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December

12-15-2017
Updated: Work Plan
Advisory Opinion 17-08 (regarding your proposal to develop a state-wide network of nursing facilities that would provide discounts on the daily rates they charge to private long-term care insurers and the insurers' policyholders)
12-14-2017
Followup Review: CMS's Management of the Quality Payment Program (OEI-12-17-00350)
Updated Corporate Integrity Agreement List
12-11-2017
Advisory Opinion 17-07 (regarding a pharmaceutical manufacturer's proposal to collaborate with a trade association, a Medicare Advantage plan, and a hospital system to implement, fund, and evaluate a pilot program to provide the Medicare Advantage plan pharmacists who conduct medication therapy management services with new technology that would permit real-time electronic access to patient discharge information)
12-08-2017
Medicaid Fraud Control Units: Investigation and Prosecution of Fraud and Beneficiary Abuse in Medicaid Personal Care Services (OEI-12-16-00500)
Office of Refugee Resettlement Unaccompanied Alien Children Grantee Review—His House (A-04-16-03566)
12-07-2017
Pine Bluff Jefferson County Economic Opportunities Commission Did Not Always Operate Its Head Start Program in Accordance With Federal Requirements (A-06-16-00013)
Not All of Missouri's Child Care Subsidy Program Payments Complied With Federal and State Requirements (A-07-15-04226)
Two Indian Health Service Hospitals Had System Security and Physical Controls for Prescription Drug and Opioid Dispensing but Could Still Improve Controls (A-18-16-30540)
Updated Corporate Integrity Agreement List
12-06-2017
Updated Provider Self-Disclosure Settlements
12-05-2017
LEIE Database Updated with November 2017 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List
12-01-2017
CMS Did Not Adequately Address Discrepancies in the Coding Classification for Kwashiorkor (A-03-14-00010)
Texas Managed Care Organizations Received Medicaid Capitation Payments After Beneficiary's Death (A-06-16-05004)

November

11-30-2017
Fall Semiannual Report to Congress
11-29-2017
Updated Corporate Integrity Agreement List
11-28-2017
Rescinded Advisory Opinion 06-04 (rescinds Advisory Opinion 06-04, which concerned a nonprofit, tax-exempt, charitable corporation's proposal to provide financially needy Medicare beneficiaries with assistance with premiums and cost-sharing obligations)
New Jersey Claimed Hundreds of Millions in Unallowable or Unsupported Medicaid School-Based Reimbursement (A-02-15-01010)
11-27-2017
Excluding Noncovered Versions When Setting Payment for Two Part B Drugs Would Have Resulted in Lower Drug Costs for Medicare and its Beneficiaries (OEI-12-17-00260)
11-20-2017
Updated Civil Monetary Penalties and Affirmative Exclusions
11-17-2017
CMS Generally Met Requirements in Round 2 of the DMEPOS Competitive Bidding Program (A-05-14-00049)
Updated Corporate Integrity Agreement List
11-16-2017
Eye on Oversight Video: Grant Management
Medicare Compliance Review of Rush University Medical Center (A-05-16-00062)
U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, but Key Areas Require Improvement (A-17-17-02018)
Advisory Opinion 17-06 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would indirectly contract with hospitals for discounts on the otherwise applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
11-15-2017
Top Management & Performance Challenges Facing HHS
Updated: Work Plan
Updated: CIA Reportable Event Settlements
11-13-2017
North Carolina Did Not Comply With Federal and State Requirements When Making Medicaid Cost-Sharing Payments for Professional Medical Services (A-04-16-04054)
11-09-2017
Ohio Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-05-16-00013)
Oklahoma Did Not Correctly Process Adjustments to Medicare Crossover Claims (A-06-16-08012)
New York Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-02-15-01024)
11-08-2017
From Military Veteran to OIG Special Agent
11-07-2017
LEIE Database Updated with October 2017 Exclusions and Reinstatements
Kansas Received Millions in Unallowable Bonus Payments (A-04-16-08050)
Ohio Received Millions in Unallowable Bonus Payments (A-04-16-08049)
11-06-2017
Minnesota Did Not Comply With Federal Waiver and State Requirements for 18 of 20 Family Adult Foster Care Homes Reviewed (A-05-16-00044)
Updated Corporate Integrity Agreement List
11-03-2017
First Coast Service Options, Inc., Generally Claimed Allowable Medicare Pension Costs (A-07-16-00495)
First Coast Service Options, Inc., Understated Its Medicare Segment Pension Assets (A-07-16-00494)
First Coast Service Options, Inc., Understated Its Allocable Pension Costs (A-07-16-00493)
11-02-2017
CMS Ensured Nearly All Part D Drug Records Contained Valid Prescriber Identifiers in 2016 (OEI-03-17-00040)
New York Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV-E Foster Care Payments Were Recorded and Investigated in Accordance With State Requirements as Required by Federal Law (A-02-15-02014)
Updated Corporate Integrity Agreement List
Updated Provider Self-Disclosure Settlements
11-01-2017
Southeast Arkansas Community Action Corporation Did Not Always Operate Its Head Start Program in Accordance With Federal Regulations (A-06-16-00015)
Updated Civil Monetary Penalties and Affirmative Exclusions
Updated Corporate Integrity Agreement List

October

10-31-2017
Testimony of James A. Cannatti III, Senior Counselor for Health Information Technology, Office of Inspector General, U.S. Department of Health and Human Services: Senate Committee on Health, Education, Labor, and Pensions: Implementation of the 21st Century Cures Act: Achieving the Promise of Health Information Technology
10-27-2017
Updated Civil Monetary Penalties and Affirmative Exclusions
10-25-2017
Review of The Department of Health and Human Services (HHS) Cancellation of Marketplace Enrollment Outreach Efforts (OEI-12-17-00290)
HRSA Complied With Federal and HHS Grant Policies When Awarding Zika Response and Preparedness Appropriations Act Funds During Fiscal Year 2017 
10-23-2017
CMS Ensured That Medicare Shared Savings Program Beneficiaries Were Properly Assigned: Beneficiaries Were Assigned to Only One Accountable Care Organization and Were Not Assigned to Other Shared Savings Programs (A-09-17-03010)
Updated Civil Monetary Penalties and Affirmative Exclusions
10-19-2017
Updated Corporate Integrity Agreement List
10-16-2017
Updated: Work Plan
10-12-2017
CMS's Policies and Procedures Were Generally Effective in Ensuring That Capitation Payments Were Not Made After Beneficiaries' Dates of Death (A-07-16-05087)
10-11-2017
Job Opening: Attorney Application Deadline: October 20, 2017
Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part B Administrative Costs for Fiscal Year 2012 (A-05-15-00047)
Updated Civil Monetary Penalties and Affirmative Exclusions
10-06-2017
Some Ohio Group Homes Did Not Always Comply With Foster Care Health and Safety Requirements (A-05-16-00049)
National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00630 (A-05-15-00045)
National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00130 (A-05-16-00034)
National Government Services Properly Claimed Allowable Administrative Costs for the Last Three Quarters of Fiscal Years 2011 and 2012 Under Medicare Contract 00450 (A-05-16-00035)
Updated Civil Monetary Penalties and Affirmative Exclusions
10-05-2017
The Food and Drug Administration Generally Spent Prescription Drug User Fee Collections Appropriately (A-05-16-00040)
The Administration for Children and Families Region VI Did Not Always Resolve Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements  (A-06-16-00019)
The District of Columbia Claimed Some Day Treatment Program Services That Were Not in Compliance With Federal or District Requirements (A-03-16-00201)
10-04-2017
Podcast: Health IT Security
LEIE Database Updated with September 2017 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List
10-03-2017
Medicare Payments for Clinical Diagnostic Laboratory Tests in 2016: Year 3 of Baseline Data (OEI-09-17-00140)
The Turtle Mountain Band of Chippewa Indians Improperly Administered Some Low-Income Home Energy Assistance Program Funds for Fiscal Years 2010 Through 2013 (A-07-16-04233)
Updated Provider Self-Disclosure Settlements
10-02-2017
Protect Yourself from Medical Identity Theft
Shortcomings of Device Claims Data Complicate and Potentially Increase Medicare Costs for Recalled and Prematurely-Failed Devices (A-01-15-00504)
Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2015 Average Sales Prices  (OEI-03-17-00360)
Wyoming State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00530)

