What's New
December 2017
12-29-2017
- Updated Civil Monetary Penalties and Affirmative Exclusions
- New York Did Not Comply With Federal Grant Requirements for Allocating and Claiming Marketplace Contract Costs (A-02-15-02008)
12-26-2017
12-22-2017
12-21-2017
- Lincare Pharmacy Services Inc. Generally Complied With Medicare Requirements When Billing for Inhalation Drugs (A-09-16-02037)
- Taxpayers Could See More than $4.4 Billion Returned to Treasury Plus $Billions in Estimated 2017 Savings from OIG Recommendations
12-20-2017
- Eye on Oversight: 2017 Year in Review
- Potential Misclassifications Reported by Drug Manufacturers May Have Led to $1 Billion in Lost Medicaid Rebates (OEI-03-17-00100)
- Updated Corporate Integrity Agreement List
12-19-2017
- The Administration for Children and Families Did Not Always Resolve American Indian and Alaska Native Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-06-17-07003)
- Summary Report for Fiscal Year 2016 OIG Penetration Testing of Four HHS Operating Division Networks (A-18-17-08500)
12-18-2017
- The State of North Carolina Did Not Meet Federal Information System Security Requirements for Safeguarding Its Medicaid Eligibility Determination Systems and Data (A-07-16-00486)
- Some Massachusetts Group Homes for Children in Foster Care Did Not Always Comply With State Health and Safety Requirements (A-01-16-02500)
- Updated Civil Monetary Penalties and Affirmative Exclusions
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
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
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
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 2017
11-30-2017
11-29-2017
11-28-2017
- Final Notice of Rescission of Advisory Opinion 06-04 (rescinds Advisory Opinion 06-04 , which concerned a nonprofit, tax-exempt, charitable corporation's proposal to provide financially needy Medicare
- New Jersey Claimed Hundreds of Millions in Unallowable or Unsupported Medicaid School-Based Reimbursement (A-02-15-01010)
11-27-2017
11-20-2017
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 contra
11-15-2017
- Top Management & Performance Challenges Facing HHS
- Updated: Work Plan
- Updated: CIA Reportable Event Settlements
11-13-2017
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
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 Requ
- 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 2017
10-31-2017
10-27-2017
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 Savin
- Updated Civil Monetary Penalties and Affirmative Exclusions
10-19-2017
10-16-2017
10-12-2017
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 2017
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-09-16-0
- 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
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-09-1
- 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-0
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
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
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 p
- 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
August 2017
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
08-30-2017
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
- Job Opening: Attorney Application Deadline: September 22, 2017
08-25-2017
08-24-2017
08-23-2017
08-22-2017
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-
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
08-16-2017
08-15-2017
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 Requir
- 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
08-01-2017
July 2017
07-31-2017
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
07-19-2017
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:
- 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
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
07-10-2017
07-07-2017
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 2017
06-29-2017
06-27-2017
06-21-2017
06-19-2017
06-15-2017
06-14-2017
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
06-08-2017
06-07-2017
06-05-2017
06-02-2017
06-01-2017
May 2017
05-31-2017
05-30-2017
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
05-23-2017
05-22-2017
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
05-17-2017
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
April 2017
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
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
04-19-2017
04-11-2017
04-10-2017
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 2017
03-30-2017
03-28-2017
03-27-2017
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
- 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
03-15-2017
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
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 Hum
- 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 Data Chart Interactive Map
03-03-2017
- Fraud Alert: HHS OIG Hotline Telephone Number Used in Scam
- Video Series Eye on Oversight: Medical Identity Theft
03-01-2017
February 2017
02-24-2017
02-23-2017
02-17-2017
02-16-2017
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
02-13-2017
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
02-01-2017
January 2017
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: Subcommit
- 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: Subcommitte
01-30-2017
01-26-2017
01-25-2017
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 Ass
- Independent Attestation Review: National Institutes of Health Fiscal Year 2016 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Requ
- Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Acti
- Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2016 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Ac
- 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 Acco
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
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
01-10-2017
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)