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May

05-22-2015
Daniel R. Levinson's Keynote Address at the 2015 HCCA Compliance Institute
Podcast | Video
1 New CIA Added to Corporate Integrity Agreement List
Medicare Compliance Review of Saint Luke's Hospital of Kansas City for 2011 and 2012 (A-07-14-05062)
CGS Administrators, LLC, Overpaid Providers That Incorrectly Billed for Aflibercept (A-06-14-00053)
05-21-2015
Medicare Compliance Review of Saint Anthony's Medical Center for 2011 and 2012 (A-07-14-05059)
05-20-2015
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 2014 (A-17-15-52000)
First Coast Service Options, Inc., Paid Some Unallowable Sleep Study Claims (A-04-13-07039)
05-18-2015
Questionable Billing for Medicaid Pediatric Dental Services in California (OEI-02-14-00480)
05-15-2015
PharMerica Corporation added to Corporate Integrity Agreements List
05-13-2015
VIDEO: Podiatrist Admits to Defrauding Almost $1 Million from Medicare
Home Health Agencies Conducted Background Checks of Varying Types (OEI-07-14-00130)
05-11-2015
Arizona Correctly Claimed Medicaid expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00015)
05-08-2015
ARRESTED: Jon McClendon
LEIE Database Updated with April 2015 Exclusions and Reinstatements
Incorrect Place-of-Service Coding Resulted in Potential Medicare Overpayments Costing Millions (A-01-13-00506)
New Jersey Claimed Medicaid Hospice Services That Were Not in Compliance With Federal and State Requirements (A-02-11-01014)
05-07-2015
Texas Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-06-12-00060)
University of California, San Diego, Did Not Always Claim Nonpayroll Administrative and Clerical Costs Charged Directly to HHS Awards in Accordance with Federal Regulations (A-09-13-01003)
California Implemented Security Controls Over the Web Site and Databases for Its Health Insurance Exchange but Could Improve Protection of Personally Identifiable Information (A-09-14-03005)
Cedar Ridge Did Not Always Provide the Required Treatment and Therapy Hours for Residential Treatment and Acute Care (A-06-14-00029)
2 New CIAs Added to Corporate Integrity Agreement List
05-06-2015
Podcast: April 2015 OIG Monthly Update
Balboa Ambulance Services, Inc. Added to Corporate Integrity Agreement List
Updated Civil Monetary Penalties:
05-05-2015
FDA Has Made Progress on Oversight and Inspections of Manufacturers of Generic Drugs (OEI-01-13-00600)
South Carolina Claimed Some Unallowable Room-and-Board Costs Under the Intellectual and Related Disabilities Waiver for State Fiscal Year 2010 (A-04-14-04019)
Information Security at the Health Resources and Services Administration Needs Improvement Because Controls Were Not Fully Implemented and Monitored (A-18-14-30430)
The Information Technology Infrastructure and Operations Office Had Inadequate Information Security Controls (A-18-14-30420)
05-01-2015
Ohio State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-07-14-00290)
New Video:$200 Million Fraud Scheme Involving Corrupt Doctors and Kickbacks

