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  • Medicare Telehealth Services During the First Year of the Pandemic: Program Integrity Risks

    September 7, 2022
    Medicare Telehealth Services During the First Year of the Pandemic: Program Integrity Risks

    Our recent report assesses the program integrity risks associated with Medicare telehealth services and identifies ways to safeguard Medicare from fraud, waste, and abuse related to telehealth.

  • COVID-19 Vaccination Status of Nursing Home Staff

    June 27, 2022
    A video still of COVID-19 vaccine bottles

    The COVID-19 pandemic has hit nursing homes particularly hard. To reduce the spread of COVID-19 in these facilities, all staff at nursing homes were required to complete a primary COVID-19 vaccination series by March 21, 2022, with some exceptions. An HHS-OIG audit assesses the vaccination status of nursing home staff nationwide as of March 27, 2022.

  • Eye on Oversight: Inaccuracies in Medicare’s Race and Ethnicity Data

    June 16, 2022
    Video - Inaccuracies in Medicare’s Race and Ethnicity Data

    An HHS-OIG report found that Medicare’s enrollment race and ethnicity data are less accurate for some groups, particularly for beneficiaries identified as American Indian/Alaska Native, Asian/Pacific Islander, or Hispanic.

  • 2022 Opioid Enforcement Action

    May 19, 2022
    2022 Opioid Enforcement Action

    The Department of Health and Human Services, Office of Inspector General (HHS-OIG), along with our State and Federal law enforcement partners, announced a nationwide law enforcement action on May 4, 2022.

  • Medicare Advantage Denials of Care

    April 28, 2022
    Eye on Oversight: Medicare Advantage Denials of Care

    A report, Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care (OEI-09-18-00260), showed that Medicare Advantage plans sometimes denied or delayed patients’ access to medically necessary services, even though the requests met Medicare coverage rules.

  • Inspector General Grimm HCCA 26th Annual Compliance Institute Keynote

    March 30, 2022
    Inspector General Grimm HCCA 26th Annual Compliance Institute Keynote

    HHS-OIG Inspector General Christi A. Grimm delivers remarks at the Health Care Compliance Association (HCCA) 26th Annual Compliance Institute on March 29, 2022.

  • Our Impact: HHS-OIG

    March 10, 2022
    Our Impact: HHS-OIG

    At the U.S. Department of Health and Human Services Office of Inspector General, 1,600-plus employees oversee more than 100 programs that support the health and well-being of millions of individuals nationwide, including children, people with disabilities, and older adults. And we’re delivering results.

  • HHS-OIG 2021 Year in Review

    December 8, 2021
    HHS-OIG 2021 Year in Review

    The Department of Health and Human Services (HHS), Office of Inspector General (OIG), remains committed to protecting the integrity of HHS programs and the well-being of individuals they serve. Our independent and objective oversight promotes the economy, efficiency, and effectiveness in HHS programs and operations. Check out our 2021 Year in Review to learn more about our work.

  • 2021 Top Management & Performance Challenges Facing HHS

    December 7, 2021
    2021 Top Management & Performance Challenges Facing HHS

    HHS-OIG has identified six top management and performance challenges (TMCs) that HHS faces as it strives to fulfill its mission to enhance the health and well-being of all Americans. These top challenges reflect overarching issues that affect multiple HHS programs and responsibilities, though these are not the only challenges that confront HHS. OIG reports are a key resource that highlight specific opportunities to improve HHS programs and operations.

  • HHS-OIG is Working for You

    October 25, 2021
    HHS-OIG is Working for You

    HHS-OIG is people focused and working for you by providing objective oversight of Medicare, Medicaid, and more than 100 other HHS programs that serve millions of people across the country.

  • Healthcare Fraud: What You Need To Know

    December 18, 2019
    Advertisement for a live event on healthcare fraud on December 11, 2019

    In OIG's first live broadcast, OIG investigators answer your questions on what you need to know about healthcare fraud.

  • Eye on Oversight - 2019 Year in Review

    December 16, 2019
    HHS OIG federal agents entering a home through the front door

    In fiscal year 2019, the HHS Office of Inspector General reported 809 criminal actions, 695 civil actions, and nearly six billion dollars in expected recoveries. Let's look at some other highlights from this year.

