What’s New 2009 Archive

What's New Icon Return to What’s New

Adobe® Acrobat® is required to read PDF files.

August

08-27-2009: MSIS Data Usefulness for Detecting Fraud, Waste, and Abuse (OEI-04-07-00240) (pdf); Review of Medicaid Credit Balances at Kuakini Medical Center as of December 31, 2008 (A-09-09-00072)
08-24-2009: Audit of the Indian Health Service Headquarters Cost Statement for Fiscal Year 2005 (A-09-07-00054); Status of the Office of Community Services’ Corrective Actions Resulting From the Government Accountability Office Review of the Community Services Block Grant Program (A-01-09-02502); Payments for Epogen Administered at Independent Dialysis Foundation—Parkview Center, Baltimore, Maryland (A-03-07-00032); Review of High-Dollar Payments for Pennsylvania Outpatient Claims Processed by Highmark Medicare Services for Calendar Years 2003–2005 (A-03-07-00011)
08-21-2009: Follow-up Review of the Medicaid Drug Rebate Program in South Carolina (A-04-08-07004); Review of the Food and Drug Administration’s Monitoring of Pet Food Recalls (A-01-07-01503); Follow-up Review of the Medicaid Drug Rebate Program in Georgia (A-04-07-07027); Review of Washington State’s Pandemic Influenza Expenditures for the Period August 31, 2005, Through June 30, 2008 (A-09-08-01006); Review of Idaho’s Adoption Assistance Costs for Federal Fiscal Years 2006–2008 (A-09-09-01007)
08-18-2009: Advisory Opinion 09-13 (PDF)
(concerning a proposal for a hospital to provide subsidies to an affiliated ambulance cooperative, to enable the cooperative to provide certain ambulance services currently provided by the hospital); Review of Duplicate Capitation Payments to Medicare Advantage Organizations and Programs of All-Inclusive Care for the Elderly Organizations (A-07-08-01052); Review of Termination Claim for Postretirement Benefit Costs Made by Blue Cross Blue Shield of Kansas (A-07-09-00310); Review of Medicare Contractor Processes for Reviewing Pennsylvania Hospitals’ Wage Data (A-03-08-00020); Payments for Epogen Administered at Fresenius Medical Care—First State, New Castle, Delaware (A-03-07-00033); Payments for Epogen Administered at Fresenius Medical Care—Beckley, Beckley, West Virginia (A-03-07-00026); Review of the Altoona Regional Health System’s Reported Fiscal Year 2006 Wage Data (A-03-08-00019)
08-17-2009: Criminal and Civil Enforcement Actions: July; July 2009 Civil Monetary Penalty Enforcement Actions
08-14-2009: Advisory Opinion 09-12 (PDF)
(concerning a proposal for a government entity to subsidize copayments for outpatient prescription drugs owed by certain financially needy Medicare Part D enrollees)
08-12-2009: Exclusions and Reinstatements Occurring in the Month of July 2009
08-10-2009: Advisory Opinion 09-11 (PDF)
(concerning the provision of free blood pressure screenings to walk-in visitors at a hospital)
08-07-2009: Monthly Recovery Act Report: July; Medicaid Fraud Control Unit Annual Report: FY 2008 (PDF); Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
08-05-2009: Prevalence and Qualifications of Nonphysicians Who Performed Medicare Physician Services (PDF) (OEI-09-06-00430); Inappropriate Medicare Payments for Pressure Reducing Support Surfaces (PDF) (OEI-02-07-00420); Review of Pension Costs Claimed for Medicare Reimbursement by Triple-S, Inc., for Fiscal Years 1988 Through 2006 (A-07-08-00268); Review of the Qualified Pension Plan at Triple-S, Inc., for the Period January 1, 1986, Through January 1, 2007 (A-07-08-00266); Review of High-Dollar Payments for Texas Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2005 (A-06-08-00069); Superfund Financial Activities at the National Institute of Environmental Health Sciences for Fiscal Year 2008 (A-04-09-01062)
08-03-2009: Review of the Calculation of Additional Medicaid Funding Awarded Under the American Recovery and Reinvestment Act (A-09-09-00080)