April

04-29-2015
Early Alert: Without Clearer Guidance, Marketplaces Might Use Federal Funding Assistance for Operational Costs When Prohibited by Law (A-01-14-02509)
The Medical Center of Central Georgia, Inc. Added to Corporate Integrity Agreement List
Advisory Opinion 15-05 (regarding the use of a “preferred hospital” network as part of Medicare Supplemental Health Insurance (“Medigap”) policies)
04-27-2015
Palmetto Government Benefits Administrator Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments in Jurisdiction 11 (A-07-10-02775)
Palmetto GBA, LLC, Applied the Senior Executive Compensation Benchmark in Accordance With Federal Regulations (A-04-14-00102)
04-24-2015
Medicaid Rebates for Brand-Name Drugs Exceeded Part D Rebates by a Substantial Margin (OEI-03-13-00650)
04-23-2015
National Heritage Insurance Corporation Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00024)
Lone Star Circle of Care Complied With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-06-14-00058)
Updated Corporate Integrity Agreement List: 1 New CIA with Multiple Aliases
04-22-2015
Implementing OIG Recommendation Could Have Reduced Payments for DME Infusion Drugs by Hundreds of Millions of Dollars (OEI-12-15-00110)
04-21-2015
Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2013 (A-18-14-30500)
Medicaid Fraud Control Units Fiscal Year 2014 Annual Report (OEI-06-15-00010)
04-20-2015
HHS OIG and Industry Leaders Release Joint Guidance for Health Care Boards
Practical Guidance for Health Care Governing Boards on Compliance Oversight
04-16-2015
Medicare Compliance Review of Florida Hospital Orlando for the Period January 1, 2011, Through June 30, 2012 (A-04-13-07043)
04-15-2015
Colorado Paid Over 800 Thousand Medicaid Claims With Missing or Invalid National Provider Identifiers During 2011 (A-07-13-06042)
04-14-2015
Missouri Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-14-06051)
Updated Corporate Integrity Agreement List: 2 New and 1 Closed
04-13-2015
Alabama State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-06-13-00660)
04-09-2015
California Claimed Medicaid Reimbursement for Certain Nonemergency Medical Transportation Services in Los Angeles County Billed as Exempt From Prior Authorization That Did Not Comply With Federal and State Requirements (A-09-13-02054)
04-08-2015
LEIE Database Updated with March 2015 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: 1 Closed CIA
04-07-2015
Iowa Did Not Always Make Correct Medicaid Adjustments (A-07-14-01135)
Podcast: March 2015 OIG Monthly Update
04-03-2015
Office of Counsel Careers: Position Openings
Updated Corporate Integrity Agreement List: 1 New CIA and Several Closed CIAs
04-02-2015
Novitas Solutions, Inc. (Formerly Highmark Medicare Services, Inc.), Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00023)
First Coast Service Options, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00022)
North Carolina Claimed Federal Medicaid Reimbursement for Dental Services That Did Not Always Comply With Federal and State Requirements (A-04-13-04014)
04-01-2015
Review of the Accounting Structure Used for the Administration of Premium Tax Credits (OEI-06-14-00590)
Cahaba Government Benefit Administrators, LLC, Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00019)
CAPTURED: William Acosta

March

03-31-2015
Video: HHS-OIG testifies about Medicare Fraud
Video: HHS-OIG testifies on the 340B Drug Pricing Program
03-30-2015
Texas Claimed Unallowable Federal Reimbursement for Some Family Planning Services (A-06-11-00016)
Wisconsin Received Some Unallowable Bonus Payments (A-04-13-08021)
03-27-2015
Maryland Misallocated Millions to Establishment Grants for a Health Insurance Marketplace (A-01-14-02503)
03-26-2015
Podcast: Antipsychotic Drugs Prescribed for Children Enrolled in Medicaid
Second-Generation Antipsychotic Drug Use Among Medicaid-Enrolled Children: Quality-of-Care Concerns (OEI-07-12-00320)
03-25-2015
Advisory Opinion 15-04 (regarding a laboratory's proposal to enter into agreements with physician practices to provide all laboratory services for the practices' patients and waive all fees for those practices' patients who are enrollees of certain insurance plans that require the patients to use a different laboratory)
03-24-2015
Testimony of Ann Maxwell, Assistant 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: Examining the 340B Drug Pricing Program
Testimony of Gary Cantrell, Deputy Inspector General for Investigations, Office of Investigations, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Ways and Means Subcommittee on Oversight: Fraud in Medicare
Ohio Did Not Always Comply With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud (A-05-14-00008)
03-19-2015
FY 2014 Health Care Fraud and Abuse Control Program Report
03-18-2015
National Government Services, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments in Jurisdiction 8 (A-05-14-00046)
03-17-2015
Compendium: March 2015 Edition
Updated Corporate Integrity Agreement List: Albemarle Women's Clinic PA
Medicare Compliance Review of Northwestern Memorial Hospital for 2011 and 2012 (A-05-13-00051)
03-16-2015
Some Minnesota Childcare Home Providers Did Not Always Comply With State Health and Safety Licensing Requirements (A-05-14-00021)
Some Minnesota Childcare Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-05-14-00022)
Sandoz to Pay $12.64 Million in CMP Settlement with HHS OIG for Misrepresenting Drug
Pricing Data to Medicare
03-13-2015
Office of Counsel Attorney Positions
WANTED: Barbaro Ortega and Raul Camejo
03-12-2015
SENTENCED: Karo Gotti Blkhoyan
Updated Civil Monetary Penalties:
03-11-2015
Oregon Did Not Bill Manufacturers for Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-13-02037)
New York State Improperly Claimed Medicaid Reimbursement for Continuous 24-Hour Personal Care Claims in Ulster County (A-02-14-01003)
03-09-2015
Podcast: Medicare Payments for Swing-Bed Services at Critical Access Hospitals
Medicare Could Have Saved Billions at Critical Access Hospitals If Swing-Bed Services Were Reimbursed Using the Skilled Nursing Facility Prospective Payment System Rates (A-05-12-00046)
New York State Improperly Claimed Medicaid Reimbursement for Continuous 24-Hour Personal Care Claims (A-02-12-01004)
03-06-2015
Medicare Compliance Review of Mercy Hospital in Saint Louis for 2011 and 2012 (A-07-14-05057)
New York Hospital Queens Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00030)
03-05-2015
LEIE Database Updated with February 2015 Exclusions and Reinstatements
03-04-2015
Podcast: February 2015 OIG Monthly Update
Updated Corporate Integrity Agreement List: 3 Cases Closed
03-03-2015
Expanded Exclusions Waiver: Juan Tosado-Polanco, M.D.
03-02-2015
Podcast: Not All Children in Foster Care Who Were Enrolled in Medicaid Received Required Health Screenings
Not All Children in Foster Care Who Were Enrolled in Medicaid Received Required Health Screenings (OEI-07-13-00460)
Updated Corporate Integrity Agreement List: Baptist Health and aliases
Advisory Opinion 15-03 (regarding the proposed use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies)

