Skip Navigation Change Font Size

What's New

Email graphic E-mail me when this page is updated.

Jump to 2015: December

December

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

July

07-27-2016
First Coast Service Options, Inc., Did Not Claim Some Medicare Supplemental Executive Retirement Plan Costs for Fiscal Years 2006 Through 2009 (A-07-16-00472)
Medicare Compliance Review of Excellent Home Care Services, LLC (A-02-14-01005)
Cornerstone Hospital of Southwest Louisiana Incorrectly Billed Medicare Inpatient Claims with Kwashiorkor (A-03-15-00008)
Advisory Opinion 16-08 (regarding an arrangement in which a hospice would make a supplemental payment to the nursing facilities in which the hospice's dually eligible patients reside when the nursing facilities-instead of the hospice-receive payment for their patients' room and board expenses)
07-25-2016
Hospitals Largely Reported Addressing Requirements for EHR Contingency Plans (OEI-01-14-00570)
Dominican Hospital Reported Overstated Wage Data, Resulting in Medicare Overpayments (A-09-14-02032)
07-22-2016
Modification of Advisory Opinion 10-12 (modifies Advisory Opinion 10-12, which concerned a nonprofit, tax-exempt, charitable corporation's proposal to provide financially needy patients with grants to defray their cost-sharing obligations, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs)
07-21-2016
Adverse Events in Rehabilitation Hospitals: National Incidence Among Medicare Beneficiaries (OEI-06-14-00110)
FDA is Issuing More Postmarketing Requirements, but Challenges with Oversight Persist (OEI-01-14-00390)
07-18-2016
Attorney Opening (Deadline to Apply: August 12, 2016)
07-15-2016
Medicare Compliance Review of Houston Methodist Hospital for 2012 and 2013 (A-06-14-00074)
07-14-2016
Massachusetts Did Not Comply With Federal and State Requirements for Critical Incidents Involving Developmentally Disabled Medicaid Beneficiaries (A-01-14-00008)
Alabama Did Not Comply With Federal and State Requirements for Claiming Medicaid Certified Public Expenditures for Federal Fiscal Year 2010 (A-06-15-00004)
Alabama Claimed Millions in Unallowable School-Based Medicaid Administrative Costs (A-04-13-00094)
Updated Corporate Integrity Agreement List: 2 CIAs added
07-13-2016
More Effort is Needed to Protect the Integrity of the Child Care and Development Fund Block Grant Program (OEI-03-16-00150)
07-12-2016
Updated Provider Self-Disclosure Settlements
Medicare Compliance Review of Christian Hospital for 2012 and 2013 (A-07-15-05075)
Medicare Compliance Review of University of Tennessee Medical Center (A-04-15-03081)
A Florida Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-04-15-07054)
Medical Access Uganda Limited Generally Managed the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-15-04040)
07-08-2016
LEIE Database Updated with June 2016 Exclusions and Reinstatements
New Jersey Did Not Adequately Oversee Its Medicaid Nonemergency Medical Transportation Brokerage Program (A-02-14-01001)
07-07-2016
Updated Corporate Integrity Agreement List: Closed CIAs
07-06-2016
Updated Washington State False Claims Act Review
07-05-2016
Podcast: June 2016 OIG Monthly Update
07-01-2016
Massachusetts State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00390)
Deadbeat Sentenced: Raymond Payne

