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November

11-19-2009
How Grantees Manage Financial Conflicts of Interest in Research Funded by the National Institutes of Health (PDF) (OEI-03-07-00700)
Review of Oxaliplatin Billing at Swedish Medical Center – First Hill for Calendar Years 2004 and 2005 (A-09-09-00084)
Review of Medicaid Payments for Services Claimed To Have Been Rendered to Deceased Recipients in Texas (A-06-09-00065)
Review of High-Dollar Payments for Virginia and West Virginia Outpatient Claims Processed by National Government Services for Calendar Years 2003–2005 (A-03-07-00015)
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
11-18-2009
Criminal and Civil Enforcement Actions: October
Civil Monetary Penalty Enforcement Actions
11-16-2009
Review of Geographic Classification of Thomasville Medical Center for Medicare Operating Disproportionate Share Hospital Payment (A-07-09-02760)
Review of Geographic Classification of Marion General Hospital for Medicare Operating Disproportionate Share Hospital Payment (A-07-09-02746)
Review of Lancaster General Hospital Medicare Outpatient Payments for Oxaliplatin (A-04-09-06112)
Review of California Medicaid Credit Balances for Kapi‘olani Medical Center at Pali Momi as of December 31, 2008 (A-09-09-00090)
11-13-2009
Pennsylvania’s Title IV-E Claims on Behalf of Children Who Exceeded the Maximum Eligible Age From October 1997 Through September 2002 (A-03-08-00553)
Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2006 (A-18-07-30290)
Audit of Palmetto Government Benefits Administrators’ Durable Medical Equipment Regional Carrier Final Administrative Cost Proposals for Fiscal Year 2007 (A-04-08-04025)
Review of Medicaid Credit Balances at Tri-City Medical Center as of February 28, 2009 (A-09-09-00078)
11-09-2009
Exclusions and Reinstatements Occurring in the Month of October 2009
11-06-2009
Results of Limited Scope Review at the City of Chicago, Department of Family and Support Services, for the Period December 1, 2005, Through July 31, 2009 (A-05-09-00088)
Follow-up Review of the Medicaid Drug Rebate Program in Indiana (A-04-08-07006)
Review of High-Dollar Payments for Medicare Part B Claims Processed by First Coast Service Options, Inc., for Calendar Years 2004-2006 (A-01-09-00513)
Renal Dialysis Facilities’ Dosage Protocols for Administering Erythropoiesis-Stimulating Agents (PDF) (OEI-03-09-00010)
11-05-2009
Administration for Children and Families Resolution of Audit Recommendations (A-07-09-03118)
Audit of Gentiva Medicaid Home Health Agency Claims in Kentucky (A-04-09-06012)
Review of Medicare Credit Balances at Coney Island Hospital (A-02-08-01029)
11-02-2009
Medicare Drug Integrity Contractors’ Identification of Potential Part D Fraud and Abuse (PDF) (OEI-03-08-00420)
Reassignment of Medicare Benefits (PDF) (OEI-07-08-00180)
Implementation of the Core Medical Services Requirement in the Ryan White Program (PDF) (OEI-07-08-00240)
Review of Massachusetts’ Compliance With the “Reimbursement of State Costs for Provision of Part D Drugs” Medicare Demonstration Project Requirements (A-01-09-00601)