February

02-27-2015
Comparing Average Sales Prices and Average Manufacturer Prices for Medicare Part B Drugs: An Overview of 2013 (OEI-03-14-00520)
2015 Fall Legal Extern Position
02-26-2015
Medicaid Fraud Control Units Statistical Data for Fiscal Year 2014
02-24-2015
Health Reform Oversight Plan Fiscal Year 2015
Methodist Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-14-00005)
Baptist Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-14-00007)
02-19-2015
Updated Corporate Integrity Agreement List: Compassionate Care Hospice Group, Ltd.
02-18-2015
CMS Made Payments Associated With Providers After Referring Individual Providers' Debts to the Department of the Treasury for Collection (A-02-12-01008)
Louisiana Complied With the Federal Medicaid Requirements for Billing Manufacturers for Rebates for Physician-Administered Drugs (A-06-14-00031)
Prosthetic Science San Antonio, Inc., Generally Met Medicare Documentation Requirements for Lower Limb Prosthetic Claims (A-06-14-00034)
02-13-2015
Advisory Opinion 15-02 (regarding the effect of exclusion from Medicare, Medicaid, and all other Federal health care programs)
02-12-2015
New Videos:
Most Medicaid Payments the State of Illinois Made to Providers for Full Vials of Herceptin Were Incorrect (A-05-14-00023)
02-11-2015
Updated Corporate Integrity Agreement List: Good Shepherd Hospice Added, 4 CIAs Closed
Updated Civil Monetary Penalties:
02-10-2015
Some Arizona Family Childcare Home Providers Did Not Always Comply With State Health and Safety Certification Requirements (A-09-13-01004)
The New York Medicaid Program Could Significantly Lower Payment Rates for Selected Durable Medical Equipment and Supplies (A-02-13-01042)
02-09-2015
LEIE Database Updated with January 2015 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: Irwin County Hospital Added
02-06-2015
SENTENCED: Vivian Yusuf
Medicare Compliance Review of University of North Carolina Hospitals for the Period January 1, 2011, Through September 30, 2012 (A-04-13-04018)
02-05-2015
Medicare Compliance Review of Missouri Baptist Medical Center for 2011 and 2012 (A-07-14-05058)
Medicare Compliance Review of Utah Valley Regional Medical Center for 2010 and 2011 (A-07-13-05048)
Review of Beth Israel Deaconess Medical Center Claims That Included Medical Device Replacements (A-01-14-00502)
Updated Corporate Integrity Agreement List: 2 CIAs Added
02-04-2015
January 2015 OIG Monthly Update
New Mexico State Medicaid Fraud Control Unit: 2014 Onsite Review  (OEI-09-14-00240)
Acute-Care Hospitals in Ohio Did Not Always Reconcile Invoice Records With Credit Balances and Refund the Associated Medicaid Overpayments to the State Agency (A-05-12-00070)
02-03-2015
Some Arizona Child Daycare Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-09-13-01008)
Medicare Compliance Review of Iowa Methodist Medical Center for 2010 and 2011 (A-07-13-05042)
02-02-2015
FY 2016 Congressional Budget Justification
Advisory Opinion 15-01 (regarding an entity's practice of advertising and providing free diapers and play yards in connection with the services it provides under a state's home visiting program for at-risk mothers and infants)
Updated Corporate Integrity Agreement List: Associates in Dermatology, Inc.