June

06-30-2016
Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2016 (OEI-05-16-00090)
Updated Civil Monetary Penalties and Affirmative Exclusions
06-29-2016
International Institute of Sleep, Inc., Billed Medicare for Unallowable Sleep Study Services (A-04-14-07052)
A South Texas Physical Therapist Claimed Unallowable Medicare Part B Reimbursement for Outpatient Physical Therapy Services (A-06-14-00064)
Bloomberg BNA Interviews OIG Assistant Inspector General and Chief Data Officer
06-27-2016
Advisory Opinion 16-07 (regarding a savings card program under which individuals who have prescription drug coverage under Medicare Part D receive discounts on a drug that is statutorily excluded from coverage)
06-23-2016
New York Overpaid Certain Medicaid Mental Health Services Providers (A-02-13-01021)
Medicare Compliance Review of Vanderbilt University Medical Center for 2013 and 2014 (A-04-15-08042)
06-22-2016
Nationwide Analysis of Common Characteristics in OIG Home Health Fraud Cases (OEI-05-16-00031)
High Part D Spending on Opioids and Substantial Growth in Compounded Drugs Raise Concerns (OEI-02-16-00290)
Alert: Improper Arrangements and Conduct Involving Home Health Agencies and Physicians
06-20-2016
Video Series Eye on Oversight: Home Health Fraud
Pennsylvania State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI 07-15-00360)
06-16-2016
CMS Is Taking Steps To Improve Oversight of Provider-Based Facilities, But Vulnerabilities Remain Report (OEI-04-12-00380)
West Carroll Care Center Did Not Always Follow Care Plans for Residents Who Were Later Hospitalized With Potentially Avoidable Urinary Tract Infections (A-06-14-00073)
Medicare Improperly Paid Hospitals for Beneficiaries Who Had Not Received 96 or More Consecutive Hours of Mechanical Ventilation (A-09-14-02041)
06-14-2016
Hospicio La Paz, Inc. Added to Corporate Integrity Agreements
Centers for Disease Control and Prevention's Property System Data Were Neither Accurate Nor Complete (A-04-14-03546)
06-13-2016
Updated Provider Self-Disclosure Settlements and CIA Reportable Event Settlements
06-10-2016
LEIE Database Updated with May 2016 Exclusions and Reinstatements
New Jersey Did Not Suspend Medicaid Payments to Some Providers With Credible Allegations of Fraud in Accordance With the Affordable Care Act (A-02-13-01046)
Medicare Compliance Review of Sea View Health Care Services, Inc. (A-02-14-01027)
Precision Health, Inc., Improperly Claimed Medicare Part B Reimbursement for Portable X-ray Services (A-02-13-01038)
06-09-2016
Early Alert: The Food and Drug Administration Does Not Have an Efficient and Effective Food Recall Initiation Process (A-01-15-01500)
06-08-2016
State Efforts to Exclude 340B Drugs from Medicaid Managed Care Rebates (OEI-05-14-00430)
Public Summary Report: Washington State Implemented Security Controls Over the Web Site and Database for Its Health Insurance Exchange but Could Improve Protection of Personally Identifiable Information (A-09-15-03005)
Medicare Contractors' Payments to Providers for Hospital Outpatient Dental Services in Jurisdictions E and F Generally Did Not Comply With Medicare Requirements (A-06-15-00036)
06-07-2016
Fiscal Year 2016 HHS OIG Mid-Year Work Plan
Podcast: What Role Does Data Play in Fighting Healthcare Fraud, Waste and Abuse?
Observations From Our Review of CMS's Administration of the First Performance Year of the Pioneer Accountable Care Organization Payment Model (A-01-13-00509)
06-06-2016
Washington State Claimed Unallowable Federal Medicaid Reimbursement for Some Dental Services (A-09-13-02041)
Performance Data for the Senior Medicare Patrol Projects: June 2016 Performance Report (OEI-02-16-00190)
Florida State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00340)
06-03-2016
Podcast: May 2016 OIG Monthly Update
Updated Civil Monetary Penalties and Affirmative Exclusions