September

09-29-2017
A Few States Fell Short in Timely Investigation of the Most Serious Nursing Home Complaints: 2011-2015 (OEI-01-16-00330)
Enhancements Needed in the Tracking and Collection of Medicare Overpayments Identified by ZPICs and PSCs  (OEI-03-13-00630)
The Centers for Medicare & Medicaid Services Could Improve Performance Measures Associated With the Fraud Prevention System  (A-01-15-00509)
Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part A Administrative Costs for Fiscal Year 2012  (A-05-15-00046)
09-28-2017
Hawaii Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02029)
Washington State Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02028)
CMS Did Not Provide Effective Oversight To Ensure That State Marketplaces Always Properly Determined Individuals' Eligibility for Qualified Health Plans and Insurance Affordability Programs (A-09-16-01002)
Some Oklahoma Group Homes Did Not Always Comply With State Requirements (A-06-16-07004)
Updated Civil Monetary Penalties and Affirmative Exclusions
09-27-2017
Challenges Remain in FDA's Inspections of Domestic Food Facilities (OEI-02-14-00420)
09-26-2017
California Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV E Foster Care Payments Were Properly Recorded, Investigated, and Resolved (A-09-16-01000)
Integrated Health Administrative Services, Inc., Improperly Claimed Medicare Part B Reimbursement for Portable X-ray Services (A-02-15-01008)
Minnesota Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program (A-05-15-00026)
Massachusetts Generally Complied With State Requirements To Ensure Children Who Were Title IV-E Eligible and Residing in Foster Care Congregate Care Group Homes Received Required Medical Services (A-01-16-02501)
09-22-2017
Kentucky State Medicaid Fraud Control Unit: 2017 Onsite Review (OEI-06-17-00030)
Alaska State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00430)
Medicare Compliance Review of Parkridge Medical Center, Inc., for 2014 and 2015 (A-04-16-08048)
Vulnerabilities Remain in Medicare Hospital Outlier Payments (A-07-14-02800)
09-21-2017
Medicare Inappropriately Paid Acute-Care Hospitals for Outpatient Services They Provided to Beneficiaries Who Were Inpatients of Other Facilities (A-09-16-02026)
09-20-2017
OHRP Should Inform Potential Complainants of How They Can Seek Whistleblower Protections (OEI-01-15-00351)
Alabama Did Not Adequately Secure Its Medicaid Data and Information Systems (A-04-15-05065)
09-19-2017
Wisconsin Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-05-15-00049)
Blue Cross Blue Shield Association Generally Claimed Allowable Medicare Postretirement Benefit Costs (A-07-17-00521)
Nevada Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02027)
Sierra Nevada Memorial Hospital Did Not Accurately Report Certain Wage Data, Resulting in Overpayments to California Hospitals (A-09-16-02044)
09-15-2017
Updated: Work Plan
Drug Supply Chain Security: Wholesalers Exchange Most Tracing Information (OEI-05-14-00640)
Updated Corporate Integrity Agreement List
09-13-2017
Job Opening: Experienced Litigator Application Deadline: September 27, 2017
Arkansas Did Not Make Supplemental Payments in Accordance With Federal Requirements (A-06-15-00042)
09-12-2017
New York State Improperly Claimed Medicaid Reimbursement for Some Managed Long-Term Care Payments  (A-02-15-01026)
CMS Oversight Must Continue Because All Remaining Consumer Operated and Oriented Plans Were Not Profitable and May Not Be Viable and Sustainable (A-05-16-00027)
Companion Data Services, LLC, Understated Its Allocable Pension Costs (A-07-17-00511)
Companion Data Services, LLC, Overstated Its Medicare Segment Pension Assets (A-07-17-00512)
Updated Provider Self-Disclosure Settlements
09-11-2017
OCIG Spring and Summer Internship Opportunities
Kansas Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-07-17-03218)
Blue Cross Blue Shield of South Carolina Overstated Its Allocable Qualified Pension Plan Costs (A-07-17-00509)
CMS and Its Claims Processing Contractors Issued Conflicting Guidance on the Proper Use of the KX Modifier for Part B Immunosuppressive Drug Claims  (A-06-15-00018)
09-08-2017
Challenges Appear to Limit States' Use of Medicaid Payment Suspensions (OEI-09-14-00020)
09-07-2017
LEIE Database Updated with August 2017 Exclusions and Reinstatements
Advisory Opinion 17-05 (regarding a retail pharmacy chain's proposal to allow Federal health care program beneficiaries to participate in a paid membership program that includes discounts on certain prescriptions and clinic services)
Updated Corporate Integrity Agreement List
09-05-2017
Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2014 Average Sales Prices (OEI 03-16-00540)
Calculation of Potential Inflation-Indexed Rebates For Medicare Part B Drugs 2017 (OEI-12-17-00180)
09-01-2017
Oklahoma Did Not Adequately Oversee Its Medicaid Nonemergency Medical Transportation Program (A-06-16-00007)