January

01-30-2015
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-04-14-06175)
01-29-2015
California Claimed Medicaid Reimbursement for Some Nonemergency Medical Transportation Services That Did Not Comply With Federal and State Requirements (A-09-13-02033)
01-28-2015
Updated Corporate Integrity Agreement List: Trans-Star Ambulance Service
01-26-2015
Medicare Compliance Review of St. Vincent Healthcare for 2011 and 2012 (A-07-13-05052)
The Ethiopian Public Health Institute Did Not Always Manage the President's Emergency Plan for AIDS Relief Funds or Meet Program Goals in Accordance With Award Requirements  (A-04-13-04017)
01-23-2015
Independent Attestation Review: National Institutes of Health Fiscal Year 2014 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-15-00352)
Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2014 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-15-00353)
Independent Attestation Review: Indian Health Service Fiscal Year 2014 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-15-00351)
Quality Improvement Organizations Provide Support to More Than Half of Hospitals but Overlap With Other Quality Improvement Programs (OEI-01-12-00650)
01-22-2015
Medicare Paid Suppliers for Power Mobility Device Claims That Did Not Meet Federal Requirements for Physicians' Face-to-Face Examinations of Beneficiaries (A-09-12-02068)
Medicare's Oversight of Compounded Pharmaceuticals Used in Hospitals (OEI-01-13-00400)
Letter to American Hospital Association Regarding OIG's Hospital Compliance Reviews
Updated Corporate Integrity Agreement List: January 20, 2015 Amendment to the CIA Foundation Health Services, Inc. (see full list of entities)
01-20-2015
Federal Marketplace: Inadequacies in Contract Planning and Procurement (OEI-03-14-00230)
WANTED: Child Support Deadbeat Raymond Payne
Palmetto Government Benefits Administrator, LLC, Claimed Unallowable Medicare Excess Plan Costs for Fiscal Years 2005 Through 2011 (A-07-14-00443)
Medicare Compliance Review of Ochsner Medical Center for the Period January 1, 2011, Through September 30, 2012 (A-06-13-00042)
01-16-2015
Updated Corporate Integrity Agreement List: 3 CIAs and 1 Amendment Added
01-15-2015
WANTED: Syed Jawed Akhtar-Zaidi
Podcast: 2014 Year in Review OIG Update
01-14-2015
Medicare Hospices Have Financial Incentives To Provide Care in Assisted Living Facilities (OEI-02-14-00070)
Podcast: Medicare Hospices Have Financial Incentives To Provide Care in Assisted Living Facilities
01-13-2015
New York Claimed Some Unallowable Costs for Services by New York State Providers Under the State's Developmental Disabilities Waiver Program (A-02-10-01044)
CMS Did Not Always Correctly Make Clinic Visit Payments to Hospitals During Calendar Year 2012 (A-04-13-06168)
Indiana Underreported the Federal Share and Did Not Accurately Report All Medicaid Overpayment Collections (A-05-13-00052)
01-12-2015
Daiichi Sankyo, Inc. Added to Corporate Integrity Agreement List
01-08-2015
LEIE Database Updated with December 2014 Exclusions and Reinstatements
Press Release: Council Elects New Chairperson
01-06-2015
Podcast: December OIG Monthly Update
01-05-2015
Advisory Opinion 14-11 (concerning a nonprofit, tax-exempt, charitable organization's proposal to provide assistance with copayment obligations to financially needy patients, including Medicare and Medicaid beneficiaries, diagnosed with Crohn's disease or ulcerative colitis)

December

12-31-2014
Solicitation of New Safe Harbors and Special Fraud Alerts
12-23-2014
Podcast: HHS Annual Financial Report and Fiscal Year 2014 Audit of HHS Consolidated Financial Statements
Medicare Paid $22 Million in 2012 for Potentially Inappropriate Ophthalmology Claims (OEI-04-12-00281)
12-22-2014
Noridian Healthcare Solutions, LLC, Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-07-10-02774)
12-17-2014
TrailBlazer Health Enterprises, LLC, Claimed Some Unallowable Medicare Excess Plan Costs for Fiscal Years 2005 Through 2011 (A-07-14-00444)
Blue Cross Blue Shield of South Carolina Overstated Its Allocable Medicare Excess Plan Costs for Calendar Years 2006 Through 2011 (A-07-14-00445)
12-16-2014
Medicare Compliance Review of Stormont-Vail Regional Health Center for 2011 and 2012 (A-07-13-05051)
Medicare Compliance Review of Boone Hospital for 2010 and 2011 (A-07-13-05043)
The University of California at Irvine's Pilot Payroll Certification System Could Not Be Assessed (A-04-13-01027)
HHS Agencies Did Not Accurately Report Some Conference Costs for Fiscal Year 2012 (A-03-13-03003)
12-15-2014
Medicare Compliance Review of University of Missouri Health Center for 2010 and 2011 (A-07-13-05050)
States' Collection of Offset and Supplemental Medicaid Rebates (OEI-03-12-00520)
12-10-2014
Fall 2014 Semiannual Report
Press Release: Nearly $5 Billion to be Returned to Taxpayers as a Result of OIG Work in FY 2014
12-09-2014
Podcast: Access to Medicaid Managed Care
Access to Care: Provider Availability in Medicaid Managed Care (OEI-02-13-00670)
12-08-2014
Updated Corporate Integrity Agreement List: CareMed Pharmaceutical Services
Updated Civil Monetary Penalties:
12-05-2014
Generally All of the Targeted Funds Costs Claimed by Colorado Under the Child Care and Development Fund Program for Fiscal Years 2008 Through 2010 Were Proper (A-07-13-03194)
12-04-2014
Updated Corporate Integrity Agreement List: 3 CIAs Closed
12-03-2014
LEIE Database Updated with November 2014 Exclusions and Reinstatements
12-02-2014
Podcast: November OIG Monthly Update
12-01-2014
OIG Alerts Tribes and Tribal Organizations To Exercise Caution in Using Indian Self-Determination and Education Assistance Act Funds
Minnesota Complied With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud. (A-05-14-00009)
Cahaba Government Benefit Administrators, LLC, Applied the Senior Executive Compensation Benchmark in Accordance With Federal Regulations (A-04-13-00089)

