What's New

May, 2008

05/09/08

• Advisory Opinion 08-06 (PDF) (concerning a laboratory’s proposal to provide services consisting of the labeling of test tubes and specimen collection containers at no cost to dialysis facilities)
• Duplicate Medicaid and Medicare Home Health Payments: Medical Supplies and Therapeutic Services (PDF) (OEI-07-06-00640)
• Review of High-Dollar Payments for Medicare Part B Claims Processed By National Government Services for New York Providers for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01043)

05/06/08

• Comparison of Third-Quarter 2007 Average Sales Prices to Average Manufacturer Prices: Impact on Medicare Reimbursement for First-Quarter 2008 (PDF) (OEI-03-08-00130)
• Review of the Centers for Medicare & Medicaid Services Grant Closeout Procedures (A-02-06-02001)
• Review of Duke University Medical Center’s Reported Fiscal Year 2006 Wage Data (A-01-07-00511)
• Review of Excessive Payments for Carrier Services Processed by TrailBlazer Health Enterprises for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00056)

05/02/08

• Review of High-Dollar Payments for Medicare Part A Outpatient Claims Processed by TriSpan Health Services for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00100)
• Nursing Home Enforcement: Processing Denials of Medicare Payment (PDF) (OEI-06-03-00390)

April, 2008

04/29/08

• Follow-Up Audit of the Medicaid Drug Rebate Program in North Dakota (A-07-08-03105)
• Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in California and Arizona for July 1, 2005, Through June 30, 2006 - California Department of Health Care Services (A-05-07-00058)
• Review of Pension Costs Claimed for Medicare Reimbursement by Empire Blue Cross Blue Shield for Fiscal Years 1999 Through 2006 (A-07-07-00254)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Hawaii (A-09-07-00081)

04/28/08

• Review of Kansas’s Medicaid Payments for the Child Welfare Services Program for the Period July 1, 2000, Through June 30, 2003 (A-07-06-03079)
• Review of Quality Improvement Organization in Maryland (A-03-06-01650)
• Review of the Qualified Pension Plan at Empire Blue Cross Blue Shield for the Period January 1, 1999, Through December 31, 2006 (A-07-07-00253)
• Review of High-Dollar Payments for Medicare Part A Claims Processed by TriSpan Health Services for the Period January 1, 2003, through December 31, 2003 (A-06-07-00083)
• Review of the Medicaid Drug Rebate Program In Minnesota (A-05-08-00010)

04/24/08

• Follow-up Review of the Medicaid Drug Rebate Program in Florida (A-04-07-07022)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Nebraska (A-07-07-03097)
• Review of Excessive Payments for Inpatient Services Processed by TrailBlazer Health Enterprises for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00055)

04/23/2008

• New OIG Privacy Act System of Records: Litigation Files: Federal Register Notice (PDF)

04/18/08

• Follow-Up Audit of the Medicaid Drug Rebate Program in Washington State (A-09-07-00062)
• Review of Undistributable Child Support Collections in Orange County, California, From October 1, 1998, Through March 31, 2006 (A-09-06-00040)

04/17/08

• Recent Criminal Enforcement Actions
• Follow-up Review of the Medicaid Drug Rebate Program in Kentucky (A-05-08-00015)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Iowa (A-07-07-03094)
• Follow-up Review of the Medicaid Drug Rebate Program in Wisconsin (A-05-08-00012)

04/16/08

• Draft Supplemental Compliance Guidance for Nursing Facilities: Federal Register Notice (PDF)

04/15/08

• An Open Letter to Health Care Providers: April 15, 2008 (PDF)
• OIG Refines Self-Disclosure Protocol: Press Release (PDF)

04/11/2008

• Exclusions and Reinstatements Occurring in the Month of March 2008

04/09/2008

• Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)

04/04/08

• New OIG Privacy Act System of Records: Administrative Files: Federal Register Notice (PDF)
• Long Term Care Hospitals Short-Stay Outliers (PDF) (OEI-01-07-00290)
• Review of Quality Improvement Organization in New York State (A-02-06-01023)