May

05-31-2016
Semiannual Report to Congress Spring 2016
Utah Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-14-06057)
Indiana Made Incorrect Medicaid Payments to Providers for Full Vials of Herceptin (A-05-15-00035)
05-27-2016
New York Implemented Effective Internal Controls Over Hurricane Sandy Social Services Block Grant Funds and Appropriately Budgeted and Claimed Allowable Costs (A-02-14-02009)
Columbia University Claimed Allowable Hurricane Sandy Disaster Relief Act Funds (A-02-15-02007)
05-26-2016
Podcast: Licensure Data in Round 2 of the Durable Medical Equipment Competitive Bidding Program
Incomplete and Inaccurate Licensure Data Allowed Some Suppliers in Round 2 of the Durable Medical Equipment Competitive Bidding Program That Did Not Have Required Licenses (A-05-13-00047)
The Centers for Disease Control and Prevention Did Not Award President's Emergency Plan for AIDS Relief Funds for 2013 in Compliance With Applicable HHS Policies (A-04-14-04021)
05-25-2016
Connecticut Did Not Comply With Federal and State Requirements for Critical Incidents Involving Developmentally Disabled Medicaid Beneficiaries (A-01-14-00002)
Updated Corporate Integrity Agreement List: 1 CIA Alias Added
05-24-2016
Testimony of Ann Maxwell, Assistant Inspector General, 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: "Medicare and Medicaid Program Integrity: Combatting Improper Payments and Ineligible Providers"
Medicaid: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure (OEI-04-11-00590)
Medicare: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure (OEI-04-11-00591)
Medicaid Enhanced Provider Enrollment Screenings Have Not Been Fully Implemented (OEI-05-13-00520)
05-23-2016
Medicare Compliance Review of Huntsville Hospital for 2013 and 2014 (A-04-15-00107)
Medicare Compliance Review of Wesley Medical Center for 2012 and 2013 (A-07-15-05074)
New York Made Correct Medicaid Claim Adjustments (A-02-14-01006)
05-20-2016
CIGNA Government Services, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs for Fiscal Years 2004 Through 2012 (A-07-15-00464)
05-16-2016
Daniel R. Levinson's Keynote Address at the 2016 HCCA Compliance Institute
Medicare Compliance Review of Lafayette General Medical Center for Claims Paid During 2013 and 2014 (A-06-15-00022)
Captured: Maikel Chamizo Gomez, OIG Most Wanted Fugitive
05-13-2016
Updated Civil Monetary Penalties and Affirmative Exclusions
05-12-2016
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 2015 (A-17-16-52000)
Modification of OIG Advisory Opinion 10-07 (modifies OIG Advisory Opinion 10-07 which concerned a nonprofit, tax-exempt, charitable organization's proposal to provide assistance with cost-sharing obligations to financially needy individuals, including Medicare and Medicaid beneficiaries, diagnosed with certain specified diseases, and its first modification at Modification of OIG Advisory Opinion 10-07 to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
Updated Corporate Integrity Agreement List: 2 CIAs Added
05-11-2016
Video Series Eye on Oversight: Kickbacks to Physicians
05-10-2016
Medicare Benefit Integrity Contractors' Activities in 2012 and 2013: A Data Compendium (OEI-03-13-00620)
Updated Civil Monetary Penalties and Affirmative Exclusions
Updated Nevada State False Claims Act Review
05-09-2016
Advisory Opinion 16-06 (regarding your proposal for an entity to purchase the remaining five percent ownership interest in a group purchasing organization)
05-06-2016
LEIE Database Updated with April 2016 Exclusions and Reinstatements
California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Drugs Provided in Los Angeles County (A-09-15-02017)
Updated Provider Self-Disclosure Settlements
05-04-2016
Updated Corporate Integrity Agreement List: 2 CIAs Closed
05-03-2016
Advisory Opinion 16-05 (regarding the use of a “preferred hospital” network as part of Medicare Supplemental Health Insurance (“Medigap”) policies, whereby [name redacted] 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)
05-02-2016
Podcast: April 2016 OIG Monthly Update
Review of Tufts Medical Center Claims That Included Medical Device Replacements (A-01-15-00503)
Cornerstone Hospital of Bossier City Incorrectly Billed Medicare Inpatient Claims with Kwashiorkor (A-03-15-00006)