October

10-29-2009
Review of Wheatlands Administrative Services, Inc.’s Final Administrative Cost Proposals for Fiscal Years 2005 Through 2008 (A-07-08-04137)
Review of Medicare Outpatient Payments for Oxaliplatin in Pennsylvania (A-04-09-06102)
Review of Medicare Outpatient Payments for Oxaliplatin in New Jersey (A-04-09-06101)
10-28-2009
Recipient Capability Audit of Child Care Association of Brevard County, Inc. (A-04-09-03529)
Review of the Department of Health and Human Services’ Process for Performing Limited Data-Quality Reviews of Information Reported by Recipients of Recovery Act Funds (A-09-09-00113)
Review of Geographic Classification of Pioneers Memorial Hospital for Medicare Operating Disproportionate Share Hospital Payment (A-07-09-02759)
Review of Geographic Classification of Hospital Cayetano Coll y Toste for Medicare Operating Disproportionate Share Hospital Payment (A-07-09-02757)
10-23-2009
Health Care Fraud and Abuse Control Program Report: Fiscal Year 2008 (PDF)
Adverse Event Reporting for Medical Devices (OEI-01-08-00110) (PDF)
Beneficiary Appeals in Medicare Advantage (OEI-01-08-00280) (PDF)
10-21-2009
Review of Medicaid Payments for Services Claimed To Have Been Rendered to Deceased Recipients in Louisiana (A-06-09-00089)
Review of Postretirement Benefit Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Montana for Fiscal Years 1987 Through 2007 (A-07-09-00298)
Review of Texas Department of State Health Services’ Bioterrorism and Emergency Preparedness Program (A-06-09-00038)
10-20-2009
Medicare Part D Plan Sponsor Electronic Prescribing Initiatives (PDF) (OEI-05-08-00322)
Review of Supplemental Executive Retirement Plan Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Montana for Fiscal Years 1994 Through 2007 (A-07-09-00297)
Review of Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Montana for Fiscal Years 2004 Through 2007 (A-07-09-00296)
Review of the Qualified Pension Plan at Blue Cross Blue Shield of Montana, a Terminated Medicare Contractor, for the Period January 1, 2004, to November 30, 2006 (A-07-09-00295)
10-19-2009
Awards To Recognize Accomplishments of Inspector General Community: Press Release (PDF)
Sebelius, West Highlight New Tips to Prevent Medical Identity Theft and Medicare Fraud: Press Release (PDF)
10-16-2009
Notice for Potential Monitors for Quality-of-Care Corporate Integrity Agreements: Federal Register
Criminal and Civil Enforcement Actions: September
Civil Monetary Penalty Enforcement Actions
Results of Limited Scope Review at [Bronx, New York] La Peninsula Community Action Organization, Inc. (A-02-09-02012)
Review of California’s Title IV-E Claims for Payments Made by Los Angeles County to Foster Homes of Relative Caregivers (A-09-06-00023)
Review of Medicare Outpatient Payments for Oxaliplatin in West Virginia (A-04-09-06104)
Payments for Epogen Administered at Bon Secours Baltimore Hospital Renal Dialysis Center, Baltimore, Maryland (A-03-07-00031)
Payments for Epogen Administered at University of Virginia Medical Center–Lynchburg Dialysis, Lynchburg, Virginia (A-03-07-00028)
10-14-2009
Monthly Recovery Act Report: September
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements
(IAs)
Medicare Part D E-Prescribing Standards: Early Assessment Shows Partial Connectivity (PDF) (OEI-05-08-00320)
Audit of Child Development Council of Franklin County, Inc. Head Start Matching Costs for the Period November 1, 2006, Through October 31, 2008 (A-05-09-00046)
Review of Medicare Claims Submitted by a Cardiologist in New York State (A-02-09-01003)
                                                         
10-08-2009
Exclusions and Reinstatements Occurring in the Month of September 2009
10-07-2009
Advisory Opinion 09-17 (PDF)
(concerning a joint venture to provide EMS and scheduled ambulance transportation services)
10-05-2009
OIG Enters Into Civil Monetary Penalties Settlement With Former Hospital Executive Director: Press Release (PDF)
Independent Contractor’s Review of Fiscal Intermediary and Carrier Claims From the Fiscal Year 2008 Comprehensive Error Rate Testing Program (A-01-09-00511)
Review of Select Medicare Conditions of Participation and Costs Claimed at Aspirus Keweenaw Hospital From August 1, 2004, Through September 30, 2006 (A-05-07-00083)
Family Planning Services Claimed by Michigan During October 1, 2005, Through September 30, 2007 (A-05-09-00050)
10-01-2009
OIG Work Plan: Fiscal Year 2010 (PDF)