August

08-31-2017
As Funding for BPA Research Increased, NIEHS Followed Its Peer Review Process While Also Exercising Its Discretion (OEI-01-15-00150)
Advisory Opinion 17-04 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby insurance companies indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for their policyholders and, in turn, provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
08-30-2017
Updated Corporate Integrity Agreement List
08-29-2017
Fox Rehabilitation Claimed Unallowable Medicare Reimbursement for Outpatient Therapy Services (A-02-16-01004)
Accredo Health Group, Inc., Properly Billed Medicare for Inhalation Drugs (A-09-16-02022)
Medicare Shared Savings Program Accountable Care Organizations Have Shown Potential for Reducing Spending and Improving Quality (OEI-02-15-00450)
08-28-2017
Early Alert: The Centers for Medicare & Medicaid Services Has Inadequate Procedures To Ensure That Incidents of Potential Abuse or Neglect at Skilled Nursing Facilities Are Identified and Reported in Accordance With Applicable Requirements (A-01-17-00504)
Job Opening: Attorney Application Deadline: September 22, 2017
08-25-2017
Advisory Opinion 17-03 (regarding a pharmaceutical manufacturer's proposal to replace products that require specialized handling that could not be administered to patients for certain reasons, at no additional charge to the purchaser)
08-24-2017
TrailBlazer Health Enterprises, LLC, Claimed Some Unallowable Medicare Administrative Contract Pension Costs (A-07-17-00510)
08-23-2017
Colorado State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI 06-16-00520)
08-22-2017
FDA Oversight of Tobacco Manufacturing Establishments (OEI-01-15-00300)
08-21-2017
Kentucky Did Not Always Perform Medicaid Eligibility Determinations for Non-Newly Eligible Beneficiaries in Accordance With Federal and State Requirements (A-04-16-08047)
Public Summary Report: The State of North Carolina Did Not Ensure That Federal Information System Security Requirements Were Met for Safeguarding Its Medicaid Claims Processing Systems and Data (A-07-16-00469)
08-18-2017
Public Summary Report: Information Technology Control Weaknesses Found in the New Mexico Human Services Department's Medicaid Eligibility Systems (A-06-16-05000)
A Brooklyn Chiropractor Received Unallowable Medicare Payments for Chiropractic Services (A-02-13-01047)
The Ministry of Health and Social Welfare National AIDS Control Program Did Not Always Manage and Expend PEPFAR Funds in Accordance With Award Requirements (A-04-16-04044)
The Administration for Children and Families Region IX Resolved Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-09-16-01003)
08-17-2017
Updated Corporate Integrity Agreement List
08-16-2017
Texas Improperly Received Medicaid Reimbursement for School-Based Health Services (A-06-14-00002)
08-15-2017
Updated: Work Plan
08-14-2017
TrailBlazer Health Enterprises, LLC, Understated Its Medicare Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Excess Pension Assets (A-07-17-00507)
TrailBlazer Health Enterprises, LLC, Did Not Claim Some Allowable Medicare Pension Costs (A-07-17-00508)
08-10-2017
Maine Did Not Comply With Federal and State Requirements for Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities (A-01-16-00001)
Updated Civil Monetary Penalties and Affirmative Exclusions
Updated Corporate Integrity Agreement List
08-07-2017
Eye on Oversight: The Importance of OIG Audits
LEIE Database Updated with July 2017 Exclusions and Reinstatements
Updated Provider Self-Disclosure Settlements
08-04-2017
Medicare Paid New England Providers Twice for Nonphysician Outpatient Services Provided Shortly Before or During Inpatient Stays During Calendar Years 2013 and CY 2014 (A-01-15-00511)
Ohio Ensured That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV-E Foster Care Payments Were Recorded and Investigated in Accordance With State Requirements as Required by Federal Law (A-05-16-00020)
The Three Affiliated Tribes Improperly Administered Low-Income Home Energy Assistance Program Funds for Fiscal Years 2010 Through 2014 (A-07-16-04230)
Updated Corporate Integrity Agreement List
08-03-2017
Podcast: Independence of the Office for Human Research Protections
HHS's Office of Refugee Resettlement Improved Coordination and Outreach to Promote the Safety and Well-Being of Unaccompanied Alien Children (OEI-09-16-00260)
08-02-2017
Updated Corporate Integrity Agreement List
08-01-2017
Updated CIA Reportable Event Settlements

July

07-31-2017
OHRP Generally Conducted Its Compliance Activities Independently, But Changes Would Strengthen Its Independence (OEI-01-15-00350)
07-27-2017
Some Hospitals in Medicare Jurisdiction F Claimed Residents as More Than One Full-Time Equivalent (A-02-15-01028)
Some Hospitals in Medicare Jurisdiction E Claimed Residents as More Than One Full-Time Equivalent (A-02-15-01027)
07-26-2017
Eye on Oversight: Electronic Health Records
07-19-2017
Review of Pennsylvania Medicaid Managed Care Program Potential Savings With Minimum Medical Loss Ratio (A-03-15-00203)
07-18-2017
Testimony of Erin Bliss, Assistant Inspector General for Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Examining HRSA's Oversight of the 340B Drug Pricing Program"
Palmetto Government Benefits Administrator, LLC, Understated Its Medicare Segment Pension Assets (A-07-17-00503)
Palmetto Government Benefits Administrator, LLC, Generally Claimed Allowable Medicare Pension Costs (A-07-17-00504)
Palmetto Government Benefits Administrator, LLC, Understated Its Medicare Segment Allocable Pension Costs (A-07-17-00505)
Updated Corporate Integrity Agreement List
07-17-2017
Updated: Work Plan
07-14-2017
First Coast Service Options, Inc., Understated Its Medicare Segment and Overstated Its Other Segment Allocable Postretirement Benefit Costs (A-07-17-00502)
First Coast Service Options, Inc., Did Not Claim Some Allowable Medicare Postretirement Benefit Costs (A-07-17-00500)
First Coast Service Options, Inc., Overstated Its Medicare Segment Postretirement Benefit Assets (A-07-17-00499)
07-13-2017
2017 National Takedown
Opioids in Medicare Part D: Concerns about Extreme Use and Questionable Prescribing (OEI-02-17-00250)
07-12-2017
Updated Corporate Integrity Agreement List
07-10-2017
Updated Civil Monetary Penalties and Affirmative Exclusions
07-07-2017
Advisory Opinion 17-02 (regarding a hospital outpatient facility's proposal to reduce or waive, on a non-routine, unadvertised basis, cost-sharing amounts owed by financially needy Medicare beneficiaries for items and services furnished in connection with a clinical research study)
07-06-2017
Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2017 (OEI-05-17-00160)
Updated Provider Self-Disclosure Settlements
07-05-2017
LEIE Database Updated with June 2017 Exclusions and Reinstatements
Wisconsin Physicians Service Insurance Corporation Did Not Properly Settle Missouri Medicare Disproportionate Share Hospital Payments (A-07-16-04229)
Public Summary Report: Readiness of CDC's Strategic National Stockpile Could Be at Risk in Case of a Public Health Emergency (A-04-16-03554)
Louisiana Complied With the Requirements of the Social Security Act in Its Review of Cases of Credible Allegations of Medicaid Fraud (A-06-16-00010)