April

04-28-2016
Podcast: Enhanced Enrollment Screening of Medicare Providers: Early Implementation Results
Enhanced Enrollment Screening of Medicare Providers: Early Implementation Results (OEI-03-13-00050)
A Florida Physical Therapy Practice Claimed Unallowable Medicare Part B Reimbursement for Some Outpatient Therapy Services (A-04-15-07055)
04-25-2016
Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2014 (A-18-15-30200)
Updated Corporate Integrity Agreement List: 3 CIAs Added
04-21-2016
Palmetto Government Benefits Administrator, LLC, and TrailBlazer Health Enterprises, LLC, Understated Their Medicare Segments' Pension Assets as of January 1, 2005 (A-07-16-00476)
Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2003 and 2004 (A-07-16-00477)
TrailBlazer Health Enterprises, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 2003 and 2004 (A-07-16-00478)
04-19-2016
Advisory Opinion 16-04 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby three insurance companies would indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for their policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
04-18-2016
Updated Criteria for Implementing Permissive Exclusion Authority Under Section 1128(b)(7) of the Social Security Act
Inconsistencies in State Implementation of Correct Coding Edits May Allow Improper Medicaid Payments (OEI-09-14-00440)
04-15-2016
Some of New York's Claims for Medicaid Long-Term Home Health Care Program Waiver Services were Unallowable (A-02-13-01030)
Medicare Contractor Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction H Generally Did Not Comply With Medicare Requirements (A-06-15-00014)
Medicare Compliance Review of DePaul Health Center for 2012 and 2013 (A-07-15-05072)
The National Institute of Environmental Health Sciences Generally Administered Its Superfund Appropriations During Fiscal Year 2014 in Accordance With Federal Requirements (A-04-15-04035)
04-14-2016
The Medicaid Program Could Have Achieved Savings if Oregon Had Applied Medical Loss Ratio Standards Similar to Those Established by the Affordable Care Act (A-09-15-02033)
The Ohio Association of Foodbanks Generally Complied With the Navigator Requirements Related to the Affordable Care Act (A-05-15-00013)
04-12-2016
April 2016 Compendium of Unimplemented Recommendations
04-11-2016
Video Series Eye on Oversight: Dangerous Drugs – Opioids
LEIE Database Updated with March 2016 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List: 1 added; 4 closed
04-08-2016
Bayview Nursing and Rehabilitation Center Claimed Allowable Hurricane Sandy Disaster Relief Act Funds (A-02-15-02010)
Medicare Compliance Review of Saint Louis University Hospital for 2011 and 2012 (A-07-14-05066)
First Coast Service Options’ Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction N Generally Did Not Comply With Medicare Requirements (A-06-15-00013)
04-07-2016
Updated Provider Self-Disclosure Settlements
North Carolina Did Not Always Make Correct Medicaid Claim Adjustments (A-04-14-00100)
Wyoming Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-15-06063)
South Carolina Generally Claimed Costs on Behalf of Wateree Community Actions, Inc., That Were in Accordance With the Grants and Applicable Federal Regulations, but Wateree Mismanaged Federal Funds (A-04-14-04026)
04-06-2016
Termination of OIG Advisory Opinion No. 06-09 (terminates OIG Advisory Opinion No. 06-09, which concerned a nonprofit, tax-exempt, charitable organization's proposals to subsidize Medicare Part D premium and cost-sharing obligations owed by financially needy patients with end-stage renal disease and chronic kidney disease.)
Updated CMP Background Page and CMP and Affirmative Exclusions
04-04-2016
Captured: Robert Allen Lopez, OIG Most Wanted Fugitive
Podcast: March 2016 OIG Monthly Update
Oklahoma State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-06-14-00630)
Opportunities for Program Improvements Related to States' Withdrawals of Federal Medicaid Funds (A-06-14-00068)
04-01-2016
Captured Fugitives: Jorge Portillo and Tomas De Armas

