What's New
December 2018
12-27-2018
- First Coast Service Options, Inc., Paid Providers for Hyperbaric Oxygen Therapy Services That Did Not Comply With Medicare Requirements (A-04-16-06196)
- Updated Civil Monetary Penalties and Affirmative Exclusions
12-21-2018
- Louisiana Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-06-16-02003)
- Midwood Ambulance & Oxygen Service, Inc., Billed for Nonemergency Ambulance Transport Services That Did Not Comply With Medicare Requirements (A-02-16-01021)
12-20-2018
- Wisconsin Did Not Report and Refund the Full Federal Share of Medicaid-Related Settlements and a Judgment (A-05-17-00041)
- The Administration for Children and Families Has Controls and Strategies To Mitigate Hurricane Preparedness and Response Risk (A-04-18-02013)
- The Health Resources and Services Administration Has Controls and Strategies To Mitigate Hurricane Preparedness and Response Risk (A-04-18-02015)
12-19-2018
12-17-2018
- Updated: Work Plan
- Texas Claimed Community First Choice Fee-for-Service Expenditures Appropriately (A-06-17-08002)
- Payments Made by National Government Services, Inc., to Hospitals for Certain Advanced Radiation Therapy Services Did Not Fully Comply With Medicare Requirements (A-02-16-01007)
- Eye on Oversight: 2018 Year in Review
- Factsheet: Washington State's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-09-18-02001)
12-13-2018
12-12-2018
12-11-2018
- BCFS Health and Human Services Did Not Always Comply With Federal and State Requirements Related to the Health and Safety of Unaccompanied Alien Children (A-06-17-07007)
- The Centers for Medicare & Medicaid Services Had Not Recovered More Than a Billion Dollars in Medicaid Overpayments Identified by OIG Audits (A-05-17-00013)
- Vulnerabilities Exist in State Agencies' Use of Random Moment Sampling To Allocate Costs for Medicaid School-Based Administrative and Health Services Expenditures (A-07-18-04107)
12-10-2018
- LEIE Database Updated with November 2018 Exclusions and Reinstatements
- OIG Most Wanted Fugitive: Ashot Sanamian
- Job Opening: Affirmative Litigation Attorney
12-06-2018
- The Penobscot Indian Nation Did Not Meet All Federal and Tribal Health and Safety Requirements (A-01-17-01502)
- Updated Provider Self-Disclosure Settlements
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated Corporate Integrity Agreement List
12-04-2018
- Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries (OEI-06-14-00530)
- Corporación Salud Asegurada por Nuestra Organización Solidaria, Inc., a Health Resources and Services Administration Grantee, Generally Complied With Federal Grant Requirements (A-02-17-02004)
- Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2017 (A-18-18-11300)
- Medicare Improperly Paid Suppliers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provided to Beneficiaries During Inpatient Stays (A-09-17-03035)
- Podcast: Adverse Events in Long-Term-Care Hospitals
November 2018
11-30-2018
- New York May Have Improperly Claimed Medicaid Reimbursement for Certain Dental Services (A-02-16-01020)
- Fall 2018 Semiannual Report to Congress
- HHS OIG: A Good Investment
- CMS's Enhanced Controls Did Not Always Prevent Terminated Drug Utilization in Medicare Part D (A-07-16-06068)
11-28-2018
11-27-2018
- The Tornillo Influx Care Facility: Concerns About Staff Background Checks and Number of Clinicians on Staff (A-12-19-20000)
- Significant Vulnerabilities Exist in the Hospital Wage Index System for Medicare Payments (A-01-17-00500)
- Summary of Security Vulnerabilities Identified at Two Arizona Managed Care Organizations and Inconsistent Treatment of Medicaid Data Security at the State Agency and Managed Care Organizations (A-18-1
11-26-2018
- Northwestern University Did Not Always Comply With Federal Requirements To Perform Risk Assessments of Subrecipients, but Claimed Allowable Costs (A-05-17-00016)
- Updated Corporate Integrity Agreement List
11-20-2018