June

06-29-2017
Ariel Foundation Against Pediatric AIDS Managed and Expended the President's Emergency Plan for AIDS Relief Funds in Accordance with Award Requirements (A-04-16-04052)
06-27-2017
T-MSIS Data Not Yet Available for Overseeing Medicaid (OEI-05-15-00050)
06-21-2017
Management and Development for Health Did Not Always Manage the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-16-04045)
06-19-2017
Updated Civil Monetary Penalties and Affirmative Exclusions
06-15-2017
Updated: Work Plan
Updated Corporate Integrity Agreement List
06-14-2017
Updated Civil Monetary Penalties and Affirmative Exclusions
06-13-2017
2016 Performance Data for the Senior Medicare Patrol Project (OEI-02-17-00220)
Updated Oklahoma State False Claims Act Review
Updated Corporate Integrity Agreement List
06-12-2017
Medicare Paid Hundreds of Millions in Electronic Health Record Incentive Payments That Did Not Comply With Federal Requirements (A-05-14-00047)
Review of Wisconsin Medicaid Managed Care Program Potential Savings With Minimum Medical Loss Ratio (A-05-15-00040)
Medicare Market Shares of Mail Order Diabetes Test Strips From October Through December 2016 (OEI-04-16-00473)
06-09-2017
Round 2 Competitive Bidding for CPAP/RAD: Disrupted Access Unlikely for Devices, Inconclusive for Supplies (OEI-01-15-00040)
06-08-2017
Eye on Oversight: Abuse in Nursing Homes
Updated Corporate Integrity Agreement List
06-07-2017
LEIE Database Updated with May 2017 Exclusions and Reinstatements
06-05-2017
Wisconsin State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00240)
06-02-2017
Updated Corporate Integrity Agreement List
Updated Provider Self-Disclosure Settlements
06-01-2017
Spring 2017 Semiannual Report to Congress

May

05-31-2017
Updated Corporate Integrity Agreement List
05-30-2017
Texas Did Not Always Ensure That Allegations and Referrals of Abuse and Neglect of Children Eligible for Title IV-E Foster Care Payments Were Recorded and Investigated in Accordance With Federal and State Requirements (A-06-15-00049)
05-26-2017
Minnesota Disbursed Only Part of Its Civil Money Penalty Collections, Limiting Resources To Protect and Improve Care for Nursing Facility Residents (A-05-16-00017)
Podcast: Combatting Opioid Abuse—OIG's Work Against the Opioid Epidemic
05-25-2017
Asian American and Pacific Islander Heritage Month
CDC Generally Met Its Inspection Goals for the Federal Select Agent Program; However, Opportunities Exist To Strengthen Oversight (OEI-04-15-00430)
05-24-2017
Updated Corporate Integrity Agreement List
05-23-2017
FY 2018 Congressional Budget Justification
05-22-2017
Medicare Could Save Millions by Eliminating the Lump-Sum Purchase Option for All Power Mobility Devices (A-05-15-00020)
05-19-2017
Medicaid Fraud Control Units Fiscal Year 2016 Annual Report (OEI-09-17-00210)
Public Summary Report: Virginia Did Not Adequately Secure Its Medicaid Data (A-04-15-05066)
05-18-2017
HHS Did Not Identify and Report Antideficiency Act Violations (A-03-13-03002)
05-17-2017
Compendium of Unimplemented Recommendations
05-16-2017
U.S. Department of Health and Human Services Met Many Requirements of the Improper Payments Information Act of 2002 but Did Not Fully Comply for Fiscal Year 2016 (17-17-52000)
Medical Ambulance Services, Inc., Claimed Unallowable Reimbursement for Medicare Part B Ambulance Services (A-02-15-01016)
A Missouri Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Physical Therapy Services (A-07-14-01147)
Updated Civil Monetary Penalties and Affirmative Exclusions
05-15-2017
Kentucky Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries (A-04-15-08044)
Iowa Did Not Invoice Rebates to Manufacturers for Physician-Administered Drugs of Medicaid Managed-Care Organizations (A-07-16-06065)
CGS Administrators, LLC, Overstated Its CIGNA Pension Plan Medicare Segment Pension Assets and Understated Medicare's Share of Excess Pension Liabilities  (A-07-16-00470)
CGS Administrators, LLC, Understated Its CIGNA Pension Plan for Certain Former Employees Medicare Segment Pension Assets and Understated Medicare's Share of Excess Pension Assets (A-07-16-00491)
05-12-2017
CGS Administrators, LLC, Generally Claimed Allowable Medicare Pension Costs (A-07-16-00489)
CGS Administrators, LLC, Did Not Claim Some Allowable Medicare Administrative Contract Postretirement Benefit Costs (A-07-17-00498)
CGS Administrators, LLC, Claimed Some Unallowable Medicare Administrative Contract Pension Costs (A-07-16-00490)
05-09-2017
Service to the Nation: In the Military and HHS OIG
Briefing to The Honorable Gus Bilirakis, Subcommittee on Health, Committee on Energy and Commerce, House of Representatives Audit Briefing (A-02-17-02001)
05-08-2017
LEIE Database Updated with April 2017 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List
05-04-2017
CMS Validated Hospital Inpatient Quality Reporting Program Data, But Should Use Additional Tools to Identify Gaming (OEI-01-15-00320)
Updated Provider Self-Disclosure Settlements
05-03-2017
Medicare Compliance Review of Mount Sinai Hospital for 2012 and 2013 (A-02-14-01019)
Updated Corporate Integrity Agreement List
Updated Civil Monetary Penalties and Affirmative Exclusions
05-02-2017
Testimony of Christi A. Grimm, Chief of Staff, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Combatting Waste, Fraud, and Abuse in Medicaid's Personal Care Services Program"

April

04-28-2017
Economic Opportunity Commission of Nassau County, Inc., Claimed Some Unallowable Hurricane Sandy Disaster Relief Act Funds (A-02-15-02009)
Illinois Made Correct Medicaid Claim Adjustments (A-05-15-00031)
Medicare Compliance Review of the University of Arkansas for Medical Sciences Medical Center for 2013 and 2014 (A-06-16-00005)
Daniel R. Levinson Keynote Address at the 2017 HCCA Compliance Institute
04-27-2017
Indian Health and Human Services Resources
Updated Corporate Integrity Agreement List
04-21-2017
California Incorrectly Claimed Additional Medicaid Funding Authorized Under the Recovery Act When Reclaiming Overpayments Made to Bankrupt or Out-of-Business Providers (A-09-14-02030)
Florida Did Not Suspend Medicaid Payments to Some Providers That Had Credible Fraud Allegation Cases in Accordance With the Social Security Act (A-04-14-07046)
Ohio's and Michigan's Sales and Use Taxes on Medicaid Managed Care Organization Services Do Not Meet Broad-Based Requirement (A-03-16-00200)
04-20-2017
New Jersey Claimed Medicaid Reimbursement for Adult Partial Hospitalization Services That Did Not Comply With Federal and State Requirements (A-02-14-01015)
04-19-2017
Updated Corporate Integrity Agreement List
04-11-2017
Updated Provider Self-Disclosure Settlements
04-10-2017
Updated Civil Monetary Penalties and Affirmative Exclusions
04-07-2017
Ohio Made Incorrect Medicaid Payments to Providers for Full Vials of Herceptin (A-05-15-00032)
Texas Made Unallowable Medicaid Managed Care Payments for Beneficiaries Assigned More Than One Medicaid Identification Number (A-06-15-00024)
Updated Corporate Integrity Agreement List
04-06-2017
LEIE Database Updated with March 2017 Exclusions and Reinstatements
Updated Civil Monetary Penalties and Affirmative Exclusions

