What's New
December 2019
12-23-2019
12-20-2019
12-18-2019
12-17-2019
12-16-2019
- Medicare Home Health Agency Provider Compliance Audit: Palos Community Hospital Home Health Agency A-05-17-00022
- Updated: Work Plan
- Eye on Oversight: 2019 Year in Review
- CMS Made an Estimated $93.6 Million in Incorrect Medicare Electronic Health Record Incentive Payments to Acute-Care Hospitals, or Less Than 1 Percent of $10.8 Billion in Total Incentive Payments A-09-
- California Made Progress Toward Achieving Program Goals for Enhancing Its Prescription Drug Monitoring Program A-09-18-01006
12-13-2019
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Medicare Hospital Provider Compliance Audit: Texas Health Presbyterian Hospital Dallas A-04-18-08068
12-12-2019
- Billions in Estimated Medicare Advantage Payments From Chart Reviews Raise Concerns OEI-03-17-00470
- Updated Corporate Integrity Agreements
12-10-2019
12-06-2019
12-04-2019
- Factsheet: Alabama's Oversight of Opioid Prescribing and Monitoring of Opioid Use A-04-19-00125
- Pathways for Children Needs To Strengthen Documentation Requirements A-01-18-02503
- Updated Corporate Integrity Agreements
12-03-2019
- Medicare Hospital Provider Compliance Audit: Northwest Medical Center A-04-18-08064
- Medicare Hospital Provider Compliance Audit: Carolinas Hospital A-04-18-08063
12-02-2019
- OIG Fiscal Year 2019 Semiannual Report Reveals Taxpayers Could See Nearly $5.9 Billion Returned to Government
- Fall 2019 Semiannual Report to Congress
November 2019
11-27-2019
11-26-2019
- Noridian Healthcare Solutions, LLC, Did Not Claim Allowable Medicare Nonqualified Costs A-07-19-00574
- Noridian Healthcare Solutions, LLC, Did Not Claim Allowable Medicare Nonqualified Costs Through Its Incurred Cost Proposals A-07-19-00573
- Updated Civil Monetary Penalties and Affirmative Exclusions
11-25-2019
- Cahaba Safeguard Administrators, LLC, Properly Updated the Medicare Segment Pension Assets as of January 1, 2017 A-07-19-00571
- Cahaba Government Benefits Administrators, LLC, Overstated Its Medicare Segment Pension Assets as of January 1, 2017 A-07-19-00570
11-22-2019
- Highlands of Little Rock West Markham Holdings, LLC: Audit of Documentation of Therapy Resource Utilization Groups A-06-18-08003
- Updated Corporate Integrity Agreements
11-21-2019
11-19-2019
11-18-2019
11-15-2019
11-14-2019
- Eye on Oversight - The New HHS OIG Hotline
- Statement for the Record : Office of Inspector General, U.S. Department of Health and Human Services: U.S. House Committee on Ways and Means: Caring for Aging Americans
- New Jersey Improperly Claimed Tens of Millions for Medicaid School-Based Administrative Costs Based on Random Moment Sampling That Did Not Meet Federal Requirements A-02-17-01006
- California Should Improve Its Oversight of Selected Nursing Homes' Compliance With Federal Requirements for Life Safety and Emergency Preparedness A-09-18-02009
- The University of Minnesota Complied With Federal Requirements To Perform Risk Assessments and Monitor Subrecipients A-05-18-00015
11-12-2019
- Medicare Made Hundreds of Thousands of Dollars in Overpayments for Chronic Care Management Services A-07-17-05101
- Updated Corporate Integrity Agreements
11-08-2019
- Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals A-07-18-00550
- Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs A-07-19-00569
- Noridian Healthcare Solutions, LLC, Did Not Claim Some Allowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals A-07-19-00568
- Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Postretirement Benefit Assets A-07-19-00567
- Noridian Healthcare Solutions, LLC, Claimed Some Unallowable Medicare Pension Costs A-07-18-00548
- Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Pension Assets A-07-18-00547