11-16-2018
- 2018 Top Management and Performance Challenges
- Advisory Opinion 18-14 (regarding a drug company's proposal to provide free product to hospitals for the hospitals to use exclusively to treat inpatients who have been diagnosed with one particular co
11-15-2018
- Updated: Work Plan
- National Government Services, Inc., Understated Its Plan A Medicare Segment Pension Assets (A-07-18-00541)
- National Government Services, Inc., Did Not Claim Some Allowable Medicare Postretirement Benefit Costs (A-07-18-00552)
- National Government Services, Inc., Claimed Some Unallowable Medicare Pension Costs (A-07-18-00543)
11-14-2018
- Although Hospital Tax Programs in Seven States Complied With Hold-Harmless Requirements, the Tax Burden on Hospitals Was Significantly Mitigated (A-03-16-00202)
- Payments Made by Novitas Solutions, Inc., to Hospitals for Certain Advanced Radiation Therapy Services Did Not Fully Comply With Medicare Requirements (A-02-16-01006)
11-13-2018
11-09-2018
- The Centers for Disease Control and Prevention Has Controls and Strategies To Mitigate Hurricane Preparedness and Response Risk (A-04-18-02014)
- Updated: Provider Self-Disclosure Settlements
- LEIE Database Updated with October 2018 Exclusions and Reinstatements
11-08-2018
11-07-2018
11-06-2018
- Advisory Opinion 18-13 (regarding proposed donations from a charitable trust and an individual donor to a medical research institute)
- Updated Corporate Integrity Agreement List
- Providers added to High Risk - Heightened Scrutiny list
11-05-2018
- CMS Did Not Always Ensure Hospitals Complied With Medicare Reimbursement Requirements for Graduate Medical Education (A-02-17-01017)
- The Centers for Disease Control and Prevention's Namibia Office Implemented Our Prior Audit Recommendations (A-04-18-01008)
- New York Claimed Federal Reimbursement for Some Assertive Community Treatment Services That Did Not Meet Medicaid Requirements (A-02-17-01008)
11-01-2018
October 2018
10-31-2018
- Updated Stipulated Penalties and Exclusion for Material Breach
- Pennsylvania Generally Complied With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-03-15-03300)
10-29-2018
- Professional Clinical Laboratory, Inc., Generally Did Not Comply With Medicare Requirements For Billing Phlebotomy Travel Allowances (A-06-16-02002)
- Advisory Opinion 18-12 regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract indirectl
- U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, With Key Areas That Require Improvement (A-17-18-54000)
- Updated Civil Monetary Penalties and Affirmative Exclusions
10-26-2018
10-25-2018
- Justice Department's Criminal Division Creates Appalachian Regional Prescription Opioid Strike Force to Focus on Illegal Opioid Prescriptions
- Wisconsin Did not Comply With Federal Waiver and State Requirements at all 20 Adult Day Care Centers Reviewed (A-05-17-00030)
10-24-2018
10-19-2018
- TrustSolutions, LLC, Properly Updated the Medicare Segment Pension Assets as of December 31, 2012 (A-07-18-00539)
- National Government Services, Inc., Properly Updated the Plan B Medicare Segment Pension Assets as of January 1, 2015 (A-07-18-00542)
- Hospitals Reported Improved Preparedness for Emerging Infectious Diseases After the Ebola Outbreak (OEI-06-15-00230)
- United Government Services, LLC, Properly Updated the Medicare Segment Pension Assets as of January 1, 2015 (A-07-18-00538)
10-18-2018
- Advisory Opinion 18-11 (regarding a health plan's proposal to pay its contracted providers and clinics to increase the amount of Early and Periodic Screening, Diagnostic, and Treatment services that t
- States Follow a Common Framework in Responding to Breaches of Medicaid Data (OEI-09-16-00210)
10-17-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Florence Crittenton Services of Orange County, Inc., Did Not Always Claim Expenditures in Accordance With Federal Requirements (A-09-17-01002)
10-16-2018
10-15-2018
10-11-2018