March

03-30-2017
Wisconsin Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-05-16-00014)
03-28-2017
Medicare Compliance Review of Jackson-Madison County General Hospital for Claims Paid From June 1, 2013, Through May 31, 2015 (A-04-15-04042)
03-27-2017
Measuring Compliance Program Effectiveness: A Resource Guide
03-24-2017
Mildmay Uganda Did Not Always Manage the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-15-04039)
Missouri Properly Verified Correction of Deficiencies Identified During Surveys of Nursing Homes (A-07-16-03217)
03-22-2017
Strength in Diversity: Women at OIG
Mississippi Claimed Millions in Unallowable School-Based Medicaid Administrative Costs (A-04-15-00103)
Updated Civil Monetary Penalties and Affirmative Exclusions
03-20-2017
Alta Bates Medical Center Inaccurately Reported Wage Data, Resulting in Medicare Overpayments Audit (A-09-14-02035)
Cleveland Clinic Lerner College of Medicine Inappropriately Drew Down Hurricane Sandy Disaster Relief Act Funds and Did Not Always Implement Effective Internal Controls Audit (A-02-15-02011)
03-17-2017
Data Inadequacies Undermine CMS's Oversight of the Inconsistency Resolution Process for the Federal Marketplace (OEI-01-14-00620)
03-15-2017
Updated Civil Monetary Penalties and Affirmative Exclusions
03-14-2017
Nantucket Cottage Hospital Did Not Accurately Report Certain Wage Data, Resulting in Overpayments to Massachusetts Hospitals (A-01-15-00502)
Public Summary Report: Information Technology Control Weaknesses Found at the Commonwealth of Massachusetts' Medicaid Management Information System (A-06-15-00057)
Hospitals Nationwide Generally Did Not Comply With Medicare Requirements for Billing Outpatient Right Heart Catheterizations With Heart Biopsies (A-01-13-00511)
03-13-2017
Medicare Compliance Review of University of Florida Health Jacksonville for 2013 and 2014 (A-04-15-07057)
Blue Cross Blue Shield Association Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2011 Through 2015 (A-07-17-00497)
Blue Cross Blue Shield Association Overstated Its Medicare Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Excess Pension Assets as of September 30, 2015 (A-07-17-00496)
03-10-2017
Advisory Opinion 17-01 (regarding a hospital system's proposal to provide free or reduced-cost lodging and meals to certain financially needy patients)
Modification of Advisory Opinion 02-1 (modifies Advisory Opinion 02-1, which concerned a non-profit, tax-exempt, charitable organization's providing cost-sharing and premium assistance to financially needy patients diagnosed with specific chronic illnesses and rare disorders, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
03-09-2017
Testimony of Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Appropriations: Subcommittee on Labor, Health and Human Services, Education, and Related Agencies: "Management Challenges at the Departments of Labor, Health and Human Services, and Education and the Social Security Administration"
Review of Blue Cross Blue Shield Association Final Administrative Cost Proposals for Fiscal Years 2010 Through 2015 (A-05-15-00056)
Medicare Contractors' Payments to Providers for Hospital Outpatient Dental Services Generally Did Not Comply With Medicare Requirements (A-06-16-05003)
Nebraska Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Transportation Program (A-07-16-03209)
03-08-2017
Medicare Compliance Review of Mayo Clinic Florida for 2013 and 2014 (A-04-15-07058)
New York Improperly Claimed Federal Medicaid Reimbursement for Partial Hospitalization Services (A-02-16-01013)
Updated Provider Self-Disclosure Settlements
03-07-2017
LEIE Database Updated with February 2017 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List
03-06-2017
Podcast: Medicaid Fraud Control Units
Medicaid Fraud Control Units Statistical Data for Fiscal Year 2016
03-03-2017
Fraud Alert: HHS OIG Hotline Telephone Number Used in Scam
Video Series Eye on Oversight: Medical Identity Theft
03-01-2017
Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2016 (A-18-16-30350)

February

02-28-2017
Diversity and Inclusion Fuels HHS Office of Inspector General's Fraud-Fighting Success
02-24-2017
Updated Corporate Integrity Agreement List: 1 CIA Added
02-23-2017
New Jersey Claimed Some Unallowable Costs Under a Hurricane Sandy Disaster Relief Act Grant (A-02-15-02005)
02-17-2017
Drug-Pricing and Reimbursement Portfolio
02-16-2017
Newark Preschool Council, Inc., Did Not Always Comply With Head Start Requirements (A-02-14-02024)
02-15-2017
New York Claimed Medicaid Reimbursement for Unallowable Dental Services Billed by a Dentist Based in Westchester County (A-02-13-01033)
New York Claimed Medicaid Reimbursement for Unallowable Dental Services Billed by a Dentist Based in Queens (A-02-13-01034)
02-14-2017
Updated Civil Monetary Penalties and Affirmative Exclusions
02-13-2017
The University of California at Riverside's Pilot Payroll Certification System Did Not Provide Accountability Over Payroll Charges to Federal Awards (A-04-13-01026)
02-08-2017
Puerto Rico's Controls for Its Child Care and Development Program Claims Were Not Effective (A-02-13-02005)
Updated Corporate Integrity Agreement List: 1 CIA Added
Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
02-07-2017
LEIE Database Updated with January 2017 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: 7 CIAs Closed
02-06-2017
HHS OIG's Podcast: Voluntary Tribal Compliance Agreement
Medicare Market Shares of Mail Order Diabetes Test Strips From July Through September 2016 (OEI-04-16-00471)
02-03-2017
CDC Awarded Selected Ebola Funds for International Response Activities in Accordance With Applicable Laws, Regulations, and Departmental Guidance (A-04-16-03568)
Kentucky Misallocated Millions to Establishment Grants for a Health Insurance Marketplace (A-04-14-07050)
Vidant Medical Center Incorrectly Billed Medicare Inpatient Claims with Severe Malnutrition (A-03-15-00011)
02-02-2017
New Jersey Should Strengthen Hurricane Sandy Social Services Block Grant Internal Controls (A-02-14-02010)
02-01-2017
Fall Health Care Fraud and Abuse Legal Internship Program