July

07-31-2009: Advisory Opinion 09-10 (PDF)
(concerning the proposed use of a "preferred hospital" network as part of a Medicare Supplemental Health Insurance ["Medigap"] policy); Review of New Jersey's Compliance With the "Reimbursement of State Costs for Provision of Part D Drugs" Medicare Demonstration Project Requirements (A-02-08-01007); Review of Massachusetts' Title IV-E Foster Care Payments for Children 19 Years or Older for the Period October 1, 2005, Through September 30, 2008 (A-01-08-02502)
07-29-2009: Testimony of Lewis Morris, Chief Counsel to the Inspector General (PDF), before the United States Senate Special Committee on Aging on Commercial Sponsorship of Continuing Medical Education; Advisory Opinion 09-09 (PDF)
(concerning a proposed joint venture involving ownership of an ambulatory surgery center by a hospital and physicians)
07-28-2009: Advisory Opinion 09-08 (PDF)
(concerning a proposed institutional patient assistance program that would make certain drug products available to people without prescription drug coverage through the provision of replacement stock to certain participating disproportionate share hospitals); Part B Services During Non-Part A Nursing Home Stays: Durable Medical Equipment (PDF) (OEI-06-07-00100); Review of the Missouri Department of Social Services Claim for Title IV-E Training Costs for Salaries and Benefits for Initial Inservice Training for July 1, 2002, Through June 30, 2006 (A-07-09-03119); Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2005 (A-06-08-00065); Review of Medicare Outpatient Payments for Oxaliplatin in Kentucky (A-04-09-06100)
07-23-2009: Review of Medicaid Credit Balances at Sunny Vista Living Center (A-07-09-02756); Review of Medicaid Credit Balances at Boulder Manor Nursing Home (A-07-09-02755); Review of Medicaid Credit Balances at Colorado State Veterans Home at Fitzsimons (A-07-09-02751); Payments for Epogen Administered at Fresenius Medical Care—Artificial Kidney Center of Suffolk, Suffolk, Virginia (A-03-07-00027)
07-22-2009: Criminal and Civil Enforcement Actions: June; Civil Monetary Penalty Enforcement Actions; Accuracy of Drug Categorizations for Medicaid Rebates (PDF) (OEI-03-08-00300); Payments for Epogen Administered at Fresenius Medical Care - Brandywine, Wilmington, Delaware (A-03-07-00034); Payments for Epogen Administered at Fresenius Medical Care - Northeast, District of Columbia (A-03-07-00035); Payments for Epogen Administered at Fresenius Medical Care - Anacostia, District of Columbia (A-03-07-00036); Audit of Cooperativa de Seguros de Vida de Puerto Rico's Unfunded Pension Costs for 1986 to 2007 (A-07-09-00318)
07-20-2009: Review of Southeast Louisiana Hospital’s Hurricane-Related Uncompensated Care Claims (A-06-08-00023); Review of Pension Costs Claimed for Medicare Reimbursement by Cooperativa de Seguros de Vida de Puerto Rico, for Fiscal Years 1988 Through 1995 (A-07-09-00317); Review of Postretirement Benefit Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Kansas for Fiscal Years 2005 Through 2008 (A-07-09-00316); Review of the Pension Segmentation Requirements for the Qualified Pension Plan at Cooperativa de Seguros de Vida de Puerto Rico, for the Period January 1, 1996, to January 1, 2007 (A-07-08-00271); Review of Pension Costs Claimed for Medicare Reimbursement by Cooperativa de Seguros de Vida de Puerto Rico, for Fiscal Years 1996 Through 2006 (A-07-08-00272)