10-10-2018
10-09-2018
10-04-2018
- Updated Corporate Integrity Agreement List
- Wisconsin Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries� Deaths (A-05-17-00006)
- Updated Civil Monetary Penalties and Affirmative Exclusions
10-02-2018
- Many Inpatient Rehabilitation Facility Stays Did Not Meet Medicare Coverage and Documentation Requirements (A-01-15-00500)
- Updated Corporate Integrity Agreement List
10-01-2018
September 2018
09-28-2018
09-27-2018
- Medicare Advantage Appeal Outcomes and Audit Findings Raise Concerns About Service and Payment Denials (OEI-09-16-00410)
- Fraud Risk Indicator
- Updated Corporate Integrity Agreement List
09-26-2018
- The Indian Health Service Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements (A-07-17-03227)
- Etheredge Chiropractic Received Unallowable Medicare Payments for Chiropractic Services (A-04-16-07064)
- Nevada Implemented Some New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-09-17-01003)
09-25-2018
- New Hampshire Medicaid Fraud Control Unit: 2017 Onsite Review (OEI-09-17-00200)
- New Jersey Medicaid Fraud Control Unit: 2017 Onsite Review (OEI-06-17-00520)
- Statistical Sampling: A Toolkit for MFCUs
- New York Medicaid Fraud Control Unit: 2017 Onsite Inspection (OEI-12-17-00340)
- Eye on Oversight: Emergency Response
09-24-2018
09-21-2018
09-20-2018
- First Coast Service Options, Inc., Overstated Medicare�s Share of the Medicare Segment Excess Pension Liabilities (A-07-18-00535)
- Medicare Payments for Clinical Diagnostic Laboratory Tests in 2017: Year 4 of Baseline Data (OEI-09-18-00410)
09-18-2018
09-17-2018
- Updated: Work Plan
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Treatment Planning and Medication Monitoring Were Lacking for Children in Foster Care Receiving Psychotropic Medication (OEI-07-15-00380)
- Advisory Opinion 18-10 (regarding a surgical device and wound care product manufacturer's proposal to offer hospital customers a warranty program covering a suite of three products)
09-12-2018
- Updated Corporate Integrity Agreement List
- National Institute of Transplantation, an Independent Histocompatibility Laboratory, Did Not Fully Comply With Medicare�s Cost-Reporting Requirements (A-09-16-02010)
09-11-2018
09-10-2018
- LEIE Database Updated with August 2018 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
09-07-2018
09-06-2018
09-05-2018
- Job Opening: Health Care Attorney Application Deadline: October 12
- Updated Provider Self-Disclosure Settlements
- The Fort Peck Assiniboine and Sioux Tribes Improperly Administered Some Low-Income Home Energy Assistance Program Funds for Fiscal Years 2011 Through 2015 (A-07-18-04106)
09-04-2018
August 2018
08-29-2018
08-28-2018
08-23-2018
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Mississippi Did Not Comply With Federal Waiver and State Requirements at All 20 Adult Day Care Facilities Reviewed (A-04-17-00116)
- OIG Excludes Company and Owner from Federal Health Care Programs
08-22-2018
08-21-2018
- Virginia Did Not Claim Some Medicaid Administrative Costs for Its Medallion 3.0 Waiver Program In Accordance With Federal Requirements (A-03-17-00200)
- Advisory Opinion 18-09 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract indirect
- Liberty Medical, LLC, Received Unallowable Medicare Payments for Inhalation Drugs (A-09-17-03019)
- Updated Civil Monetary Penalties and Affirmative Exclusions
08-20-2018
- Updated Corporate Integrity Agreement List
- Medicare Improperly Paid Hospitals Millions of Dollars for Intensity-Modulated Radiation Therapy Planning Services (A-09-16-02033)
- Medicare Made Improper and Potentially Improper Payments for Emergency Ambulance Transports to Destinations Other Than Hospitals or Skilled Nursing Facilities (A-09-17-03017)
08-16-2018
- California Created a Medicaid Program Vulnerability by Reporting Placeholders That Did Not Represent Actual Expenditures Supported by Documentation (A-09-15-02027)