March

03-31-2016
Podcast: Hospices Inappropriately Billed Medicare Over $250 Million for General Inpatient Care
Hospices Inappropriately Billed Medicare Over $250 Million for General Inpatient Care (OEI-02-10-00491)
Group Health Incorporated Claimed Unallowable Medicare Pension Costs for Plan Years 2007 and 2008 (A-07-16-00475)
California Improperly Claimed Enhanced Federal Reimbursement for Selected Claim Lines for Medicaid Family Planning Drugs and Supplies in Los Angeles and Orange Counties (A-09-15-02014)
03-30-2016
Updated Civil Monetary Penalties and Affirmative Exclusions
03-25-2016
Some Florida Childcare Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-04-14-08033)
Some Florida Family Childcare Homes Did Not Always Comply With State Health and Safety Requirements (A-04-14-08034)
Link2Health Solutions, Inc., Budgeted Costs That Were Not Appropriate and Claimed Some Unallowable Hurricane Sandy Disaster Relief Act Funds (A-02-14-02013)
03-24-2016
Updated Corporate Integrity Agreement List: Respironics, Inc.
Wisconsin Physicians Service's Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction 5 and Jurisdiction 8 Generally Did Not Comply With Medicare Requirements (A-06-15-00034)
Missouri Claimed Unallowable Medicaid Payments for Individualized Supported Living Habilitation Services (A-07-14-03202)
A Texas Physical Therapist Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services (A-06-14-00065)
03-23-2016
Expenses Incurred by the Rocky Boy Health Board Were Not Always Allowable or Adequately Supported (A-07-15-04221)
The Medicare Contractors for Jurisdiction E Overpaid Claims for Replaced Cardiac Medical Devices When Hospitals Had Not Reported Manufacturer Credits (A-09-15-02029)
03-18-2016
Advisory Opinion 16-03 regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies
Updated Corporate Integrity Agreement List: Nacogdoches Memorial Hospital
03-17-2016
Testimony of Erin Bliss, Assistant Inspector General, Office of Inspector General, U.S. Department of Health and Human Services before the Senate Finance Committee: "HealthCare.gov: A Review of Operations and Enrollment"
Statement of Organization, Functions, and Delegations of Authority
Oregon Properly Verified Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-09-16-02007)
03-16-2016
Most Wanted Fugitive: Conrado Dizon Lopez, Jr.
03-15-2016
Medicare Compliance Review of Billings Clinic Hospital for 2012 and 2013 (A-07-15-05071)
Updated Civil Monetary Penalties and Affirmative Exclusions
03-11-2016
Podcast: HealthCare.gov: CMS Management of the Federal Marketplace
03-10-2016
Not All of the Vermont Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-01-14-02507)
Medicare Compliance Review of Freeman Hospital for 2011 and 2012 (A-07-14-05064)
03-09-2016
LEIE Database Updated with February 2016 Exclusions and Reinstatements
New Exclusions Waiver: Antoon, Patrick M.D.
Maryland Claimed Unallowable Costs for Medicaid Communicable Disease Care Services (A-03-14-00150)
Updated Civil Monetary Penalties and Affirmative Exclusions
03-07-2016
Video Series Eye on Oversight: Child Care Safety Lapses
Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2015 (A-18-15-30300)
Texas Inappropriately Received Medicaid Medical Assistance Funding for Some Costs (A-06-15-00054)
Updated Corporate Integrity Agreement List: 4 CIAs Closed
03-04-2016
Podcast: February 2016 OIG Monthly Update
03-03-2016
Texas Inappropriately Claimed Medicaid Balancing Incentive Payments Program and Family Planning Funding (A-06-14-00059)
Updated Civil Monetary Penalties and Affirmative Exclusions
Updated Provider Self-Disclosure Settlements
03-01-2016
Updated Corporate Integrity Agreement List: 1 CIA Added
Advisory Opinion 16-02 regarding a state academic medical center that in certain circumstances offers pregnant women: (1) transportation aid to and from the campus hospital for delivery; and (2) short-term lodging near the campus hospital

