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June

06-30-2009
Advisory Opinion 09-06 (PDF)
(concerning an existing arrangement in which a hospital has agreed to share with a cardiology group, a vascular surgical group, and an interventional radiology group a percentage of the hospital’s cost savings arising from the physicians’ implementation of a number of cost-reduction measures in certain cardiac catheterization procedures)
Advisory Opinion 09-07 (PDF)
(concerning a proposal to expand an existing program that provides free oral nutritional supplements to malnourished end-stage renal disease patients who are on dialysis)
Medicare Part B Chemotherapy Administration: Payment and Policy (PDF) (OEI-09-08-00190)
06-26-2009
Testimony of Daniel R. Levinson, Inspector General (PDF), before the Subcommittee on Health of the House Energy and Commerce Committee on Health Care Reform: Opportunities to Address Waste, Fraud and Abuse
Review of Medicaid Credit Balances at French Hospital Medical Center as of February 28, 2009 (A-09-09-00079)
Review of High-Dollar Payments for Missouri Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 through December 31, 2006 (A-06-08-00031)
06-19-2009
Criminal and Civil Enforcement Actions: May
Civil Monetary Penalty Enforcement Actions
Review of Oxaliplatin Billing at University Medical Center of Southern Nevada for Calendar Year 2004 (A-09-09-00074)
Review of Oxaliplatin Billing at Louisiana State University Health Sciences Center for Calendar Years 2004 and 2005 (A-06-08-00086)
Family Planning Services Claimed Twice in Michigan for October 1, 2005, Through September 30, 2007 (A-05-08-00064)
Review of Termination Claim for Postretirement Benefit Costs Made by CareFirst of Maryland, Incorporated (A-07-09-00299)
06-12-2009
Review of the New York State Department of Health’s Compliance with the Ryan White CARE Act Payer-of-Last-Resort Requirement (A-02-08-02006)
Review of Medicaid Personal Care Services Claims Made by Providers in New York City (A-02-07-01054)
Review of Medicaid Outpatient Expenditures in Michigan for the Period October 1, 2004, Through September 30, 2005 (A-05-08-00048)
Review of Medicaid Credit Balances at St. Joseph Hospital as of June 30, 2007 (A-05-08-00089)
Review of Medicaid Credit Balances at Scripps Memorial Hospital Encinitas as of December 31, 2008 (A-09-09-00056)
Inaccurate Data in the Provider Enrollment, Chain, and Ownership System Individual Global Extract File (OEI-07-08-00181) (PDF)
06-10-2009
Exclusions and Reinstatements Occurring in the Month of May 2009
06-08-2009
OIG Reports More Than $2.4 Billion in Expected Recoveries From Fighting Fraud, Waste and Abuse for First Half of FY 2009 (PDF) (Corrected Press Release)
Semiannual Report: October through March FY 2009 (PDF)
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
06-03-2009
Review of Medicaid Outpatient Drug Expenditures in the State of New York for the Period October 1, 2003, Through September 30, 2005 (A-02-07-01028)
Review of Oxaliplatin Claims Processed by National Government Services for Calendar Years 2004 and 2005 (A-05-09-00010)
Medicare Part D Payments for Beneficiaries in Part A Skilled Nursing Facility Stays in 2006 (PDF) (OEI-02-07-00230)
Fraud and Abuse Safeguards for State Medicaid Nonemergency Medical Transportation Services (PDF) (OEI-06-07-00320)
                                                                  