September

09-29-2009
Review of Family Planning Claims Submitted by Selected Providers Under the New York State Medicaid Program (A-02-09-01015)
Review of Medicare Credit Balances at North Shore University Hospital (A-02-08-01022)
Review of Medicare Part D Drug Payments to Baron Drug Company for Service Dates January 1 – March 31, 2006 (A-03-08-00011)
National Institutes of Health–Internal Control Review of the Process for Awarding American Recovery and Reinvestment Act Funds (A-05-09-00064)
Review of the Missouri Department of Social Services Claim for Title IV-E Training Costs for Residential Treatment Centers and Foster Care Parent Training for July 1, 2002, Through June 30, 2006 (A-07-09-03121)
Review of City of El Paso Department of Public Health’s Bioterrorism and Emergency Preparedness Program (A-06-09-00006)
09-25-2009
Criminal and Civil Enforcement Actions: August
August 2009 Civil Monetary Penalty Enforcement Actions
09-24-2009
Advisory Opinion 09-16 (PDF)
(concerning a proposed arrangement between a professional organization and a referral service)
09-21-2009
State and Local Pandemic Influenza Preparedness: Medical Surge (PDF) (OEI-02-08-00210)
Local Pandemic Influenza Preparedness: Vaccine and Antiviral Drug Distribution and Dispensing (PDF) (OEI-04-08-00260)
09-14-2009
Medicaid Payments Made for Nonemergency Services Provided to Undocumented Aliens and Legal Aliens Restricted to Emergency Services in Texas (A-06-07-00108)
Review of Connecticut’s Community Based Medicaid Administrative Claims for State Fiscal Years 2005 and 2006 (A-01-08-00003)
Review of Pennsylvania’s Medicaid Payments for Targeted Case Management Services for Calendar Years 2003 Through 2005 (A-03-06-00202)
09-10-2009
Exclusions and Reinstatements Occurring in the Month of August 2009
09-09-2009
Monthly Recovery Act Report: August
Review of Riverbend Government Benefits Administrator Medicare Payments to Providers Terminated From January 1, 2003, Through January 31, 2007 (A-05-09-00063)
Review of Oxaliplatin Billing at Douglas County Hospital for Calendar Years 2004 and 2005 (A-05-09-00066)
Review of Oxaliplatin Claims Processed by National Government Services for Calendar Years 2004 and 2005 (A-05-09-00052)
09-08-2009
Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
Medicare Hospice Care for Beneficiaries in Nursing Facilities: Compliance With Medicare Coverage Requirements (PDF) (OEI-02-06-00221)
Medicare Hospice Care: Services Provided to Beneficiaries Residing in Nursing Facilities (PDF) (OEI-02-06-00223)
Medicare Part D Reconciliation Payments for 2006 and 2007 (PDF) (OEI-02-08-00460)
IHS Contract Health Services Program: Overpayments and Potential Savings (PDF) (OEI-05-08-00410)
09-04-2009
Review of Postretirement Benefit Costs Claimed for Medicare Reimbursement by Noridian Administrative Services, LLC, for Fiscal Years 2004 and 2005 (A-07-08-00281)
Noridian Postretirement Benefit Segmentation (A-07-08-00280)
Review of Medicaid Credit Balances at Oroville Hospital as of February 28, 2009 (A-09-09-00077)
Review of Hawaii Medicaid Credit Balances for Kapi‘olani Medical Center at Pali Momi as of December 31, 2008 (A-09-09-00073)
Review of Oxaliplatin Billing at University Hospital for the Period January 1 Through December 31, 2005 (A-06-09-00030)
Review of High-Dollar Payments for Maryland and District of Columbia Outpatient Claims Processed by CareFirst of Maryland for the Period January 1, 2003, Through September 30, 2005 (A-03-07-00012)
09-03-2009
Advisory Opinion 09-15 (PDF)
(concerning an exclusive contract for ambulance transport services between a municipality and an ambulance company that provides reimbursement to the city for the costs of providing emergency dispatch services and for monitoring the quality of the emergency ambulance operation)
Advisory Opinion 09-14 (PDF)
(concerning an exclusive contract for ambulance transport services between a township and an ambulance company that provides for reimbursement to the township for the costs of providing emergency dispatch services)
09-02-2009
Pfizer Inc. Corporate Integrity Agreement (PDF)
Power Wheelchairs in the Medicare Program: Supplier Acquisition Costs and Services (PDF) (OEI-04-07-00400)
Beneficiary Utilization of Albuterol and Levalbuterol Under Medicare Part B (PDF) (OEI-03-07-00440)
Review of the Missouri Department of Social Services Claims for Title IV-E Training Costs for the Social Services Cost Pool for July 1, 2002, Through June 30, 2006 (A-07-08-03114)
Review of High-Dollar Payments for Medicare Part B Claims Processed by Noridian Administrative Services, LLC, for the Period January 1, 2003, Through December 31, 2005 (A-07-08-04135)
Payments for Ambulance Transportation Provided to Beneficiaries in Skilled Nursing Stays Covered Under Medicare Part A in Calendar Year 2006 (A-01-08-00505)
Review of Emergency Department Procedure Codes Billed by Cape Cod Emergency Associates (A-01-09-00509)

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