- Updated Virginia and Washington State False Claims Act Review Letters
- The Passamaquoddy Tribe's Pleasant Point Health Center Did Not Always Meet Federal and Tribal Health and Safety Requirements (A-01-17-01500)
- California Claimed Millions of Dollars in Unallowable Federal Medicaid Reimbursement for Specialty Mental Health Services (A-09-15-02040)
08-15-2018
08-14-2018
- Advisory Opinion 18-08 (regarding a proposal by certain government-operated fire departments and fire protection districts to enter into a mutual aid agreement to provide backup emergency ambulance se
- Maryland Did Not Adequately Secure Its Medicaid Data and Information Systems (A-18-16-30520)
08-13-2018
- Assistant Attorney General Benczkowski Announces Newark/Philadelphia Medicare Fraud Strike Force to Focus on Health Care Fraud and Illegal Opioid Prescriptions
- CMS Did Not Always Accurately Authorize Financial Assistance Payments to Qualified Health Plan Issuers in Accordance With Federal Requirements During the 2014 Benefit Year (A-02-15-02013)
- Alaska Received Millions in Unallowable Bonus Payments (A-04-17-08059)
08-10-2018
08-09-2018
- Questionable Billing for Compounded Topical Drugs in Medicare Part D (OEI-02-16-00440)
- Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2016 Average Sales Prices (OEI-03-18-00120)
- Updated Corporate Integrity Agreement List
08-08-2018
- Medicare Compliance Review of WakeMed Raleigh Campus (A-04-17-04057)
- Open Payments Data: Review of Accuracy, Precision, and Consistency in Reporting (OEI-03-15-00220)
08-06-2018
- Advisory Opinion 18-07 (regarding a proposal from a group purchasing organization ("GPO") to serve as a purchasing agent on behalf of certain GPO-affiliated health care facilities on the same terms an
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
08-03-2018
- Georgia Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-04-18-03578)
- Updated Provider Self-Disclosure Settlements
- Illinois Did Not Comply With Federal Waiver and State Requirements at 18 of 20 Adult Day Service Centers Reviewed (A-05-17-00028)
- Illinois Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-05-16-00066)
- New Hampshire Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-01-18-02500)
08-02-2018
- Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part A Administrative Costs for Fiscal Year 2013 (A-05-16-00052)
- Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part B Administrative Costs for Fiscal Year 2013 (A-05-16-00053)
08-01-2018
July 2018
07-31-2018
- Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity: An OIG Portfolio
- Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: Top Unimplemented Recommendations
- Eye on Oversight: Hospice
- Media Materials: Vulnerabilities in Hospice Care
07-25-2018
07-23-2018
- First Coast Service Options, Inc., Generally Claimed Allowable Pension Costs Through Its Incurred Cost Proposals (A-07-18-00534)
- First Coast Service Options, Inc., Did Not Claim Some Medicare Supplemental Executive Retirement Plan Costs Through Its Incurred Cost Proposals (A-07-18-00536)
07-20-2018
07-18-2018
- Medicare Improperly Paid Providers for Nonemergency Ambulance Transports to Destinations Not Covered by Medicare (A-09-17-03018)
- Advisory Opinion 18-06 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract indirect
- Updated Corporate Integrity Agreement List
- Setting Medicare Payment Rates for Clinical Diagnostic Laboratory Tests: Strategies To Ensure Data Quality (OEI-09-17-00050)
07-17-2018
07-16-2018
07-13-2018
- The Office of the Secretary of Health and Human Services Did Not Comply with Federal Regulations for Chartered Aircraft and Other Government Travel Related to Former Secretary Price (A-12-17-00002)
- The MEDIC Produced Some Positive Results but More Could be Done to Enhance its Effectiveness (OEI-03-17-00310)
07-12-2018
- The Colorado Health Insurance Marketplace's Financial Management System Did Not Always Comply With Federal Requirements (A-07-17-02808)