February

02-26-2016
FY 2015 Health Care Fraud and Abuse Control Program Report
South Dakota Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-15-06059)
Some of New Jersey's Claims for Medicaid Global Options for Long-Term Care Waiver Services Were Unallowable (A-02-14-01008)
Updated Stipulated Penalties and Exclusion for Material Breach
02-24-2016
Testimony of Ann Maxwell, Assistant Inspector General, Office of Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services before the Senate Special Committee on Aging
02-23-2016
HealthCare.gov: Case Study of CMS Management of the Federal Marketplace (OEI-06-14-00350)
Not All of the District of Columbia Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-03-14-03301)
02-22-2016
Medicare Compliance Review of Hennepin County Medical Center for 2012 and 2013 (A-05-14-00048)
Medicare Compliance Review of Greenville Memorial Hospital (A-04-15-03082)
Updated Civil Monetary Penalties and Affirmative Exclusions
Updated Corporate Integrity Agreement Enforcement
02-19-2016
Updated Corporate Integrity Agreement List: 1 CIA Added
HPM Foundation, Inc., Did Not Always Comply With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-02-14-02022)
Danbury Hospital Reported Overstated Wage Data Resulting in Medicare Overpayments (A-01-14-00506)
Public Summary Report: South Carolina Did Not Meet Federal Information System Security Requirements for Safeguarding Medicaid Management Information System Data and Supporting Systems (A-04-13-05049)
02-18-2016
Video: HHS OIG testifies on the Federal Medical Assistance Percentage
Nevada Misallocated Costs for Establishing a Health Insurance Marketplace to Its Establishment Grants (A-09-14-01007)
California State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-09-15-00070)
02-17-2016
Medicaid Fraud Control Units Statistical Data for Fiscal Year 2015
Public Summary Report: Connect for Health Colorado Generally Protected Personally Identifiable Information on Its Health Insurance Exchange Web Sites and Databases but Could Continue To Improve Information Security Controls (A-07-15-00454)
02-16-2016
Not All of the Minnesota Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-05-14-00043)
Updated Corporate Integrity Agreement List: 4 CIAs Added
02-12-2016
Review of Medicare Payments for Laboratory Tests Billed With an AY Modifier by Total Renal Laboratories, Inc. (A-01-14-00505)
Review of Medicare Payments for Laboratory Tests Billed With an AY Modifier by DVA Laboratory Services, Inc. (A-01-14-00508)
Health Research, Inc., Budgeted Costs That Were Appropriate and Claimed Allowable Hurricane Sandy Disaster Relief Act Funds Under Grant Number 1U01TP000567 (A-02-15-02006)
02-11-2016
CAPTURED FUGITIVE: Manuel Rodriguez Garcia
02-10-2016
Testimony of John Hagg, Director of Medicaid Audits, Office of Audit Services, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Health
LEIE Database Updated with January 2016 Exclusions and Reinstatements
Medicare Did Not Pay Selected Inpatient Claims for Bone Marrow and Stem Cell Transplant Procedures in Accordance With Medicare Requirements (A-09-14-02037)
02-09-2016
Updated Provider Self-Disclosure Settlements
Delaware State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00240)
FY 2017 Congressional Budget Justification
02-08-2016
New Video Series: Eye on Oversight
Watch the first video on Medicare Part D fraud
Promise Hospital of Ascension Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00007)
02-05-2016
Puerto Rico Improperly Claimed Some Child Care and Development Targeted Funds (A-02-12-02016)
We Could Not Determine Whether West Virginia's Severance and Business Privilege Tax on Behavioral Health Services Is a Permissible Health-Care-Related Tax (A-03-14-00200)
02-03-2016
Medicare Compliance Review of University of Minnesota Medical Center for 2012 and 2013 (A-05-14-00050)
02-02-2016
CIGNA Government Services, LLC's Postretirement Benefit Allocable Costs Were Reasonable and Allowable for Calendar Years 2007 Through 2011 (A-07-15-00465)
Updated Corporate Integrity Agreement List: CIAs Closed
OCIG Fall 2016 Legal Externship - Deadline for Application: March 21, 2016
02-01-2016
Podcast: January 2016 OIG Monthly Update