November

11-28-2014
CGS Administrators, LLC, Claimed Some Unallowable Medicare Excess Plan Costs for Fiscal Year 2011 (A-07-14-00448)
Highmark Medicare Services, Inc., Claimed Some Unallowable Medicare Postretirement Benefit Costs for Fiscal Years 2003 Through 2009 (A-07-14-00438)
Nebraska Incorrectly Claimed Federal Reimbursement for Inpatient Claims With Sterilization and Delivery Procedures for the Period April 1, 2011, Through December 31, 2013 (A-07-14-01136)
Medicare Compliance Review of Avera McKennan Hospital for 2010 and 2011 (A-07-13-05044)
11-26-2014
CAPTURED: Luis Marin
Medicare Market Shares of Mail Order Diabetes Test Strips 3 Months After the Start of the National Mail Order Program (OEI-04-13-00682)
Highmark Medicare Services, Inc., Overstated Its Allocable Medicare Postretirement Benefit Plan Costs for Calendar Years 2008 Through 2011 (A-07-14-00439)
11-25-2014
Wisconsin Physicians Service Insurance Corporation Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-07-10-02777)
New Jersey Claimed Excessive Medicaid Disproportionate Share Hospital Payments for Five County-Operated Psychiatric Facilities (A-02-13-01035)
Massachusetts Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-01-13-00008)
11-24-2014
Iowa State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-06-14-00190)
11-19-2014
WANTED: Jorge Portillo
Updated Corporate Integrity Agreement List: 2 CIAs Added
11-18-2014
2014 Top Management and Performance Challenges
11-13-2014
CMS Needs To Do More To Improve Medicaid Children's Utilization of Preventive Screening Services (OEI-05-13-00690)
Blue Cross Blue Shield of South Carolina Overstated Its Allocable Medicare Supplemental Executive Retirement Plan III Costs for Calendar Years 2010 and 2011 (A-07-14-00442)
CareAll, Inc. Added to Corporate Integrity Agreement List Under Multiple Names
11-10-2014
Medicare Overpayments in Jurisdiction 15 for Unreported Cardiac Device Credits (A-05-13-00029)
Medicare Compliance Review of the Queen's Medical Center for the Period January 1, 2010, Through September 30, 2012 (A-09-14-02014)
11-07-2014
LEIE Database Updated with October 2014 Exclusions and Reinstatements
Updated Civil Monetary Penalties:
11-06-2014
Missouri Claimed Unallowable Medicaid Payments for Targeted Case Management Services Provided to Individuals With Developmental Disabilities (A-07-13-03193)
Medicare Compliance Review of Yale-New Haven Hospital for 2010 and 2011 (A-01-13-00502)
Updated Corporate Integrity Agreement List: 2 CIAs Closed
11-05-2014
Medicare Compliance Review of Oregon Health & Science University for 2010 Through 2012 (A-09-13-02057)
Questionable Billing for Medicaid Pediatric Dental Services in Indiana (OEI-02-14-00250)
Borio Chiropractic Health Center and Joseph Borio, D.C. Added to Corporate Integrity Agreement List
Podcast: October OIG Monthly Update
11-04-2014
Ocean Dental, P.C. Added to Corporate Integrity Agreement List
Palmetto Government Benefits Administrator, LLC, Claimed Unallowable Medicare Supplemental Executive Retirement Plan III Costs for Fiscal Years 2010 and 2011 (A-07-14-00441)
Pinnacle Business Solutions Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-07-11-02773)
11-03-2014
Dignity Health Added to Corporate Integrity Agreement List