- Weaknesses Exist in Medicaid Managed Care Organizations' Efforts To Identify and Address Fraud and Abuse (OEI-02-15-00260)
07-10-2018
- The Indian Health Service's Controls Were Not Effective in Ensuring That Its Purchase Card Program Complied With Federal Requirements and Its Own Policy (A-07-16-05090)
- Medicare Improperly Paid Providers for Items and Services Ordered by Chiropractors (A-09-17-03002)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- LEIE Database Updated with June 2018 Exclusions and Reinstatements
- Opioids in Ohio Medicaid: Review of Extreme Use and Prescribing (OEI-05-18-00010)
07-06-2018
- The Administration for Children and Families Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements (A-07-17-03225)
- University of Wisconsin Hospitals and Clinics Authority Incorrectly Billed Medicare Inpatient Claims With Severe Malnutrition (A-03-17-00005)
- Updated Provider Self-Disclosure Settlements
- Some New York City Childcare Providers Did Not Always Comply With Health and Safety Requirements (A-02-16-02003)
07-05-2018
June 2018
06-29-2018
- CMS Did Not Detect Some Inappropriate Claims for Durable Medical Equipment in Nursing Facilities (OEI-06-16-00380)
- Michigan Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Brokerage Program (A-05-16-00021)
06-28-2018
- Opioid Use in Medicare Part D Remains Concerning (OEI-02-18-00220)
- Entities Generally Met Federal Select Agent Program Internal Inspection Requirements But CDC Could Do More To Improve Effectiveness (OEI-04-15-00431)
- 2018 National Takedown
- Featured Topic: Combatting the Opioid Epidemic
- Toolkit: Using Data Analysis To Calculate Opioid Levels and Identify Patients At Risk of Misuse or Overdose (OEI-02-17-00560)
06-27-2018
- Testimony of Brian P. Ritchie , Assistant Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services: Senate Committee on Homeland Security and Gov
- Tennessee Medicaid Fraud Control Unit: 2017 Onsite Inspection (OEI-12-17-00230)
- Updated: Work Plan
06-26-2018
- Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2018 (OEI-05-18-00240)
- Updated Corporate Integrity Agreement List
06-25-2018
06-22-2018
06-19-2018
06-18-2018
06-15-2018
06-14-2018
06-13-2018
- Nebraska Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-07-17-03224)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Podcast: Pain Management Doctor Was A "One-Man Crime Wave"
- Illinois Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-05-17-00047)
06-12-2018
- Companion Data Services, LLC, Did Not Claim Some Allowable Pension Costs Through Its Incurred Cost Proposals (A-07-17-00528)
- Ohio Did Not Always Comply With Requirements Related to the Case Management of Children in Foster Care (A-05-16-00022)
- Most Medicare Claims for Replacement Positive Airway Pressure Device Supplies Did Not Comply With Medicare Requirements (A-04-17-04056)
- Minnesota Did Not Comply With Federal Waiver and State Requirements for All 20 Adult Day Care Centers Reviewed (A-05-17-00009)
06-08-2018
- Texas Made Increased Payments for Services Rendered by Eligible Primary Care Providers Under Federal Requirements (A-06-17-09003)
- Updated Corporate Integrity Agreement List
- LEIE Database Updated with May 2018 Exclusions and Reinstatements
- Nevada Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-09-15-02039)
06-07-2018
06-06-2018
- Updated Provider Self-Disclosure Settlements
- New York Claimed Federal Reimbursement for Consumer-Directed Personal Assistance Services That Did Not Meet Medicaid Requirements (A-02-16-01026)
06-05-2018
- Updated Corporate Integrity Agreement List
- 2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)
06-04-2018
- Increases in Reimbursement for Brand-Name Drugs in Part D (OEI-03-15-00080)
- Podcast: Increases in Reimbursement for Brand-Name Drugs in Part D
06-01-2018
May 2018
05-31-2018