04/02/08

• Hospice Beneficiaries’ Use of Respite Care (PDF) (OEI-02-06-00222)
• Audit of Medicare Part A Administrative Costs for the Period October 1, 2003, Through September 30, 2005, United Government Services (A-05-07-00059)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Oregon (A-09-07-00052)

March, 2008

03/27/08

• Review of Rhode Island's Medicaid Nonemergency Transportation Costs for March 1, 2004, Through May 31, 2005 (A-01-06-00007)
• Review of Excessive Payments for Outpatient Services Processed by National Government Services in Michigan and Wisconsin for Calendar Years 2004 and 2005 (A-05-07-00066)
• Review of Kansas’s Medicaid Payments for the Family Preservation Program for the Period July 1, 2000, Through June 30, 2003 (A-07-06-03076)

03/26/08

• Issuance of Advisory Opinions by OIG: Interim Final Rule (PDF)

03/25/08

• Recent Criminal Enforcement Actions
• Administrative Enforcement Actions
• Review of Administrative and Clerical Costs at the University of California, San Francisco, for the Period July 1, 2004, Through June 30, 2006 (A-09-07-00073)
• Review of California’s Medicaid Management Information System Expenditures for the Period July 1, 2003, Through June 30, 2005 (A-09-06-00032)

03/19/08

• CVS Caremark Corp. Corporate Integrity Agreement (PDF)

03/13/08

• Division of Unaccompanied Children’s Services: Efforts To Serve Children (PDF) (OEI-07-06-00290)
• Review of Quality Improvement Organization in Ohio for August 1, 2002, Through July 31, 2005 (A-05-06-00043)
• Review of Quality Improvement Organization in Washington (A-09-06-00039)

03/12/08

• Follow-up Audit of the Medicaid Drug Rebate Program in Pennsylvania (A-03-08-00201)
• Follow-Up Audit of the Medicaid Drug Rebate Program in California (A-09-07-00084)
• Review of Postretirement Benefit Costs Claimed for Blue Cross Blue Shield of South Carolina for Fiscal Years 2000 Through 2004 (A-07-07-00230)
• Review of St. Peter's University Hospital's Reported Fiscal Year 2005 Wage Data (A-02-07-01047)

03/10/08

• Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)

03/07/08

• Office of the Secretary; Statement of Organization, Functions, and Delegations of Authority: Federal Register Notice (PDF)
• Medical Assistance Provided by the District of Columbia to Hurricane Katrina Evacuees (A-03-07-00202)
• Review of High-Dollar Payments for Medicare Part B Claims Processed by Triple-S, Inc., for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01041)
• Review of Excessive Payments for Outpatient Claims Processed by National Government Services for Calendar Years 2003 Through 2005: California Providers (A-09-07-00059)

03/05/08

• Exclusions and Reinstatements Occurring in the Month of February 2008

03/04/08

• Proposed Revisions to Existing Privacy Act Systems of Records: Federal Register Notice (PDF)
• Recent Criminal Enforcement Actions

03/03/08

• Los Angeles County Suppliers’ Compliance With Medicare Standards: Results From Unannounced Visits (PDF) (OEI-09-07-00550)
• OIG Report Finds Continued Lack of Medical Supplier Compliance with Medicare Requirements: Press Release

February, 2008

02/28/08

• Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Missouri and Kansas for July 1, 2005, Through June 30, 2006 - Missouri Department of Social Services (A-07-07-04078)
• Medical Assistance Provided by Delaware to Hurricane Katrina Evacuees (A-03-07-00201)
• Review of Medicaid Outpatient Drug Expenditures in Colorado for the Period October 1, 2002, Through September 30, 2004 (A-07-07-04113)
• Audit of Medicare Administrative Costs Claimed by Blue Cross Blue Shield of Arizona for the Period October 1, 2004, Through September 30, 2006 (A-09-07-00072)

02/27/08

• Testimony of Gregory Demske, Assistant Inspector General for Legal Affairs, before the U.S. Senate Special Committee on Aging Examining the Relationship between the Medical Device Industry and Physicians (PDF)