January

01-31-2017
Testimony of Ann Maxwell, Assistant Inspector General, Office of Inspector General, U.S. Department of Health and Human Services: Medicaid Oversight: House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Existing Problems and Ways to Strengthen the Program"
Testimony of Vicki L. Robinson, Senior Counselor for Policy, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Oversight and Government Reform: Subcommittee on Health Care, Benefits, and Administrative Rules: "Fraud, Waste, and Abuse Under the Affordable Care Act"
01-30-2017
Updated Corporate Integrity Agreement List: 1 CIAs Added
01-26-2017
Review of California Medicaid Managed-Care Program Potential Savings With Minimum Medical Loss Ratio (A-09-15-02025)
01-25-2017
Updated Corporate Integrity Agreement List: 2 CIAs Added
01-23-2017
Excluded and Unlicensed New Jersey Dentist Who Assumed Identity of Another Dentist Agrees to Settlement of $1.1 Million and 50-Year Exclusion to Resolve Civil Monetary Penalty Case
Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2015 (A-18-16-30300)
Updated Corporate Integrity Agreement List: 1 CIA Added
01-19-2017
Independent Attestation Review: Indian Health Service Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00351)
Independent Attestation Review: National Institutes of Health Fiscal Year 2016 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00352)
Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00353)
Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00354)
Independent Attestation Review: Centers for Disease Control and Prevention Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-17-00355)
01-18-2017
FY 2016 Health Care Fraud and Abuse Control Program Report
Video Series Eye on Oversight: Exclusions
California Improperly Claimed Federal Medicaid Reimbursement for Certain Nonemergency Services (A-09-15-02020)
Northside Medical Center Incorrectly Billed Medicare Inpatient Claims with Severe Malnutrition (A-03-15-00012)
A Southern California Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-09-15-02015)
Updated Civil Monetary Penalties and Affirmative Exclusions
01-13-2017
Updated Provider Self-Disclosure Settlements
01-12-2017
Louisiana Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Program (A-06-15-00019)
Delaware Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-03-15-00202)
01-11-2017
Final Rule: Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Exclusion Authorities
01-10-2017
Podcast: December 2016 OIG Monthly Update
01-09-2017
Colorado Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-14-06050)
Medicare Compliance Review of NorthShore University HealthSystem for 2013 and 2014 (A-05-15-00044)
Updated Corporate Integrity Agreement List: 1 CIA Added
01-06-2017
LEIE Database Updated with December 2016 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: CIAs Added & Closed
01-05-2017
High-Price Drugs Are Increasing Federal Payments for Medicare Part D Catastrophic Coverage (OEI-02-16-00270)
Virginia Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-03-15-00201)
Medicare Compliance Review of Abbott Northwestern Hospital for 2013 and 2014 (A-05-15-00043)
01-03-2017
Updated Corporate Integrity Agreement List: 5 CIAs Added

December

12-30-2016
The Ohio State University Monitored Subrecipients and Claimed Allowable National Institutes of Health Grant Costs (A-05-16-00039)
Medicare Compliance Review of University of Mississippi Medical Center for 2013 and 2014 (A-04-15-00105)
Audit of Costs Normally Treated as Administrative and Clerical Costs but Charged Directly to HHS Awards at the University of Louisville (A-04-13-01022)
Review of South Carolina's Medicaid Managed Care Program Potential Savings With Minimum Medical Loss Ratio (A-04-16-06191)
Medicare Compliance Review of North Mississippi Medical Center for 2013 and 2014 (A-04-15-00106)
12-29-2016
New Jersey Claimed Medicaid Adult Mental Health Partial Care Services That Were Not in Compliance With Federal and State Requirements (A-02-13-01029)
Colorado Did Not Correctly Expend Establishment Grant Funds for Establishing a Health Insurance Marketplace (A-07-14-02801)
12-23-2016
Case Review of Inpatient Rehabilitation Hospital Patients Not Suited for Intensive Therapy (OEI-06-16-00360)
12-21-2016
Early Implementation Review: CMS's Management of the Quality Payment Program (OEI-12-16-00400)
12-20-2016
Advisory Opinion 16-13 (regarding: (i) a proposal to waive cost-sharing obligations incurred by individuals for health care services required for participation in a government-funded clinical research study (the "Proposed Arrangement"); and (ii) the payment of a stipend to study participants for the time and effort required to participate in study visits)
12-19-2016
Vulnerabilities Remain Under Medicare's 2-Midnight Hospital Policy (OEI-02-15-00020)
12-15-2016
Oregon State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00200)
Housing Works, Inc., Did Not Always Comply With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-02-15-02001)
Updated Civil Monetary Penalties and Affirmative Exclusions
12-14-2016
2016 Year in Review: Watch the Video and Listen to the Podcast
12-13-2016
California Did Not Bill Manufacturers for Rebates for Physician-Administered Drugs Dispensed to Enrollees of Some Medicaid Managed-Care Organizations (A-09-15-02035)
Audit of Medicaid Capitation Payments for Deceased Beneficiaries in Florida (A-04-15-06182)
12-12-2016
LEIE Database Updated with November 2016 Exclusions and Reinstatements
12-08-2016
Updated Provider Self-Disclosure Settlements
12-07-2016
Policy Statement Regarding Gifts of Nominal Value To Medicare and Medicaid Beneficiaries
Updated Corporate Integrity Agreement List: 5 CIAs Closed
CAPTURED: Martinez Ruiz
12-06-2016
Final Rule: Medicare and State Health Care Programs: Fraud and Abuse; Revisions to the Office of Inspector General's Civil Monetary Penalty Rules
Final Rule: Medicare and State Health Care Programs: Fraud and Abuse; Revisions to the Safe Harbors Under the Anti-Kickback Statute and Civil Monetary Penalty Rules Regarding Beneficiary Inducements
Medicare Market Shares of Mail Order Diabetes Test Strips From April to June 2016 (OEI-04-16-00470)
Updated Civil Monetary Penalties and Affirmative Exclusions
12-05-2016
Podcast: November 2016 OIG Monthly Update
Advisory Opinion 16-12 (regarding a laboratory's proposal to provide services consisting of the labeling of test tubes and specimen collection containers at no cost to dialysis facilities)
Review of Massachusetts Medicaid Managed Care Program Potential Savings with Minimum Medical Loss Ratio (A-01-15-00505)
Hospitals Did Not Always Comply With Medicare Requirements for Reporting Cochlear Devices Replaced Without Cost (A-01-15-00508)
Visiting Nurse Service of New York Budgeted Costs That Were Not Appropriate and Claimed Some Unallowable Hurricane Sandy Disaster Relief Act Funds (A-02-14-02012)
12-01-2016
Updated Civil Monetary Penalties and Affirmative Exclusions