07-14-2009: Review of Vermont’s Pandemic Influenza Expenditures for the Period August 31, 2005, Through June 30, 2008 (A-01-08-01500); Ochsner Health Plan of Louisiana’s Adjusted Community Rate Proposal Modifications for Contract Year 2004 (A-06-06-00093); Review of North Carolina’s Accounts Receivable System for Medicaid Provider Overpayments (A-04-06-07009); Review of Oxaliplatin Billing at Kootenai Medical Center for Calendar Year 2005 (A-09-09-00059); Review of Oxaliplatin Billing at University of California San Diego Medical Center for Calendar Years 2004 and 2005 (A-09-09-00057); Miscoded Claims for Power Wheelchairs in the Medicare Program (PDF) (OEI-04-07-00403)
07-13-2009: OIG Office of Counsel Employment Vacancies; Nursing Home Executive Agrees to Permanent Exclusion in Settlement with OIG: Press Release (PDF); Payments for Epogen Administered at Fresenius Medical Care—Wynnewood, Wynnewood, Pennsylvania (A-03-07-00029); Review of Disproportionate Share Hospital Payments Made by Pennsylvania to State-Operated Institutions for Mental Diseases (A-03-08-00202); Review of Medicaid Credit Balances at Pioneers Memorial Healthcare District as of December 31, 2008 (A-09-09-00054); Payments for Epogen Administered at Lancaster General Hospital Dialysis Center, Lancaster, Pennsylvania (A-03-07-00030); Review of Oxaliplatin Billing at Southwestern Regional Medical Center for Calendar Year 2004 (A-06-08-00087); Collaborative Effort to Identify Overlapping Claims for Dual-Eligible Beneficiaries Receiving Medicare Part A and Medicaid Long-Term-Care Services in Texas (A-06-08-00053); Review of High-Dollar Payments for Arkansas Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 Through December 31, 2006 (A-06-08-00038); Review of the Texas Department of State Health Services’ Compliance with the Ryan White CARE Act Payer-of-Last-Resort Requirement for the Period April 1, 2003 Through March 31, 2006 (A-06-08-00022); Review of Dallas County Health & Human Services Department’s Bioterrorism and Emergency Preparedness Program (A-06-08-00088)
07-10-2009: Exclusions and Reinstatements Occurring in the Month of June 2009; Medicare Part B Billing for Ultrasound (PDF) (OEI-01-08-00100); Variation in the Clinical Laboratory Fee Schedule (PDF) (OEI-05-08-00400); Review of Place-of-Service Coding for Physician Services Processed by Medicare Part B Carriers During Calendar Years 2005 and 2006 (A-01-08-00528); Review of High-Dollar Payments for Inpatient Services Processed by Wisconsin Physicians Service for Calendar Years 2004 Through 2006–Hospitals With Fewer Than Five High-Dollar Payments (A-05-08-00061); Review of High-Dollar Payments for Louisiana Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 Through December 31, 2005(A-06-08-00037); Review of Palmetto GBA, LLC Medicare Payments to Providers Terminated From January 1, 2003, Through January 31, 2007 (A-05-09-00012); Review of Retiree Drug Subsidy Plan Sponsor Commonwealth of Pennsylvania for Plan Year Ended December 31, 2006 (A-03-08-00013); Review of Medicaid Outpatient Drug Expenditures in Texas for the Period October 1, 2003, Through September 30, 2005 (A-06-07-00092)
07-09-2009: Monthly Recovery Act Report: June; Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
07-08-2009: Accuracy of Part D Plans' Drug Prices on the Medicare Prescription Drug Plan Finder (PDF) (OEI-03-07-00600); Report on External Quality Control Review of the Office of Audit Services: Fiscal Year 2008 (PDF)

