-11-01105)
Medicare Compliance Review of Via Christi Hospital for Calendar Years 2009 and 2010 (A-07-11-01099)
Wing Memorial Hospital Did Not Always Bill Correctly for Evaluation and Management Services Related to Diagnostic or Therapeutic Procedures and Supartz Injections (A-01-12-00519)
Meritus Medical Center Refunded Overpayments for Physician Claims With Place-of-Service Coding Errors For 2009 Through 2012 (A-01-12-00531)
07-17-2013
Early Implementation of the Consumer Operated and Oriented Plan Loan Program (OEI 01-12-00290)
07-16-2013
Baxano Surgical, Inc. f/k/a TranS1, Inc. Added to Corporate Integrity Agreement List
May Recovery Act Oversight Monthly Report Posted
07-15-2013
Medicare Part B and Beneficiaries Paid for Xolair That Jurisdiction 14 Physicians Discarded Without Documentation (A-01-12-00518)
Sound Inpatient Physicians, Inc. and affiliates Added to Corporate Integrity Agreement List
07-12-2013
Updated Civil Monetary Penalties:
07-11-2013
Podcast: State Regulations for License-Exempt Child Care Providers
License-Exempt Child Care Providers in the Child Care and Development Fund Program (OEI-07-10-00231)
Rockford Human Services Did Not Always Charge Allowable Costs to the Community Services Block Grant - Recovery Act Program (A-05-12-00012)
The New York State Manufacturer Rebate Program Significantly Reduced Medicaid Costs for Home Blood-Glucose Test Strips But Could Achieve Additional Reductions (A-02-11-01042)
Massachusetts Medicaid Payments to Healthbridge Management Did Not Always Comply With Federal and State Requirements (A-01-13-00001)
07-10-2013
LEIE Database Updated with June 2013 Exclusions and Reinstatements
New Instructional Videos:
Updated Corporate Integrity Agreement List: Two New CIAs Added
Kentucky Substantially Met Money Follows the Person Program Requirements (A-04-12-06152)
Noninstitutional Providers in California Did Not Always Reconcile Invoice Records With Credit Balances and Refund to the State Agency the Associated Medicaid Overpayments (A-09-12-02047)
Missouri Claimed Unallowable Medicaid Payments for Individuals With Intellectual and Developmental Disabilities in Intermediate Care Facilities (A-07-12-03180)
07-09-2013
Advisory Opinion 13-08
(concerning a fire protection district's policy of billing only individuals who reside outside the fire protection district for emergency medical services.)
07-08-2013
New Provider Self-Disclosure Online Submission
07-03-2013
State Medicaid Fraud Control Units:
Elements of and Process for Submitting a Complete Data Mining Application
07-02-2013
Podcast: PEPFAR Funds Spending Oversight
Updated Corporate Integrity Agreement List: CIAs Closed
Medicare's Currently Not Collectible Overpayments (OEI-03-11-00670)
Some States Improperly Restrict Eligibility for Medicaid Mandatory Home Health Services (OEI-07-13-00060)
California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Drugs and Supplies Provided in San Diego County (A-09-12-02077)
Medicare Compliance Review of Hospital Español Auxilio Mutuo De Puerto Rico, Inc., For Calendar Years 2010 and 2011 (A-02-12-01026)
Not All Community Services Block Grant Recovery Act Costs Claimed on Behalf of the Community Action Partnership of Natrona County for the Period July 1, 2009, Through September 30, 2010, Were Allowable. (A-07-12-02779)
07-01-2013
Podcast: OIG Monthly Update
Data and Safety Monitoring Boards in NIH Clinical Trials: Meeting Guidance, But Facing Some Issues (OEI-12-11-00070)
Advisory Opinion 13-07
(concerning a tiered rebate program in which the rebate tiers would be reached based on the combination of purchases of both Federally reimbursable products and non-Federally reimbursable products.)
Modification to Advisory Opinion 16-13
(modifying Advisory Opinion 16-13, issued September 18, 2006 that concerned a nonprofit, tax-exempt, charitable organization's proposal to provide financially needy persons who have [diseases redacted] with grants to defray the costs of premiums and cost-sharing obligations under Medicare Part B, Medicare Part D, Medicare Supplementary Health Insurance, and Medicare Advantage.)

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