02/22/08

• Advisory Opinion 08-05 (PDF) (concerning a pharmaceutical company’s proposal to place in certain physicians’ offices electronic kiosks that offer patients free disease state screening questionnaires)
• Review of Undistributable Child Support Collections in New Jersey From October 1, 1998, Through March 31, 2006 (A-02-06-02005)
• Review of New Jersey's Medicaid School-Based Rates (A-02-04-01017)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Oklahoma (A-06-07-00069)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Missouri (A-07-07-03096)
• Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Kansas and Missouri for July 1, 2005, Through June 30, 2006 (A-07-07-04079)

02/20/08

• FY 2007 HHS Top Management and Performance Challenges
• Review of High-Dollar Payments for Medicare Part B Claims Processed by HealthNow New York, Inc., for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01042)
• Follow up Audit of the Medicaid Drug Rebate Program in Virginia (A-03-07-00218)

02/13/08

• Payments for Outpatient Hospital, Laboratory, and Radiology Services Made on Behalf of Beneficiaries in Skilled Nursing Facility Stays Covered Under Medicare Part A (A-01-06-00503)
• Review of Medicare Payments to iCare Medical Supply for Home Blood-Glucose Test Strip and Lancet Supplies (A-09-05-00063)

02/12/08

• Advisory Opinion 08-04 (PDF) (concerning a proposal to offer a free trial prescription program to hemophilia A patients who are Federal health care program beneficiaries)
• Health Care Fraud and Abuse Control Program FY 2006 Annual Report (PDF)

02/08/08

• Statement of Organization, Functions, and Delegations of Authority: Federal Register Notice (PDF)
• Advisory Opinion 08-03 (PDF) (concerning a proposed arrangement by which a health care system would provide prompt pay discounts to Federal health care program beneficiaries and other insured patients in connection with both inpatient and outpatient care)
• Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Indiana and Illinois for July 1, 2005, Through June 30, 2006 - Indiana Family and Social Services Administration (A-05-06-00070)
• Review of Retiree Drug Subsidy Plan Sponsor Blue Cross Blue Shield of Massachusetts, Inc., for Plan Year Ended December 31, 2006) (A-01-07-00603)
• Review of Kansas’s Medicaid Payments for Targeted Case Management for the Period July 1, 2000, Through June 30, 2003 (A-07-06-03074)
• Review of UMass Memorial Medical Center’s Reported Fiscal Year 2006 Wage Data (A-01-07-00509)

02/07/08

• Merck & Co., Inc. Corporate Integrity Agreement

02/06/08

• Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
• Exclusions and Reinstatements Occurring in the month of January 2008

02/05/08

• Advisory Opinion 08-02 (PDF) (concerning a marketing and research company’s proposal to encourage physicians and other health care professionals to complete online surveys by offering them the opportunity to designate a public charity to which the company or one of its clients would make a monetary charitable contribution)
• Review of New Jersey Medicaid Contingency Fee Contract Payments for the Period April 1, 1996, Through June 30, 2001 (A-02-06-01006)
• Medicaid Payments for Services Provided to Beneficiaries With Concurrent Eligibility in Illinois and Indiana for July 1, 2005, Through June 30, 2006 - Illinois Department of Healthcare and Family Services (A-05-06-00069)
• Review of Undistributable Child Support Collections in Florida From October 1, 1998, Through December 31, 2005 (A-04-06-03508)
• Review of Undistributable Child Support Collections in Maryland From October 1, 1998, Through December 31, 2005 (A-03-06-00565)

02/01/08

• Advisory Opinion 08-01 (PDF) (concerning a non-profit corporation’s program that arranges for pharmaceutical manufacturer patient assistance programs to provide donated drugs to free clinics and Federally qualified health centers (FQHCs) for use by financially-needy patients who do not have any form of outpatient prescription drug insurance coverage)

January, 2008

01/31/08

• Driving for Quality in Long-Term Care: A Board of Directors Dashboard -- Government-Industry Roundtable (PDF)
• OIG and HCCA Issue Government-Industry Roundtable Report on Driving For Quality in Long-Term Care: Press Release (PDF)

01/24/08

• Federal Register Notice: Solicitation of Information and Recommendations for Revising the Compliance Program Guidance for Nursing Facilities (PDF)