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)

April

04-30-2009: Advisory Opinion 09-03 (PDF)
(concerning an arrangement whereby three municipalities reciprocally waive otherwise applicable cost-sharing obligations of individuals residing within each other’s borders when providing backup emergency medical services transportation)
04-29-2009: Monthly Recovery Update Report; Whistleblower Protections under the Recovery Act
04-28-2009: Michigan Medicaid False Claims Act Review Letter (PDF); Nationwide Review of Evaluation and Management Services Included in Eye and Ocular Adnexa Global Surgery Fees for Calendar Year 2005 (A-05-07-00077); Review of Palmetto GBA’s Medicare Outpatient Payments for Oxaliplatin Drug Services in North Carolina (A-04-08-07002); Review of Oxaliplatin Billing at San Joaquin General Hospital for Calendar Years 2004 and 2005 (A-09-09-00051)
04-23-2009: Testimony of Lewis Morris, Chief Counsel to the Inspector General (PDF), before the U.S. Senate Homeland Security and Governmental Affairs Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security on Eliminating Waste and Fraud in Medicare and Medicaid
04-22-2009: Aberrant Claim Patterns for Inhalation Drugs in South Florida (PDF) (OEI-03-08-00290); Nursing Home Corporations Under Quality of Care Corporate Integrity Agreements (PDF) (OEI-06-06-00570); Department of Health and Human Services Employee Travel Cards: Usage and Internal Controls (PDF) (OEI-07-07-00480)
04-21-2009: Formal Statement of Lewis Morris, Chief Counsel to the Inspector General (PDF), before the U.S. Senate Committee on Finance’s April 21, 2009, "Roundtable Discussion on Health Care Reform."; Review of Inpatient Hospital Claims Billed as Family Planning Services Under the New York State Medicaid Program (A-02-06-01007); Review of Timeliness of West Virginia’s Retroactive Claims for Medicaid School-Based Services (A-03-06-00201); Review of Oxaliplatin Billing at Hilo Medical Center for Calendar Year 2004 (A-09-09-00047); Review of the California Department of Public Health’s Compliance With the Ryan White CARE Act Payer-of-Last-Resort Requirement (A-09-09-00037)
04-20-2009: Comparison of Third-Quarter 2008 Average Sales Prices and Average Manufacturer Prices: Impact on Medicare Reimbursement for First Quarter 2009 (PDF) (OEI-03-09-00150); Payments to Medicare Suppliers and Home Health Agencies Associated With Currently Not Collectible' Overpayments (PDF) (OEI-06-07-00080): Re-post
04-15-2009: Potential Improper Medicaid Payments for Outpatient Clinical Diagnostic Laboratory Services for Dual-Eligible Beneficiaries (PDF) (OEI-04-07-00340); Audit of Pinnacle Business Solutions, Inc.’s, Medicare Part A Final Administrative Cost Proposals for Fiscal Years 2005 Through 2007 (A-06-08-00015); Audit of Pinnacle Business Solutions, Inc.’s, Medicare Part B Final Administrative Cost Proposals for Fiscal Years 2005 through 2007 (A-06-08-00016)
04-14-2009: Review of the Pension Costs Claimed for Medicare Reimbursement by Blue Cross Blue Shield of Arizona for Fiscal Year 2006 (A-07-09-00307); Review of the Pension Segmentation Requirements for the Qualified Pension Plan at Blue Cross Blue Shield of Arizona, a Terminated Medicare Contractor, for the Period January 1, 2005, to September 30, 2006 (A-07-09-00306); Review of High-Dollar Payments for New Mexico and Oklahoma Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 through December 31, 2006 (A-06-08-00071)
04-09-2009: March 2009 Criminal and Civil Enforcement Report; Civil Monetary Penalty Enforcement Actions Update; Review of Pennsylvania's Determination of Medicaid Disproportionate Share Hospital Eligibility for the State-Operated Institutions for Mental Diseases (A-03-08-00203); Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TriSpan Health Services for the Period January 1 Through December 31, 2004 (A-06-08-00067)
04-08-2009: Exclusions and Reinstatements Occurring in the Month of March 2009
04-06-2009: Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs); Review of High-Dollar Payments for Inpatient Services Processed by National Government Services in Illinois, Indiana, Kentucky, and Ohio for Calendar Years 2004 Through 2006 (A-05-08-00028); Review of Medicaid Participation Eligibility for One Indiana State-owned Psychiatric Hospital for the Period July 1, 1996, Through June 30, 2007 (A-05-07-00076); Audit of HealthNow New York, Inc.’s, Medicare Part B Final Administrative Cost Proposals for Fiscal Years 2005 Through 2007 (A-02-08-01003); Review of Missouri’s Medicaid Management Information System Expenditures for the Period October 1, 2004, Through September 30, 2007 (A-07-08-04122)
04-02-2009: New HHS Recovery Act Fund Oversight Section; Advisory Opinion 09-02 (PDF)
(concerning an employment contract entered into concurrently with a real estate purchase contract between the employer and new employee)
04-01-2009: Follow-Up Review of the Medicaid Drug Rebate Program in Rhode Island (A-01-08-00009); Review of High-Dollar Payments for New Mexico and Oklahoma Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 through December 31, 2005 (A-06-08-00068); Review of the Termination Claim for Postretirement Benefit Costs Made by The Regence Group for the Oregon Segment (A-07-08-00283)