November

11-30-2016
Fall Semiannual Report to Congress
11-28-2016
The Minnesota Marketplace Misallocated Federal Funds and Claimed Unallowable Costs (A-05-14-00045)
11-23-2016
North Carolina Improperly Claimed Federal Reimbursement for Some Medicaid Nonemergency Transportation Services (A-04-15-04037)
11-22-2016
Indiana Did Not Always Make Correct Medicaid Claim Adjustments (A-05-15-00022)
New York Misallocated Costs to Establishment Grants for a Health Insurance Marketplace (A-02-14-02017)
11-21-2016
Podcast: The HHS OIG Hotline
11-18-2016
Updated Corporate Integrity Agreement List: 1 CIA Added
11-17-2016
Top Management & Performance Challenges Facing HHS
11-16-2016
Updated Civil Monetary Penalties and Affirmative Exclusions
11-15-2016
New Jersey OB/GYN Settles Fraudulent Billing Allegations, Agrees to 20-Year Exclusion from Medicare, Medicaid
Video Series Eye on Oversight: Challenges in Indian Health Service Hospitals
11-14-2016
Updated Stipulated Penalties and Exclusion for Material Breach
11-10-2016
FY 2017 Office of Inspector General Work Plan
Public Summary Report: New York Implemented Security Controls Over Its Health Insurance Exchange Web Site and Database but Could Improve Security Controls (A-02-15-03001)
11-09-2016
New York Claimed Medicaid Reimbursement for Unallowable Dental Services Billed by a Dentist Based in New York City (A-02-13-01032)
A Northern California Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-09-14-02040)
11-08-2016
Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
11-07-2016
LEIE Database Updated with October 2016 Exclusions and Reinstatements
Podcast: October 2016 OIG Monthly Update
TrustSolutions, LLC, Claimed Unallowable Medicare Pension Costs for 2007 Through 2009 (A-07-16-00487)
11-04-2016
Report on the DATA Act Readiness Review Audit of the Department of Health and Human Services (A-17-16-02018)
11-03-2016
Advisory Opinion 16-11 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
Updated Corporate Integrity Agreement List: 3 CIAs Added
11-02-2016
Updated Corporate Integrity Agreement List: 5 CIAs Closed
Wisconsin Physicians Service Insurance Corporation Did Not Properly Settle Indiana Medicare Disproportionate Share Hospital Cost Report Payments (A-07-15-04219)
North Dakota Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services (A-07-16-03210)
Virginia Medicaid Electronic Health Record Payments (A-03-14-00404)
11-01-2016
Podcast: Chiropractic Audit - Over $350 million in unallowable payments

October

10-24-2016
Updated Corporate Integrity Agreement List: 1 CIA Added
Captured: Adrian Basanta, OIG Most Wanted Fugitive
Arizona Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-09-16-02013)
State Agencies Claimed Unallowable and Unsupported Medicaid Reimbursements for Services Under the Home and Community-Based Services Waiver Program (A-07-16-03212)
New York Made Some Incorrect Medicaid Electronic Health Record Incentive Payments (A-02-14-01020)
10-20-2016
Updated Corporate Integrity Agreement List: 4 CIAs Added
10-19-2016
Hundreds of Millions in Medicare Payments for Chiropractic Services Did Not Comply With Medicare Requirements (A-09-14-02033)
Michigan Improperly Received Medicaid Reimbursement for School-Based Health Services (A-05-13-00056)
Virginia Did Not Always Make Correct Medicaid Claim Adjustments (A-03-14-00204)
10-18-2016
Video Series Eye on Oversight: Vulnerabilities in Personal Care Services
Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
10-17-2016
State Use of Express Lane Eligibility for Medicaid and CHIP Enrollment (OEI-06-15-00410)
Medicaid Enrollment Using the Express Lane Eligibility Option Did Not Always Meet Federal Requirements (A-04-15-08043)
Children's Health Insurance Program Enrollment Using the Express Lane Eligibility Option Did Not Always Meet Federal Requirements (A-04-15-08045)
10-14-2016
Fighting fraud, waste, and abuse for 40 years
10-13-2016
North Carolina Claimed Millions in Unallowable School-Based Medicaid Administrative Costs (A-04-15-00101)
10-12-2016
Public Summary Report: The State of Colorado Did Not Meet Federal Information System Security Requirements for Safeguarding Its Medicaid Systems and Data (A-07-15-00463)
10-11-2016
Advisory Opinion 16-10 (regarding a local health care district's proposal to cooperate with another district to jointly fund the cost of a transportation coordinator to educate patients about local transportation options and subsidize certain forms of transportation for patients with financial need)
Noridian Healthcare Solutions, LLC, Did Not Claim Allowable Medicare Pension Costs or Postretirement Benefit Costs for Fiscal Years 2006 Through 2008 (A-07-16-00481)
Medicare Compliance Review of Bergan Mercy Medical Center for 2013 and 2014 (A-07-15-05084)
Sleep Health Center Billed Medicare for Some Unallowable Sleep Study Services (A-04-14-07053)
Public Summary Report: Information Technology Control Weaknesses Found at the Minnesota Health Insurance Exchange (A-06-15-00035)
10-07-2016
Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care (OEI-06-14-00011)
Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care (OEI-06-14-00010)
Medicare's Policies and Procedures Identified Almost All Improper Claims Submitted for Deceased Individuals and Recouped Almost All Improper Payments Made for These Claims for January 2013 Through October 2015 (A-07-16-05089)
Medicare Improperly Paid Providers Millions of Dollars for Incarcerated Beneficiaries Who Received Services During 2013 and 2014 (A-07-15-01158)
10-06-2016
LEIE Database Updated with September 2016 Exclusions and Reinstatements
Podcast: September 2016 OIG Monthly Update
Not All Internal Controls Implemented by CDC Were Effective in Ensuring That World Trade Center Health Program Pharmacy and Medical Claims Were Paid According to Federal Requirements (A-02-14-02008)
10-05-2016
Updated Civil Monetary Penalties and Affirmative Exclusions
10-04-2016
Investigative Advisory on Medicaid Fraud and Patient Harm Involving Personal Care Services
Updated Corporate Integrity Agreement List: 4 CIAs Closed
10-03-2016
Early Alert: Incorporating Medical Device-Specific Information on Claim Forms (A-01-16-00510)
Podcast: OIG's Most Wanted Fugitives
Medicare Payments for Clinical Diagnostic Laboratory Tests in 2015: Year 2 of Baseline Data (OEI-09-16-00040)
Changing How Medicare Pays for Clinical Diagnostic Laboratory Tests: An Update on CMS's Progress (OEI-09-16-00100)
Updated Civil Monetary Penalties and Affirmative Exclusions