October

10-31-2014
Medicare Paid for HIV Drugs for Deceased Beneficiaries (OEI-02-11-00172)
Drug Compendia Publishers Maintain Transparent Processes for Evaluating Anticancer Drug Therapies and Identifying Potential Conflicts (OEI-07-13-00220)
OIG releases 2015 Work Plan
10-29-2014
Medicare Compliance Review of Methodist Healthcare - Memphis Hospitals for the Period January 1, 2011, Through June 30, 2012 (A-04-13-00093)
Medicare Compliance Review of Hackensack University Medical Center for the Period April 1, 2011, through September 30, 2012 (A-02-13-01017)
10-27-2014
Uche Chukwudi Added to Most Wanted Fugitives List
DaVita HealthCare Partners Inc. Added to Corporate Integrity Agreement List
10-24-2014
The Ethiopian Public Health Association Generally Managed the President's Emergency Plan for AIDS Relief Funds but Did Not Always Meet Program Goals in Accordance With Award Requirements (A-04-13-04016)
10-23-2014
Overlook Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-14-00003)
Providence Portland Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00034)
Mother Frances Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-14-00006)
10-22-2014
Texas Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program (A-06-12-00053)
TrailBlazer Health Enterprises, LLC, Claimed Unallowable Medicare Part B Termination Costs (A-06-13-00017)
The Centers for Disease Control and Prevention Generally Achieved Its Main Goals Related to Certain HIV/AIDS Prevention, Treatment, and Care Activities Under the Partnership Framework in Ethiopia (A-04-13-04011)
10-21-2014
Advisory Opinion 14-10
(concerning the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies)
Penetration Test of the Food and Drug Administration's Computer Network (A-18-13-30331)
Awards Recognize Accomplishments of Inspector General Community
10-20-2014
Office of Counsel Industry Guidance Branch Attorney Position
10-17-2014
Interim Final Rule: Medicare Program; Final Waivers in Connection With the Shared Savings Program; Continuation of Effectiveness and Extension of Timeline for Publication of Final Rule
10-15-2014
Medicare Compliance Review of Mission Hospital for the Period January 1, 2011, through December 31, 2012 (A-04-14-03077)
10-14-2014
Advisory Opinion 14-09
(concerning an existing arrangement under which a township uses tax revenues to cover out-of-pocket amounts owed for basic life support emergency ambulance services received by local residents)
10-10-2014
Quality of Care CIA Added: Extendicare Health Services Inc.Additional CIA Updates
National Heritage Insurance Company Claimed Some Unallowable Benefit Restoration Plan Costs for Fiscal Years 2003 Through 2009 (A-07-14-00435)
National Heritage Insurance Company Did Not Claim Some Allowable Supplemental Executive Retirement Plan Costs for Fiscal Years 2003 Through 2009 (A-07-13-00427)
Exclusions Waiver Added: Randy S. Lentz M.D.
10-09-2014
LEIE Database Updated with September 2014 Exclusions and Reinstatements
Some of New York's Claims for Medicaid Supported Employment Services Were Unallowable (A-02-13-01004)
The Community Hospice, Inc., Improperly Claimed Medicare Reimbursement for Some Hospice Services (A-02-11-01016)
10-08-2014
Medicare Beneficiaries Paid Nearly Half of the Costs for Outpatient Services at Critical Access Hospitals (OEI-05-12-00085)
Credit Balances at Children's Hospital & Research Center Oakland Represented Overpayments That Had Not Been Returned to the Medicaid Program (A-09-13-02058)
Updated Corporate Integrity Agreement List: 4 CIAs Closed
10-06-2014
Medicare Compliance Review of Orlando Health for the Period January 1, 2011, Through June 30, 2012 (A-04-13-07042)
CAPTURED: Felix Gonzalez
Podcast: September OIG Monthly Update
Updated Corporate Integrity Agreement List: Shire North American Group, Inc. and Shire Pharmaceuticals, LLC
Updated Civil Monetary Penalties:
10-02-2014
Proposed Rule: Medicare and State Health Care Programs: Fraud and Abuse; Revisions to Safe Harbors under the Anti-Kickback Statute, and Civil Monetary Penalty Rules Regarding Beneficiary Inducements and Gainsharing
Colorado Claimed Unallowable Medicaid Nursing Facility Supplemental Payments (A-07-14-04215)
10-01-2014
Connecticut State Medicaid Fraud Control Unit: 2013 Onsite Review (OEI-07-13-00540)
Massachusetts Did Not Always Make Correct Medicaid Claim Adjustments (A-01-13-00003)
Review of Physician Supplemental Payments Made to the University of North Texas (A-06-10-00082)
Medicaid Fraud Control Units: General Terms and Conditions