March

03-26-2009: Testimony of Daniel R. Levinson, Inspector General (PDF), before the U.S. House of Representatives Committee on Appropriations Subcommittee on Agriculture, Rural Development, Food and Drug Administration, and Related Agencies on Traceability in the Food Supply Chain; Traceability in the Food Supply Chain (PDF) (OEI-02-06-00120; 03/09); Review of Medicaid Indirect Costs Submitted by the New York State Department of Health on Behalf of the Office of Mental Retardation and Developmental Disabilities (A-02-06-01028); Audit of Head Start Matching Costs for the Period January 1, 2006, Through December 31, 2007 – Miami Valley Child Development Centers, Inc. (A-05-09-00045)
03-25-2009: OIG Enters Into $2 Million Civil Monetary Penalty Settlement With Radiology Practice: Press Release (PDF); Review of Health Resources and Services Administration Grant Closeout Procedures (A-02-07-02008); Allowability of Alabama's Hurricane Katrina-Related Uncompensated Care Claims (A-04-08-03040); Review of Retiree Drug Subsidy Costs Reported by Southeastern Massachusetts Health Group for Plan Years 2006 and 2007 (A-01-08-00609); Review of Retiree Drug Subsidy Costs Reported by National Grid USA Service Company, Inc., for Plan Years 2006 and 2007 (A-01-08-00608); Review of Retiree Drug Subsidy Costs Reported by Massachusetts Bay Transportation Authority for Plan Years 2006 and 2007 (A-01-08-00606)
03-24-2009: An Open Letter to Health Care Providers (PDF); Updated Audit Services Campus Recruiting Schedule: Fall 2008 - Spring 2009 (PDF)
03-23-2009: Driving for Quality in Acute Care: A Board of Directors Dashboard -- Government-Industry Roundtable (PDF)
03-20-2009: Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TrailBlazer Health Enterprises for the Period January 1 through December 31, 2004 (A-06-08-00040); Review of Texas Medicaid Payments for Medicare Coinsurance of Dual-Eligible Beneficiaries in Skilled Nursing Facilities (A-06-08-00006); Review of Oxaliplatin Billing at Baptist Hospitals of Southeast Texas for Calendar Years 2004 and 2005 (A-06-08-00084); Audit of Head Start Matching Costs for the Period March 1, 2006, Through February 29, 2008 – Community Action Commission of Belmont County, Inc. (A-05-08-00099)
03-19-2009: Comparison of Prices for Negative Pressure Wound Therapy Pumps (OEI-02-07-00660) (PDF); Review of High-Dollar Part B Claims Processed by CIGNA Government Services Carrier No. 05440 for the Period January 1, 2004, Through December 31, 2006 (A-04-08-00045); Follow-up Review of the Medicaid Drug Rebate Program in Ohio (A-04-08-07005)
03-13-2009: Advisory Opinion 09-01 (PDF)
(concerning a complimentary local transportation program for friends and family of residents of a skilled nursing facility)
03-11-2009: Exclusions and Reinstatements Occurring in the Month of February 2009; Review of Medicare Payments to Managed Care Plans on Behalf of Deceased Enrollees (A-07-07-01046); Review of High Dollar Payments for Virginia Medicare Part B Claims Processed by TrailBlazer Health Enterprises for the Period January 1, 2003, Through December 31, 2005 (A-03-07-00020)
03-10-2009: Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs); Hospital Compliance With Medicare’s Postacute Care Transfer Policy During Fiscal Years 2003 Through 2005 (A-04-07-03035); Review of Retiree Drug Subsidy Plan Sponsor Hallmark Cards, Inc., for Plan Year Ended December 31, 2006 (A-07-08-03111); Review of High-Dollar Payments for New Mexico and Oklahoma Medicare Part B Claims Processed by Pinnacle Business Solutions, Inc., for the Period January 1 through December 31, 2004 (A-06-08-00035); Review of Pension Costs Claimed for Medicare Reimbursement by CareFirst of Maryland, Incorporated, for Fiscal Years 2002 Through 2005 (A-07-07-00244)
03-09-2009: Civil Monetary Penalty Enforcement Actions; Criminal and Civil Enforcement Actions: February
03-04-2009: Effect of the Part D Coverage Gap on Medicare Beneficiaries Without Financial Assistance in 2006 (PDF) (OEI-05-07-00610); Review of Connecticut’s Community Based Medicaid Administrative Claim for State Fiscal Year 2004 (A-01-06-00008); Review of the Qualified Pension Plan at CareFirst of Maryland, Incorporated, a Terminated Medicare Contractor, for the Period January 1, 2002, to December 31, 2005 (A-07-07-00243)