- Advisory Opinion 18-03 regarding a federally qualified health center look-alike's proposal to provide information technology items and services, without charge, to a county Department of Health's clin
- Updated Civil Monetary Penalties and Affirmative Exclusions
05-30-2018
05-29-2018
05-25-2018
05-24-2018
- Updated Corporate Integrity Agreement List
- Round 2 Competitive Bidding for Oxygen: Continued Access for Vast Majority of Beneficiaries (OEI-01-15-00041)
- CMS Did Not Always Provide Accurate Medicaid Unit Rebate Offset Amounts to State Medicaid Agencies (A-07-17-06074)
- Round 2 Competitive Bidding for Enteral Nutrition: Continued Access for Vast Majority of Beneficiaries (OEI-01-15-00042)
05-23-2018
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Testimony of Gary Cantrell , Deputy Inspector General for Investigations, Office of Investigations, Office of Inspector General, Department of Health and Human Services: Senate Special Committee on Ag
05-22-2018
05-18-2018
- Missouri Did Not Comply With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-07-16-03216)
- Iowa Complied With Most Federal Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-07-17-03221)
05-16-2018
- The University of Alabama at Birmingham Overstated Chilled Water Costs in Its Facilities and Administrative Cost Proposal Audit (A-04-14-00095)
- Wisconsin Physicians Service Insurance Corporation Understated Medicare�s Share of the Medicare Segment Excess Pension Assets (A-07-17-00529)
- Wisconsin Physicians Service Insurance Corporation Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00530)
05-15-2018
- Updated: Work Plan
- 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 2017 (A-17-18-52000)
- Testimony of Ann Maxwell , Assistant Inspector General for Evaluation and Inspections, Office of Inspector General, Department of Health and Human Services: Senate Committee on Health, Education, Labo
05-14-2018
05-11-2018
05-09-2018
05-08-2018
- Updated Corporate Integrity Agreement List
- LEIE Database Updated with April 2018 Exclusions and Reinstatements
- Daniel R. Levinson's Keynote Address at the 2018 HCCA Compliance Institute
- The National Institutes of Health, Division of Financial Advisory Services Did Not Always Establish Final Indirect Cost Rates in Accordance With Federal Requirements (A-04-17-04059)
05-07-2018
- Cahaba Government Benefits Administrators, LLC, Generally Claimed Allowable Medicare Pension Costs (A-07-17-00524)
- Cahaba Government Benefits Administrators, LLC, Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00525)
- Cahaba Government Benefits Administrators, LLC, Overstated Its Medicare Segment Pension Assets (A-07-17-00522)
- Advisory Opinion 18-02 (regarding an arrangement where a company that manufactures, distributes, and sells medical device and pharmaceutical products provides a limited number of free sample ostomy pr
- Updated Corporate Integrity Agreement List
- Cahaba Safeguard Administrators, LLC, Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00526)
05-04-2018
- Cahaba Safeguard Administrators, LLC, Understated Its Medicare Segment Pension Assets (A-07-17-00523)
- First Coast Service Options, Inc.'s, Postretirement Benefit Costs Were Reasonable and Allowable (A-07-17-00501)
- Florida Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-04-17-08052)
05-03-2018
05-01-2018
April 2018
04-30-2018
04-24-2018
04-20-2018
- Updated Corporate Integrity Agreement List
- The National Institute of Health in Mozambique Did Not Always Manage and Expend the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-16-04051)
04-18-2018
- CMS's Policies and Procedures Were Generally Effective in Ensuring That Prescription Drug Coverage Capitation Payments Were Not Made After the Beneficiaries' Dates of Death (A-07-16-05088)
- The Indian Health Service's Controls Were Not Effective in Ensuring That Its Travel Card Program Complied With Federal Requirements and Its Own Policy (A-07-16-05091)
04-16-2018
04-13-2018
- CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements (A-05-16-00058)
- Colorado Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services (A-07-16-03215)
- Idaho Received Millions in Unallowable Bonus Payments (A-04-17-08056)
04-12-2018
04-11-2018
- Most Wanted Fugitive: Ebong Tilong
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
04-10-2018
04-09-2018
04-06-2018
04-04-2018
March 2018
03-30-2018
03-29-2018
03-28-2018
03-27-2018
03-23-2018
- Many Medicare Claims for Outpatient Physical Therapy Services Did Not Comply With Medicare Requirements (A-05-14-00041)
- Oklahoma Did Not Have Procedures to Identify Provider-Preventable Conditions on Some Inpatient Hospital Claims (A-06-16-08004)
03-22-2018
- Some Washington State Group-Care Facilities for Children in Foster Care Did Not Always Comply With State Health and Safety Requirements (A-09-16-01006)
- Aurum Institute Generally Managed and Expended the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-17-01003)
- New Jersey Claimed Federal Medicaid Reimbursement for Children's Partial Hospitalization Services That Did Not Meet Federal and State Requirements (A-02-16-01008)
- New York Did Not Comply With Federal Grant Requirements for Claiming Marketplace Contract Costs to Medicaid and the Children's Health Insurance Program (A-02-15-01014)
03-21-2018
03-16-2018
03-15-2018
- Updated: Work Plan
- Hospitals Did Not Comply With Medicare Requirements for Reporting Certain Cardiac Device Credits (A-05-16-00059)
- Updated Corporate Integrity Agreement List
03-14-2018
03-12-2018
- BCFS Health and Human Services Did Not Always Comply With Federal Requirements Related to Less-Than-Arm's-Length Leases (A-06-16-07007)
- Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2017 (A-18-17-11200)
03-09-2018
- Oklahoma Did Not Always Comply With Requirements for Providing Health Care Services to Children in Foster Care (A-06-16-07006)
- Updated Provider Self-Disclosure Settlements
03-08-2018
- Reliance on Unverified Patient Lists Creates a Vulnerability in Home Health Surveys (OEI-05-16-00510)
- Updated Civil Monetary Penalties and Affirmative Exclusions
03-07-2018
03-06-2018
03-02-2018
- Entities' Experiences and Perceptions of Reporting the Theft, Loss, and Release of Select Agents or Toxins to CDC (OEI-04-15-00432)
- Updated Corporate Integrity Agreement List
03-01-2018
February 2018
02-27-2018
02-23-2018
02-21-2018
- Medicare Compliance Review of Memorial University Medical Center (A-04-17-08055)
- The Association for Public Health Laboratories Managed Global Health Security Agenda Funds in Accordance With Federal Requirements (A-04-17-02004)
- California Made Medicaid Payments on Behalf of Newly Eligible Beneficiaries Who Did Not Meet Federal and State Requirements (A-09-16-02023)
- Updated Corporate Integrity Agreement List
02-20-2018
- Fall Internship Application
- Arizona Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-16-02031)
- Medicare Improperly Paid Providers for Specimen Validity Tests Billed in Combination With Urine Drug Tests (A-09-16-02034)
02-16-2018
02-15-2018
- Updated: Work Plan
- Wisconsin Physicians Service Paid Providers for Hyperbaric Oxygen Therapy Services That Did Not Comply With Medicare Requirements (A-01-15-00515)
- Arkansas Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-06-16-00018)
- Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2016 (A-18-17-11300)
02-13-2018
- Updated Corporate Integrity Agreement List
- Updated Civil Monetary Penalties and Affirmative Exclusions
02-12-2018
02-09-2018
02-08-2018
- Henry J. Austin Health Center, Inc., a Health Resources and Services Administration Grantee, Did Not Comply With Federal Grant Requirements (A-02-17-02002)
- The Administration for Children and Families Region II Did Not Always Resolve Head Start Grantees' Single Audit Findings in Accordance With Federal Requirements (A-02-16-02009)
02-07-2018