September

09-30-2014
DEADLINE EXTENDED to October 7: 2015 Summer OIG Law Clerk Announcement
09-29-2014
State Standards for Access to Care in Medicaid Managed Care (OEI-02-11-00320)
09-24-2014
Advisory Opinion 14-08
(concerning the proposed use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies)
Updated Corporate Integrity Agreement List: 3 CIAs Added
09-23-2014
Podcast: Health Insurance Marketplaces Generally Protected Personally Identifiable Information but Could Improve Certain Information Security Controls
Health Insurance Marketplaces Generally Protected Personally Identifiable Information but Could Improve Certain Information Security Controls (A-18-14-30011)
The Federal Democratic Republic of Ethiopia, Ministry of Health, Did Not Always Manage President's Emergency Plan for AIDS Relief Funds or Meet Program Goals in Accordance With Award Requirements (A-04-13-04015)
09-22-2014
Medicare Fraud Strike Force in Miami to Receive Coveted Service to America Medals, the "Oscars" of Government Service
09-19-2014
Podcast: Manufacturer Safeguards May Not Prevent Copayment Coupon Use for Part D Drugs
Manufacturer Safeguards May Not Prevent Copayment Coupon Use for Part D Drugs (OEI-05-12-00540)
Special Advisory Bulletin: Pharmaceutical Manufacturer Copayment Coupons
09-17-2014
Podcast: Hospital Emergency Preparedness and Response During Superstorm Sandy
Hospital Emergency Preparedness and Response During Superstorm Sandy (OEI-06-13-00260)
2015 Spring Legal Extern Position
09-16-2014
Podcast: Medicare Part B Prescription Drug Dispensing Fee Payments
Medicare Part B Prescription Drug Dispensing and Supplying Fee Payment Rates Are Considerably Higher Than the Rates Paid by Other Government Programs (A-06-12-00038)
OIG Review of Allegations of Interference in OHRP Compliance Determination for SUPPORT (OIG-12-14-04)
The Office for Human Research Protections' Evaluation of the Surfactant, Positive Pressure, and Oxygenation Randomized Trial (OEI-01-14-00560)
09-15-2014
The National Institute of Environmental Health Sciences Administered Its Superfund Appropriations During Fiscal Year 2013 in Accordance With Federal Requirements (A-04-14-04024)
Alabama Withdrew Excessive Federal Medicaid Funds for Fiscal Years 2010 Through 2012 (A-06-13-00026)
09-12-2014
CMS Has Yet To Enforce a Statutory Provision Related to Rural Health Clinics (OEI-05-13-00290)
Washington Received Millions in Unallowable Bonus Payments (A-04-14-08028)
CMS's Reliance on Ohio Licensure Requirements Did Not Always Ensure the Quality of Care Provided to Medicaid Hospice Beneficiaries (A-05-12-00086)
Updated Corporate Integrity Agreement List: 1 CIA Closed
09-11-2014
Spotlight On Medicaid: State Policies That Result in Inflated Federal Costs
09-10-2014
Medicare Compliance Review of Cox Medical Center for 2010 and 2011 (A-07-12-05038)
Medicare Compliance Review of Genesis Medical Center for 2010 and 2011 (A-07-13-05041)
Review of Outpatient Surgeries Billed by Tulare Regional Medical Center (A-09-13-02052)
09-09-2014
LEIE Database Updated with August 2014 Exclusions and Reinstatements
Texas Improperly Claimed Some Child Care and Development Targeted Funds (A-06-13-00038)
09-08-2014
An Illinois Physical Therapist Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services (A-05-13-00010)
Louisiana Made Incorrect Medicaid Electronic Health Record Incentive Payments (A-06-12-00041)
Updated Corporate Integrity Agreement List: 1 CIA Closed
09-05-2014
Updated Corporate Integrity Agreement List: 4 CIAs Closed
2015 Summer OIG Law Clerk Announcement
09-04-2014
Updated Civil Monetary Penalties:
09-03-2014
Podcast: August OIG Monthly Update
Medicaid Fraud Control Units: States with OIG-Approved Data Mining Applications
CAPTURED: Karo Blkhoyan