February

02-27-2009: Comparing Pharmacy Reimbursement: Medicare Part D to Medicaid (OEI-03-07-00350) (PDF); Review of Centers for Disease Control and Prevention Grant Closeout Procedures (A-02-07-02014); 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, 2005 (A-06-08-00030); Review of High-Dollar Payments for Pennsylvania Medicare Part B Claims Processed by Highmark Medicare Services for the Period January 1, 2003, Through December 31, 2005 (A-03-07-00016); Review of CareFirst Blue Cross/Blue Shield of Maryland Medicare Part A Final Administrative Cost Proposals for Fiscal Years 2003 - 2005 (A-03-06-00002)
02-24-2009: Review of State Plan Amendments Authorizing Disproportionate Share Hospital Payments by Pennsylvania to Hospitals of State-Related Universities (A-03-07-00222); Review of Medicaid Inpatient Hospital Transfer Payments in Indiana for October 1, 2003, Through September 31, 2006 (A-05-07-00081)
02-18-2009: Review of Undistributable Child Support Collections in Tennessee From October 1, 1998, Through December 31, 2007 (A-04-08-03521); Review of Administration for Children and Families Grant Closeout Procedures (A-02-07-02000); Review of Retiree Drug Subsidy Plan Sponsor Screen Actors Guild – Producers Health Plan for Plan Year Ended December 31, 2006 (A-09-09-00032); Review of Retiree Drug Subsidy Costs Reported by the City of Fall River for Plan Years 2006 and 2007 (A-01-08-00607); Review of Oxaliplatin Billing at San Jacinto Methodist Hospital for Calendar Years 2004 and 2005 (A-06-08-00085)
02-17-2009: Administrative Law Judge Upholds HHS-OIG’s $50,000 Civil Monetary Penalty Against St. Joseph’s Medical Center For Violating EMTALA: 88-Year-Old Man Died in Emergency Room Without Treatment (PDF) (Press Release); Review of the Illinois Department of Public Health’s Compliance with the Ryan White CARE Act Payer of Last Resort Requirement (A-05-08-00052); Review of Emergency Health Services at Orlando Regional Healthcare Furnished to Undocumented Aliens Covered by Section 1011 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (A-04-07-07030); Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TriSpan Health Services for the Period January 1 Through December 31, 2006 (A-06-08-00094); Review of Section 1915(c) Mental Retardation or Related Conditions Waiver Services at ACR Homes, Inc., From July 1, 2004, Through June 30, 2005 (A-05-08-00025); Review of High-Dollar Payments for Medicare Part B Claims Processed by NHIC, Corp., for Calendar Years 2004–2006 (A-01-08-00514); Review of Medicaid Credit Balances at Mercy Hospital as of April 1, 2008 (A-05-08-00063)
02-11-2009: Exclusions and Reinstatements Occurring in the Month of January 2009; Medicare Payments in 2007 for Medical Equipment and Supply Claims With Invalid or Inactive Referring Physician Identifiers (PDF) (OEI-04-08-00470; 02/09); Comparison of Second-Quarter 2008 Average Sales Prices and Average Manufacturer Prices: Impact on Medicare Reimbursement for Fourth Quarter 2008 (PDF) (OEI-03-09-00050)
02-10-2009: January Criminal and Civil Enforcement Report; Civil Monetary Penalty Enforcement Actions
02-06-2009: Medicaid and Medicare Home Health Payments for Skilled Nursing and Home Health Aide Services (PDF) (OEI-07-06-00641; 02/09); Review of Oxaliplatin Billing at Lovelace Medical Genter – Gibson for Calendar Year 2004 (A-06-08-00082); Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
02-02-2009: Review of Administrative and Clerical Costs at Duke University for the Period October 1, 2002, Through September 30, 2004 (A-04-05-01014); Review of High-Dollar Payments for Medicare Outpatient Claims Processed by TriSpan Health Services for the Period January 1 Through December 31, 2005 (A-06-08-00095); Review of Retiree Drug Subsidy Plan Sponsor Union Bank of California, N.A., for Plan Year Ended December 31, 2006 (A-09-09-00031); Review of Oxaliplatin Billing at San Angelo Community Medical Center for Calendar Year 2004 (A-06-08-00083); Follow-Up Audit of the Medicaid Drug Rebate Program in Alaska (A-09-08-00051)

