What's New

April 16, 2021

Updated: Fraud Risk Indicator

April 15, 2021

Message from HHS-OIG Leadership on the COVID-19 Vaccination Program and Provider Compliance

Mensaje de la PDIG sobre el programa de vacunación contra el COVID-19 y (acatamiento) del proveedor

Updated: Work Plan

April 13, 2021

Georgia Generally Ensured That Nursing Facilities Reported Allegations of Potential Abuse or Neglect of Medicaid Beneficiaries and Prioritized Allegations Timely A-04-17-03084

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Enforcement Actions

April 15, 2021; U.S. Attorney’s Office, Middle District of Louisiana

Louisiana Doctor Sentenced to Prison for Conspiring to Receive Health Care Kickbacks

April 13, 2021; U.S. Attorney's Office, Southern District of New York

Doctor Sentenced To 9 Years In Prison In Widespread Scheme To Defraud Medicare And Other Health Insurance Providers Of Millions Of Dollars

April 13, 2021; U.S. Attorney's Office, Eastern District of Louisiana

Mandeville Man Is Charged with Health Care Fraud and Aggravated Identity Theft

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What's Trending

1. COVID-19 Fraud Alert
2. Trend Toward More Expensive Inpatient Hospital Stays in Medicare Emerged Before COVID-19 and Warrants Further Scrutiny
3. Medicare Advantage Organizations Are Missing Opportunities To Use Ordering Provider Identifiers To Protect Program Integrity
4. Oregon's Oversight Did Not Ensure That Four Coordinated-Care Organizations Complied With Selected Medicaid Requirements Related to Access to Care and Quality of Care
5. Hospitals Reported That the COVID-19 Pandemic Has Significantly Strained Health Care Delivery