August

08-27-2014
The District of Columbia Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-03-12-00205)
Tyler Prosthetics, Inc., Generally Met Medicare Documentation Requirements for Lower Limb Prosthetic Claims (A-06-13-00049)
New Jersey Claimed Unallowable Community Services Block Grant Costs Incurred by Check-Mate, Inc., Under the Recovery Act (A-02-11-02017)
08-26-2014
An Overview of 60 Contracts That Contributed to the Development and Operation of the Federal Marketplace (OEI-03-14-00231)
Some Louisiana Child Day Care Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-06-13-00036)
Some Louisiana Family Child Day Care Home Providers Did Not Always Comply With State Health and Safety Requirements (A-06-13-00037)
Updated State False Claims Act Review: Connecticut
08-25-2014
Advisory Opinion 14-07
(concerning the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies.)
Mississippi State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-09-13-00700)
08-21-2014
Medicare Fraud Strike Force
08-20-2014
Video: Report Fraud: HHS-OIG Hotline Operations
Questionable Billing for Medicaid Pediatric Dental Services in Louisiana (OEI-02-14-00120)
Medicaid Drug Rebate Dispute Resolution Could Be Improved (OEI-05-11-00580)
08-19-2014
Community Health Systems, Inc. Added to Corporate Integrity Agreement List
08-18-2014
Podcast: Compliance with Federal Regulations for Reporting Allegations of Abuse or Neglect
Nursing Facilities' Compliance with Federal Regulations for Reporting Allegations of Abuse or Neglect (OEI-07-13-00010)
Illinois' Federal Medicaid Withdrawals Were Supported by Net Expenditures for Fiscal Years 2010 Through 2012 (A-06-13-00032)
Florida Made Medicaid Electronic Health Record Payments to Hospitals in Accordance With Federal and State Requirements (A-04-13-06164)
Some Hospitals in Florida and Puerto Rico Claimed Residents as More Than One Full-Time Equivalent (A-02-13-01014)
Servicios Suplementarios de Salud, Inc., Improperly Claimed Medicare Reimbursement for Some Hospice Services (A-02-11-01017)
Review of Outpatient Surgeries Billed by Hazel Hawkins Memorial Hospital (A-09-13-02053)
08-15-2014
Advisory Opinion 14-06
(concerning a specialty pharmacy's proposal to pay local retail pharmacies a fee for support services they provide in connection with patient referrals to the specialty pharmacy.)
California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Services Provided in Southeast Los Angeles County (A-09-13-02047)
Some Maine Family Child Day Care Home Providers Did Not Always Comply With State Health and Safety Licensing Requirements (A-01-13-02507)
Some Maine Child Day Care Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-01-13-02503)
Memorial Sloan-Kettering Cancer Center Claimed Federal Reimbursement For Unallowable Extramural Construction Costs Related to a National Institutes of Health Recovery Act Grant (A-02-12-02013)
08-14-2014
Tri-County Ambulance Added to Corporate Integrity Agreement List
08-13-2014
Some Michigan Child Care Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-05-13-00053)
08-12-2014
Guidance for Submitting a Contractor Self-Disclosure
Updated Civil Monetary Penalties:
08-11-2014
Nebraska Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-13-06040)
Texas Did Not Ensure That the Prior-Authorization Process Was Used To Determine the Medical Necessity of Orthodontic Services (A-06-12-00039)
Kansas Improperly Received Medicaid Reimbursement for School-Based Health Services (A-07-13-04207)
Medicare Compliance Review of Norton Healthcare, Inc., for the Period January 1, 2011, Through June 30, 2012 (A-04-13-08024)
08-08-2014
WANTED: Child Support Deadbeats Gunther Bogensperger, Michael Paul Marsh, and James Austin
ARRESTED: Child Support Deadbeat Steven Jordan
SENTENCED: Child Support Deadbeat Randy Lee Essary
08-07-2014
LEIE Database Updated with July 2014 Exclusions and Reinstatements
08-06-2014
Podcast: Fraud and Abuse with HIV Drugs
Part D Beneficiaries With Questionable Utilization Patterns for HIV Drugs (OEI-02-11-00170)
08-05-2014
Video: HHS-OIG testifies on Eligibility Concerns with ACA Enrollment
Updated: Indiana and Virgina State False Claims Act Reviews
The Centers for Medicare & Medicaid Services Provided Medicare Part D Coverage to Beneficiaries Confined in Mental Health Facilities for Court-Ordered Purposes (A-07-13-06041)
Weaknesses in Molina's Information System General Controls Over Its Medicaid Claims Processing System Increase Vulnerabilities (A-09-13-03001)
08-04-2014
Podcast: July OIG Monthly Update
The Office of the National Coordinator for Health Information Technology's Oversight of the Testing and Certification of Electronic Health Records (A-06-11-00063)

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)

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