January

01-28-2009: Medicare Administrative Law Judge Hearings: Update, 2007–2008 (PDF) (OEI-02-06-00111)
01-27-2009: Iowa's Medicaid Payments Claimed for Children’s Remedial Services (A-07-08-03112); 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, 2004 (A-06-08-00029); Review of Retiree Drug Subsidy Costs Reported by the City of Boston for Plan Years 2006 and 2007 (A-01-08-00605); Review of Medicaid Overpayments at Ledgeview Living Center for Calendar Years 2004 Through 2006 (A-01-08-00010)
01-23-2009: Administrative Law Judge Upholds HHS-OIG Exclusions Imposed Against Responsible Corporate Officers in OxyContin Case: Press Release (PDF)
01-21-2009: Review of High-Dollar Payments for Medicare Outpatient Services Processed by Pinnacle Business Solutions, Inc., During Calendar Year 2005 (A-06-08-00042); Review of Medicaid Outpatient Drug Expenditures in Connecticut for the Period October 1, 2003, Through September 30, 2005 (A-01-07-00003)
01-16-2009: Annual Performance Report: Fiscal Year 2008 (PDF); Review of Medicaid Overpayments at Victorian Villa Rehabilitation & Living Center for Calendar Years 2004 Through 2006 (A-01-08-00012); Review of Medicaid Outpatient Drug Expenditures in Tennessee for the Period October 1, 2003, Through September 30, 2005 (A-04-07-00027)
01-15-2009: Eli Lilly and Company Corporate Integrity Agreement (PDF)
01-13-2009: Exclusions and Reinstatements Occurring in the Month of December 2008
01-12-2009: Management of Information Technology Contracts at the Food and Drug Administration’s Center for Drug Evaluation and Research (PDF) (OEI-01-07-00450); The Food and Drug Administration’s Oversight of Clinical Investigators’ Financial Information (PDF) (OEI-05-07-00730)
01-07-2009: Advisory Opinion 08-24 (PDF)
(concerning investments in a rural medical practice group by 23 physicians and podiatrists); Review of High-Dollar Inpatient Claims Processed by Cahaba Government Benefit Administrators Fiscal Intermediary No. 00011 for the Period January 1, 2004, Through December 31, 2006 (A-04-08-00040); Updated Corporate Integrity Agreements (CIAs), Certification of Compliance Agreements (CCAs) and Integrity Agreements (IAs)
01-06-2009: Top HHS Management and Performance Challenges: FY 2008; Criminal and Civil Enforcement Actions: December

What's New Icon Return to What's New