May

05-29-2009
2009 Compendium of Unimplemented Office of Inspector General Recommendations (PDF)
Review of Title IV-E Adoption Assistance Payments in Florida for the Period October 1, 2004, Through September 30, 2007 (A-04-08-03523)
Review of Termination Claim for Postretirement Benefit Costs Made by The Regence Group for the Utah Segment (A-07-08-00278)
05-28-2009
Review of the Calculations of Temporary Increases in Federal Medical Assistance Percentages Under the American Recovery and Reinvestment Act (A-09-09-00075)
OIG's First Audit of Recovery Act Funding Finds No Discrepancies: Press Release (PDF)
Medicaid Managed Care Encounter Data: Collection and Use (OEI-07-06-00540) (PDF)
05-26-2009
Notice of Modification of OIG Advisory Opinion 08-11 (PDF)
(concerning Advisory Opinion No. 08-11 (PDF), which was issued on 09-04-2008, regarding the waiving of cost sharing obligations for protocol-required clinical services and oxygen therapy provided to Medicare beneficiaries who participate in the Long-term Oxygen Treatment Trial sponsored by the National Heart, Lung, and Blood Institute and the Centers for Medicare and Medicaid Services)
Review of the Long-Term Care, Managed Care Program Costs Claimed by the Utah Department of Health (A-07-08-02719)
Review of Oxaliplatin Billing at Providence Regional Medical Center Everett for Calendar Year 2005 (A-09-09-00052)
05-21-2009
Advisory Opinion 09-05 (PDF)
(concerning a hospital’s proposal to compensate physicians for on-call services performed on behalf of the hospital’s uninsured patients)
05-19-2009
Independent Contractor's Review of Durable Medical Equipment Claims From the Fiscal Year 2008 Comprehensive Error Rate Testing Program (A-01-09-00500)
Performance Data for the Senior Medicare Patrol Projects: May 2009 Performance Report (PDF) (OEI-02-09-00170)
05-18-2009
Advisory Opinion 09-04 (PDF)
(concerning a nonprofit, tax-exempt, charitable organization’s arrangement to provide financial assistance with cost-sharing obligations associated with certain advanced diagnostic testing owed by financially needy patients, including Medicare and Medicaid beneficiaries)
05-15-2009
Monthly Recovery Update Report: May 1, 2009
05-14-2009
Review of Oxaliplatin Billing at Providence Saint Joseph Medical Center for Calendar Year 2005 (A-09-09-00060)
Review of Medicaid Overpayments at North Country Associates, Inc., for Calendar Years 2004 Through 2006 (A-01-08-00011)
Review of Oxaliplatin Billing at Good Samaritan Regional Medical Center for Calendar Years 2004 and 2005 (A-09-09-00058)
Review of California’s Compliance With Demonstration Project Requirements for Reimbursement of State Costs for Provision of Medicare Part D Drugs (Claims Processed Through the Medicaid Management Information System) (A-09-08-00056)
05-11-2009
Exclusions and Reinstatements Occurring in the Month of April 2009
05-08-2009
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
Civil Monetary Penalties Update
Criminal and Civil Enforcement Actions: April
Review of Oxaliplatin Billing at Providence Alaska Medical Center for Calendar Year 2005 (A-09-09-00050)
Review of New Mexico Developmental Disabilities Home and Community-Based Services Waiver (A-06-07-00097)
05-07-2009
OIG FY 2010 Budget: Justifications of Estimates for Appropriations Committees (PDF)
Fiscal Year 2010 Online Performance Appendix (PDF)
Review of Undistributable Child Support Collections in Los Angeles County, California, From October 1, 1998, Through March 31, 2006 (A-09-08-00024)
Review of TrailBlazer Health Enterprises, LLC Medicare Payments to Providers Terminated From January 1, 2003, Through January 31, 2007 (A-05-09-00017)
Review of High-Dollar Payments for Texas Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2004 (A-06-08-00034)
Review of Medicare Part A Claims Paid by National Government Services for Interrupted Stays at Inpatient Psychiatric Facilities During Calendar Years 2005 and 2006 (A-01-08-00530)
05-06-2009
Testimony of Daniel R. Levinson, Inspector General (PDF), before the Senate Special Committee on Aging on fraud in the Medicare and Medicaid programs and recommendations for reducing this fraud while maintaining a high level of services for providers and patients participating in the Medicare and Medicaid programs
Inappropriate Medicare Payments for Chiropractic Services (PDF) (OEI-07-07-00390)
Review of Emergency Health Services at Florida Hospital Furnished to Undocumented Aliens Covered by Section 1011 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (A-04-06-07007)
Review of Separately Billed Laboratory Tests Paid by National Government Services, Inc., for Medicare Beneficiaries With End-Stage Renal Disease (A-01-07-00522)
Review of Medicaid Outpatient Drug Expenditures in California for Fiscal Years 2004 and 2005 (A-09-07-00039)
Follow-Up Review of Procurements Made by the National Institutes of Health for the Department of Defense (A-03-08-03000)
05-01-2009
Review of High-Dollar Payments for Services Processed by Wisconsin Physicians Service for the Period January 1, 2004, Through December 31, 2006 (A-05-08-00022)
Review of Interrupted Stays at Inpatient Rehabilitation Facilities for Calendar Years 2004 and 2005 (A-01-08-00502)

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