January

01-29-2016
Inadequate Security Management Practices Left Utah Department of Health Sensitive Medicaid Data at Risk of Unauthorized Disclosure (A-07-15-00455)
Hidalgo Medical Services Did Not Comply With All Federal Requirements Related to Its Capital Development Grant (A-06-14-00056)
01-25-2016
Most Children With Medicaid in Four States Are Not Receiving Required Dental Services (OEI-02-14-00490)
North Carolina Department of Health and Human Services Did Not Always Claim Costs Under CDC Prevention and Public Health Fund Awards in Accordance with Federal Requirements (A-04-14-04028)
Advisory Opinion 16-01 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby [names redacted] (the "Requestors") would indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for their policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
01-22-2016
CAPTURED FUGITIVE: Maelis Yanet Porto Fernandez
Montana Correctly Claimed Federal Reimbursement for Most Medicaid Physician-Administered Drugs (A-07-15-06062)
North Dakota Correctly Claimed Federal Reimbursement for Most Medicaid Physician-Administered Drugs (A-07-15-06058)
Puerto Rico Childcare Home Providers Did Not Always Comply With Commonwealth Health and Safety Requirements (A-02-14-02016)
01-21-2016
Not All of the Washington Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-09-14-01006)
Teaching & Mentoring Communities Claimed Unallowable Head Start Costs (A-06-14-00036)
01-20-2016
National Background Check Program for Long Term Care Employees: Interim Report (OEI-07-10-00420)
Terminated Advisory Opinion No. 10-06 (concerning a patient assistance program that assists underinsured patients with their prescription drug co-payment obligations)
Terminated Advisory Opinion No. 08-17 (concerning a nonprofit, tax-exempt, charitable organization's arrangement to provide financial assistance to cover cost-sharing obligations associated with outpatient drug treatment owed by financially needy Medicare or Medicaid patients with a certain disease)
01-19-2016
Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2015 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-16-00353)
Independent Attestation Review: National Institutes of Health Fiscal Year 2015 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-16-00352)
Independent Attestation Review: Indian Health Service Fiscal Year 2015 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-16-00351)
01-12-2016
Updated Corporate Integrity Agreement List: RehabCare Group, Inc.
California Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00018)
California Claimed Unallowable Federal Medicaid Reimbursement by Not Billing Manufacturers for Rebates for Some Physician-Administered Drugs (A-09-14-02038)
01-11-2016
CAPTURED FUGITIVE: Sandy De La Fe
Updated Corporate Integrity Agreement List: CIAs Added and Closed
01-08-2016
LEIE Database Updated with December 2015 Exclusions and Reinstatements
01-06-2016
CMS Could Not Effectively Ensure That Advance Premium Tax Credit Payments Made Under the Affordable Care Act Were Only for Enrollees Who Paid Their Premiums (A-02-14-02025)
New York Claimed Medicaid Reimbursement for Some Adult Day Health Care Services Provided by Center for Nursing and Rehabilitation That Were Unallowable (A-02-12-01015)
Modification of Advisory Opinion 04-15 (modifies Advisory Opinion 04-15 grants provided by a nonprofit, charitable organization to financially-needy patients suffering from specific chronic or life-threatening diseases to defray the costs of prescription drug therapies, and its first modification at Modification of Advisory Opinion 04-15, to reflect guidance issued on May 21 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
01-04-2016
Podcast: December 2015 OIG Monthly Update
Advisory Opinion 15-17 (regarding a non-profit, tax-exempt, charitable organization's proposal to provide financial assistance with copayment obligations, health insurance premiums, and insurance deductibles to patients, including Medicare and Medicaid beneficiaries, receiving treatment for [disease state redacted])
Advisory Opinion 15-16 (regarding a nonprofit, tax-exempt, charitable organization's proposal to provide assistance with out-of-pocket expenses for outpatient prescription drugs to financially needy insured patients, including, but not limited to, Medicare and Medicaid beneficiaries)