September

09-30-2016
Medicare Improperly Paid Millions of Dollars for Unlawfully Present Beneficiaries for 2013 and 2014 (A-07-15-01159)
Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs for Fiscal Years 2005 Through 2011 (A-07-16-00483)
CGS Administrators, LLC's Postretirement Benefit Costs for Fiscal Year 2011 Were Reasonable and Allowable (A-07-16-00484)
Blue Cross Blue Shield of South Carolina Overstated Its Allocable Medicare Postretirement Benefit Costs for Calendar Years 2006 Through 2011 (A-07-16-00485)
Maryland State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00140)
09-29-2016
Notice: The Simple Extensible Sampling Tool Challenge Requirements and Registration
HHS Has Made Progress in Properly Classifying Documents; However, New Issues Should be Addressed (OEI-07-16-00080)
North Carolina State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00070)
California Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-09-16-02004)
Illinois Claimed Some Improper Federal Medicaid Reimbursement for Inpatient Hospital Services Related to Treating Provider-Preventable Conditions (A-05-15-00033)
09-28-2016
Testimony of Abhijit Dixit, Special Agent, Office of Investigations, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Ways and Means: Subcommittee on Oversight: "Health Care Fraud Investigations"
09-27-2016
CAPTURED FUGITIVE: Joel Fuentes
Vermont Did Not Properly Allocate Millions to Establishment Grants for a Health Insurance Marketplace (A-01-15-02500)
09-26-2016
Office of Counsel Legal Internship Programs
Video: OIG-HHS Testifies on OIG's Oversight of the Affordable Care Act
09-23-2016
Escalating Medicare Billing for Ventilators Raises Concerns (OEI-12-15-00370)
Advisory Opinion 16-09 (regarding a proposal to install a computerized point-of-care vaccine storage and dispensing system in physicians' offices for the physicians' use)
Most Wanted Fugitive: Luis Emelio Deleon
09-22-2016
Washington State Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-09-16-02015)
Idaho Claimed Federal Medicaid Reimbursement for Inpatient Hospital Services Related to Treating Provider-Preventable Conditions (A-09-15-02013)
Medicare Compliance Review of North Carolina Baptist Hospital for Claims Paid From January 1, 2013, Through August 31, 2014 A-04-15-04036)
09-21-2016
Ohio Did Not Always Make Correct Medicaid Claim Adjustments (A-05-14-00017)
Updated Civil Monetary Penalties and Affirmative Exclusions
09-20-2016
HHS's Office of Inspector General Levies Largest Penalty Under a Corporate Integrity Agreement Against Nation's Biggest Provider of Post-Acute Care
Washington State Claimed Federal Medicaid Reimbursement for Inpatient Hospital Services Related to Treating Provider-Preventable Conditions (A-09-14-02012)
09-19-2016
Video Series Eye on Oversight: Provider Self-Disclosure Protocol
North American Health Care, Inc. Added to Corporate Integrity Agreements
Proposed Rule: State Medicaid Fraud Control Units
09-16-2016
Ohio Made Incorrect Medicaid Electronic Health Record Incentive Payments (A-05-13-00043)
Oklahoma Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-06-15-00032)
09-15-2016
Hospices Should Improve Their Election Statements and Certifications of Terminal Illness (OEI-02-10-00492)
West Virginia Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-03-14-00406)
A Kansas Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Physical Therapy Services (A-07-14-01146)
Kansas Correctly Invoiced Rebates to Manufacturers for Most Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-07-15-06060)
09-14-2016
Testimony of Gloria Jarmon, Deputy Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations and Subcommittee on Health: "The Affordable Care Act on Shaky Ground: Outlook and Oversight"
South Dakota State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-07-16-00170)
Medicaid Fraud Control Units Fiscal Year 2015 Annual Report (OEI-07-16-00050)
Updated Civil Monetary Penalties and Affirmative Exclusions
09-12-2016
Updated: State False Claims Act Webpage
09-08-2016
LEIE Database Updated with August 2016 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: 2 CIAs Closed
Updated Provider Self-Disclosure Settlements
09-07-2016
CMS Should Address Medicare's Flawed Payment System for DME Infusion Drugs Report (OEI-12-16-00340)
Superstorm Sandy Block Grants: Funds Benefited States' Reconstruction and Social Service Efforts, Though ACF's Guidance Could be Improved (OEI-09-15-00200)
09-06-2016
Updated Corporate Integrity Agreement List: 2 CIAs Added
Podcast: August 2016 OIG Monthly Update
09-02-2016
Updated Corporate Integrity Agreement List: 1 CIA Added

August

08-31-2016
New Jersey Made Incorrect Medicaid Electronic Health Record Incentive Payments (A-02-14-01009)
Washington State Medicaid Fraud Control Unit: 2016 Onsite Review (OEI-09-16-00010)
Head Start Grant Recompetition: Early Implementation Results Suggest Opportunities for Improvement  (OEI-12-14-00650)
08-30-2016
Updated Corporate Integrity Agreement List: 5 CIAs Added
New Exclusions Waiver: Ghabag, Faraj Alhadi, M.D.
08-23-2016
Updated Civil Monetary Penalties and Affirmative Exclusions
08-22-2016
2016 OIG Guidance on IRO Independence and Objectivity
08-19-2016
Medicare Compliance Review of Home Health VNA for 2011 and 2012 (A-01-13-00518)
State Governments May Unduly Benefit Financially From Publicly Owned but Privately Operated Entities (A-06-16-08005)
Pennsylvania Made Correct Medicaid Electronic Health Record Incentive Payments to Hospitals (A-03-15-00403)
08-18-2016
The Department Of Health And Human Services Security Management Practices For Computer Systems With Access To Personally Identifiable Information (A-18-16-30150)
Louisiana Made Incorrect Herceptin Payments to Medicaid Providers (A-06-15-00037)
Texas Did Not Always Comply With Federal Requirements and Its Cost Allocation Plan When It Claimed Medicaid Administrative Costs (A-06-15-00038)
New York Improperly Claimed Federal Medicaid Reimbursement for the Drug Herceptin Over a 3-Year Period (A-02-15-01013)
08-17-2016
Public Summary Report: Wireless Penetration Test of Centers for Medicare & Medicaid Services' Data Centers  (A-18-15-30400)
A Michigan Chiropractor Received Unallowable Medicare Payments for Chiropractic Services (A-07-14-01148)
Texas Did Not Always Calculate Physician Supplemental Payments Made to the University of Texas Health Institutions in Accordance With Federal and State Requirements (A-06-11-00004)
08-15-2016
Video Series Eye on Oversight: Critical Incidents in Group Homes
Colorado Received Millions in Unallowable Bonus Payments (A-04-15-08039)
08-11-2016
Podcast: What is OIG's work in Indian Country?
Medicare Compliance Review of New York-Presbyterian Hospital for 2011 and 2012 (A-02-13-01027)
08-10-2016
MACs Continue to Use Different Methods to Determine Drug Coverage (OEI-03-13-00450)
Virginia State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00290)
08-09-2016
LEIE Database Updated with July 2016 Exclusions and Reinstatements
Conversions of Startup Loans Into Surplus Notes by Consumer Operated and Oriented Plans Were Allowable but Not Always Effective (A-05-16-00019)
Cornerstone Hospital of Austin Incorrectly Billed Medicare Inpatient Claims with Kwashiorkor (A-03-15-00009)
08-08-2016
Job Openings: Associate Counsel - Two Positions (Application Deadline: August 12)
Arizona Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-09-15-02036)
08-03-2016
Podcast: July 2016 OIG Monthly Update
Updated Civil Monetary Penalties and Affirmative Exclusions
Updated Provider Self-Disclosure Settlements
08-02-2016
Updated Corporate Integrity Agreement List: 4 CIAs Closed
08-01-2016
Updated Corporate Integrity Agreement List: 1 CIA Added

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