01/23/08

• Review of Section 1915(c) Mental Retardation or Related Condition Waiver Services at Dungarvin Minnesota From July 1, 2004, Through June 30, 2005 (A-05-07-00023)
• Review of Severance and Termination Costs Claimed by CareFirst Blue Cross/Blue Shield of Maryland for the Period October 2005 Through December 2006 (A-03-07-00022)
• Review of Medicaid Outpatient Drug Expenditures in Montana for the Period October 1, 2001, Through September 30, 2004 (A-07-07-04103)
• Summary Report on State, Local, Private, and Commercial Laboratories’ Compliance With Select Agent Regulations (A-04-06-01033)

01/18/08

• Follow-up Audit of the Medicaid Drug Rebate Program in the District of Columbia (A-03-07-00216)
• Review of High-Dollar Payments for Medicare Part B Claims Processed by Group Health Incorporated for the Period January 1, 2003, Through December 31, 2005 (A-02-07-01045)
• Recent Sampling of Criminal Enforcement Actions

01/17/08

• National Institutes of Health: Conflicts of Interest in Extramural Research (PDF) (OEI-03-06-00460)

01/16/08

• Procurements Made by the National Institutes of Health for the Department of Defense (A-03-07-03000)
• Review of Hurricane Katrina Uncompensated Care Costs Claimed by Mississippi for the University of Mississippi Medical Center (A-04-07-06004)
• Medicare Prescription Drug Subsidy Payments For Dually Eligible Beneficiaries In New Hampshire (A-01-07-00600)

01/14/08

• Advisory Opinion 07-21 (PDF) (concerning an arrangement in which a hospital has agreed to share with a group of cardiac surgeons a percentage of the hospital’s cost savings arising from the surgeons’ implementation of a number of cost reduction measures in certain surgical procedures)
• Advisory Opinion 07-22 (PDF) (concerning an arrangement in which a hospital has agreed to share with a group of anesthesiologists a percentage of the hospital’s cost savings arising from the anesthesiologists’ implementation of a number of cost reduction measures related to anesthesia services provided during cardiac surgical procedures)
• Review of Postretirement Benefit Costs Claimed for TrailBlazer Health Enterprises for Medicare Reimbursement by Blue Cross Blue Shield of South Carolina for Fiscal Years 2000 Through 2004 (A-07-07-00229)
• Review of High-Dollar Payments for Oklahoma Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00088)
• Review of High-Dollar Payments for New Mexico Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00087)
• Review of High-Dollar Payments for Missouri Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00086)
• Review of High-Dollar Payments for Louisiana Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00085)
• Review of High-Dollar Payments for Medicare Part A Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1, 2003, Through December 31, 2003 (A-06-07-00057)

01/10/08

• Review of the Relationship Between Medicare Part D Payments to Local, Community Pharmacies and the Pharmacies’ Drug Acquisition Costs (A-06-07-00107)
• Physician-Owned Specialty Hospitals’ Ability To Manage Medical Emergencies (OEI-02-06-00310) (PDF)

01/08/08

• Exclusions and Reinstatements Occurring in the month of December 2007
• Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)

01/03/08

• Advisory Opinion 07-20 (PDF) (concerning an investment by a physician in an imaging center in a medically underserved area devastated by Hurricane Katrina)
• Advisory Opinion 07-19 (PDF) (concerning an arrangement whereby a radiology group practice prepares written reports of its interpretations of radiology tests for a critical access hospital without charge to the hospital)
• Advisory Opinion 07-18 (PDF) (concerning the management by a health care industry consultancy of a charitable organization’s arrangements to subsidize patient cost-sharing and premium obligations)
• Follow-Up Audit of the Medicaid Drug Rebate Program in Kansas (A-07-08-03102)
• Review of State Children's Health Insurance Program Payments in Puerto Rico (A-02-04-01019)
• Review of High-Dollar Payments for Oklahoma Medicare Part A Claims Processed by Chisholm Administrative Services for the Period January 1, 2003 Through December 31, 2003 (A-06-07-00090)
• Review of Texas Physical Therapist's Medicare Claims for Therapy Services Provided During 2002 (A-06-07-00061)
• Review of Undistributable Child Support Collections in Georgia From October 1, 1998, Through December 31, 2005 (A-04-06-03506)