December

12-30-2015
Modification of Advisory Opinion 06-04 (modifies 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, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
12-29-2015
Not All of the Colorado Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-07-14-03199)
New York State Improperly Claimed Medicaid Reimbursement for Some Adult Day Health Care Services (A-02-13-01016)
Advisory Opinion 15-15 (regarding a proposal for a hospital to bill a radiology group for transcription of the radiology group's reports for individuals who are not hospital patients, but rather patients of a third-party clinic that provides the technical component of the radiology exams)
Modification of Advisory Opinion 07-06 (modifies Advisory Opinion 07-06 which concerned the management by a health care industry consultancy of a charitable organization's arrangements to assist patients with specified chronic diseases with cost-sharing and premium obligations, and its first modification at Modification of Advisory Opinion 07-06, to reflect guidance issued on May 21 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
Modification of Advisory Opinion 11-05 (modifies Advisory Opinion 11-05 which concerns a nonprofit, tax-exempt, charitable organization's practices of providing vouchers for genetic tests and assistance with cost-sharing obligations for certain genetic tests and prescription drugs for cancer treatment and its first modification at Modification of Advisory Opinion 11-05, to permit earmarking of donations to specific disease states and to reflect guidance issued on May 21 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.
12-23-2015
California Withdrew Excessive Federal Medicaid Funds for Fiscal Year 2010 (A-09-13-02001)
Updated Corporate Integrity Agreement List: 3 CIAs Added
12-21-2015
South Carolina Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00016)
12-18-2015
Medicare Compliance Review of Nebraska Methodist Hospital for 2012 and 2013 (A-07-15-05073)
Englewood Hospital and Medical Center Claimed Unallowable Medicare Part B Reimbursement for Outpatient Cardiac and Pulmonary Rehabilitation Services (A-02-14-01013)
Alaska Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00017)
Oregon Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00014)
12-17-2015
Average Manufacturer Prices Increased Faster Than Inflation for Many Generic Drugs (A-06-15-00030)
12-16-2015
Modification of OIG Advisory Opinion 06-13 (modifies Advisory Opinion 06-13 concerning a nonprofit, tax-exempt, charitable organization's proposal to provide financially needy persons who have [diseases redacted] with grants to defray the costs of premiums and cost-sharing obligations under Medicare Part B, Medicare Part D, Medicare Supplementary Health Insurance, and Medicare Advantage, and its first modification, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
Arizona State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00280)
The Response to Superstorm Sandy Highlights the Importance of Recovery Planning for Child Care Nationwide (OEI-04-14-00410)
12-15-2015
Attorney Openings (Deadline to Apply: January 11, 2016)
12-14-2015
New York University School of Medicine Budgeted Costs That Were Appropriate and Claimed Allowable Hurricane Sandy Disaster Relief Act Funds (A-02-14-02011)
12-11-2015
New York Claimed Medicaid Reimbursement for Some Adult Day Health Care Services Provided by Metropolitan Jewish Health System That Were Unallowable (A-02-12-01024)
12-09-2015
High-Risk Security Vulnerabilities Identified During Reviews of Information System General Controls at Three California Managed-Care Organizations Raise Concerns About the Integrity of Systems Used To Process Medicaid Claims  (A-09-15-03004)
Updated Corporate Integrity Agreement List: 2 CIAs Closed
12-08-2015
LEIE Database Updated with November 2015 Exclusions and Reinstatements
Podcast: November 2015 OIG Monthly Update
12-07-2015
Modification of OIG Advisory Opinion 07-11
(modifies Advisory Opinion 07-11, which concerned a nonprofit, tax-exempt, charitable organization's practice of providing financially needy cancer patients with grants to defray their out-of-pocket treatment costs, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
12-03-2015
Hoveround Corporation Claimed Millions in Federal Reimbursement for Power Mobility Devices That Did Not Meet Medicare Requirements (A-05-12-00057)
Podcast: CMS Has Not Performed Required Close Outs of Contracts Worth Billions
CMS Has Not Performed Required Closeouts of Contracts Worth Billions (OEI-03-12-00680)
12-02-2015
Updated Corporate Integrity Agreements: Neuroscience, Inc., Pharmasan Labs, Inc., Gottfried Kellerman Ph.D., and Mieke Kellerman
12-01-2015
New Mexico Received Millions in Unallowable Bonus Payments (A-04-15-08040)
Updated Corporate Integrity Agreements: John Sunghoon Won, D.D.S., M.D.; John S. Won, D.D.S., M.D., P.A. dba Preston Oral and Maxillofacial Surgery

Top

Return to Newsroom

Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201