  • Eye on Oversight - The New HHS OIG Hotline

    November 14, 2019
    Nenette Day stands in a boardroom with an American flag in the background

    The HHS OIG Hotline receives tips and complaints from all sources regarding potential healthcare fraud, waste, abuse, and mismanagement in HHS programs. With nearly 115 thousand complaints received each year, OIG's Hotline is one of the largest in terms of volume of inquiries reviewed.

  • Eye on Oversight Special Edition: Challenges to Addressing Mental Health Needs of Children in the UAC Program

    September 4, 2019
    Two clinicians working at an Office of Refugee Resettlement facility

    OIG provides oversight of the Unaccompanied Alien Children program that is managed by HHS' Office of Refugee Resettlement, or ORR. In the summer of 2018, OIG conducted site visits and data collection at 45 facilities in ten states that provide temporary care to unaccompanied children. This large, multifaceted review focused on the health and safety of children in HHS custody. OIG is publishing a series of reports resulting from this review, including work that identifies challenges that facilities experienced in addressing children's mental health needs.

  • Eye On Oversight Special Edition: Employee Screenings in the UAC Program

    September 4, 2019
    A person wearing a shirt that says "STAFF" in front of a bowl of silverware in a cafeteria

    In the summer of 2018, OIG conducted a series of site visits at facilities funded by the Office of Refugee Resettlement, or ORR. At that time, ORR was experiencing a surge of children in its custody, under the Unaccompanied Alien Children Program. A recent OIG review focused on ORR-funded facilities' efforts to maintain appropriate levels of qualified, screened facility employees, including when the UAC program experiences a sudden change in the number or needs of children.

  • Genetic Testing Fraud Alert

    August 27, 2019
    "REPORT IT IMMEDIATELY" in white text with red highlight over a dark blue background

    Scammers are offering Medicare beneficiaries "free" genetic tests at health fairs, public events, door-to-door visits, and telemarketing calls. When Medicare is billed for genetic tests that are not medically necessary or are not ordered by your doctor, in most cases that's fraud. Don't share your Medicare number with anyone other than a trusted healthcare provider. If you think you are the victim of genetic testing fraud, report it immediately at 1-800-HHS-TIPS or 800-447-8477.

  • Eye on Oversight: ADHD Followup Care

    August 15, 2019
    A young boy stands in a sunny field

    An estimated 13 percent of children enrolled in Medicaid have been diagnosed with Attention Deficit Hyperactivity Disorder—or ADHD, which is a common neurobehavioral disorder. A new national report by the HHS Office of Inspector General found that many Medicaid-enrolled children with ADHD did not receive recommended follow up services.

  • Eye on Oversight: Medicaid Provider Enrollment Screening

    July 15, 2019
    A medical professional shows a clipboard to a patient

    The Medicaid program serves more people than any other Federal healthcare program. To ensure that Medicaid can continue serving the nation's most vulnerable populations, corrupt providers must be kept OUT of the program.

  • Eye On Oversight: Abuse & Neglect of Medicare Beneficiaries

    June 12, 2019
    An elderly man in a wheelchair looks up at curtains covering a window

    Two OIG reports issued in June 2019 address the identification, reporting and investigation of incidents of potential abuse and neglect of our nation's most vulnerable populations, including seniors and individuals with developmental disabilities.

  • Eye on Oversight Special Edition: Separated Children Placed in ORR Care

    January 17, 2019
    A woman sits at a table with a laptop and three other women behind her

    The Office of Refugee Resettlement (ORR) administers the Unaccompanied Alien Children (UAC) program. ORR uses the program's $1.4 billion annual budget to pay grantees to run facilities that serve unaccompanied children. Given the urgency and seriousness of the health and safety issues raised in 2018 at UAC facilities, OIG responded quickly, dedicating an unprecedented level of resources to conduct large, multi-faceted reviews. In just three weeks, more than 200 OIG staff completed multi-day site visits to 45 ORR-funded facilities across the country.