- LEIE Database Updated with January 2017 Exclusions and Reinstatements
- Palmetto Government Benefits Administrator, LLC, Claimed Some Unallowable Pension Costs Through Its Incurred Cost Proposals (A-07-17-00506)
- CGS Administrators, LLC, Did Not Claim Some Allowable Pension Costs Through Its Incurred Cost Proposals (A-07-17-00513)
02-06-2018
- Medicare Compliance Review of the University of Michigan Health System (A-05-16-00064)
- Updated Corporate Integrity Agreement List
January 2018
01-23-2018
- North Carolina Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-04-17-02500)
- Medicare Compliance Review of Carolinas Medical Center (A-04-16-04049)
01-19-2018
- Testimony of Gloria Jarmon , Deputy Inspector General for the Office of Audit Services, Department of Health and Human Services: House Committee on Energy and Commerce, Subcommittee on Oversight and I
- Updated Corporate Integrity Agreement List
01-18-2018
- Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Acc
- Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Acti
- Independent Attestation Review: National Institutes of Health Fiscal Year 2017 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Requ
- Independent Attestation Review: Indian Health Service Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Asse
01-17-2018
- Joint Report: Ensuring Beneficiary Health and Safety in Group Homes Through State Implementation of Comprehensive Compliance Oversight
- Testimony of Gary Cantrell , Deputy Inspector General for Investigations, Office of Investigations, Office of Inspector General, Department of Health and Human Services: House Committee on Ways and Me
- Wisconsin Physicians Service Insurance Corporation Did Not Claim Some Allowable Medicare Pension Costs (A-07-17-00519)
- Wisconsin Physicians Service Insurance Corporation Understated Its Allocable Pension Costs (A-07-17-00520)
- Independent Attestation Review: Centers for Disease Control and Prevention Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accom
01-16-2018
- Updated: Work Plan
- Medicare Advantage Encounter Data Show Promise for Program Oversight, But Improvements Are Needed (OEI-03-15-00060)
- Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Employees' Pension Plan (A-07-17-00516)
- Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Managerial Retirement Program for Selected Locations (A-07-17-00517)
- Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Managerial Pension Plan (A-07-17-00518)
01-09-2018
- New York Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries (A-02-15-01015)
- Tennessee Managed Care Organizations Received Medicaid Capitation Payments After Beneficiary's Death (A-04-15-06190)
- Georgia Made Unallowable Capitation Payments for Beneficiaries Assigned Multiple Medicaid Identification Numbers (A-04-16-07061)
- Texas Did Not Appropriately Spend Some State Balancing Incentive Payments Program Funds (A-06-15-00041)
- Updated Civil Monetary Penalties and Affirmative Exclusions
01-08-2018
- Texas Did Not Always Calculate Physician Supplemental Payments Made to the Texas Tech University Health Institutions in Accordance With Federal and State Requirements (A-06-12-00043)
- Nebraska Did Not Invoice Rebates to Manufacturers for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-07-13-06046)
- Texas Did Not Bill Manufacturers for Some Rebates for Pharmacy Drugs of Medicaid Managed-Care Organizations (A-06-16-00004)
- Indiana Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-05-16-00056)
- Updated Corporate Integrity Agreement List
01-05-2018
- OIG Letter to PhRMA: Drug Companies that Provide Free Drugs to Federal Health Care Program Beneficiaries Impacted by Caring Voice Coalition, Inc.'s Decision Not to Provide Patient Assistance in 2018
- Advisory Opinion 17-09 (regarding an arrangement in which certain neurosurgeons have agreed to implement cost-reduction measures in designated surgical procedures performed at a medical center, and th