- Updated Corporate Integrity Agreements
11-06-2019
- Medicare Improperly Paid Acute-Care Hospitals $54.4 Million for Inpatient Claims Subject to the Post-Acute-Care Transfer Policy A-09-19-03007
- Updated CIA Reportable Events
- Updated Provider Self-Disclosure Settlements
11-05-2019
11-04-2019
- LEIE Database Updated with October 2019 Exclusions and Reinstatements
- Medicare Allowable Amounts for Certain Orthotic Devices Are Not Comparable With Payments Made by Select Non-Medicare Payers A-05-17-00033
- Medicare Improperly Paid Suppliers an Estimated $92.5 Million for Inhalation Drugs A-09-18-03018
- Medicare Home Health Agency Provider Compliance Review: Angels Care Home Health A-07-16-05093
October 2019
10-31-2019
- Tennessee Made Unallowable Capitation Payments for Beneficiaries Assigned Multiple Medicaid Identification Numbers A-04-18-07079
- Texas Did Not Ensure That Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions (A-06-16-01001)
10-30-2019
10-28-2019
- U.S. Department of Health and Human Services Met the Requirements of the Digital Accountability and Transparency Act of 2014, With Areas That Require Improvement A-17-19-54000
- Rhode Island Hospital Submitted Some Inaccurate Wage Data A-01-17-00509
- The Centers for Medicare & Medicaid Services Could Improve Its Processes for Evaluating and Reporting Payment Recovery Savings Associated With the Fraud Prevention System A-01-15-00510
10-25-2019
10-24-2019
10-23-2019
- Sunshine ACO, LLC, Generally Reported Complete and Accurate Data on Quality Measures Through the CMS Web Portal, but There Were a Few Reporting Deficiencies That Did Not Affect the Overall Quality Per
- Updated Civil Monetary Penalties and Affirmative Exclusions
10-22-2019
10-21-2019
10-15-2019
10-10-2019
- LEIE Database Updated with September 2019 Exclusions and Reinstatements
- Updated CIA Reportable Events
- Updated Provider Self-Disclosure Settlements
10-09-2019
- Revisions to the Safe Harbors Under the Anti-Kickback Statute and Civil Monetary Penalty Rules Regarding Beneficiary Inducements Fact Sheet: Notice of Proposed Rulemaking OIG-0936-AA10-P
- Wisconsin Physicians Service Needs Enhanced Guidance and Provider Education Related to Phlebotomy Travel Allowances (A-06-17-04005)
- Updated Corporate Integrity Agreements
- Updated State False Claims Act Review Letters
10-08-2019
10-04-2019
10-03-2019
- The Minnesota State Medicaid Agency Made Capitation Payments to Managed Care Organizations After Beneficiaries' Deaths (A-05-17-00049)
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated Civil Monetary Penalties and Affirmative Exclusions
10-02-2019
10-01-2019
- National Government Services, Inc., Did Not Claim Some Medicare Postretirement Benefit Plan Costs Through Its Incurred Cost Proposals (A-07-19-00566)
- National Government Services, Inc., Claimed Some Unallowable Medicare Nonqualified Plans Costs Through Its Incurred Cost Proposals (A-07-19-00572)
- Updated Corporate Integrity Agreements
- Spring and Summer Internship Applications
September 2019
09-30-2019
- National Government Services, Inc., Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals (A-07-19-00564)
- National Government Services, Inc., Claimed Some Unallowable Medicare Supplemental Executive Retirement Plan Costs Through Its Incurred Cost Proposals (A-07-19-00565)
09-27-2019
- Patient Safety Organizations: Hospital Participation, Value, and Challenges (OEI-01-17-00420)
- Nationwide Genetic Testing Fraud
- NIH Has Made Strides in Reviewing Financial Conflicts of Interest in Extramural Research, But Could Do More (OEI-03-19-00150)
- Vetting Peer Reviewers at NIH's Center for Scientific Review: Strengths and Limitations (OEI-01-19-00160)
- The National Institutes of Health Has Limited Policies, Procedures, and Controls in Place for Helping To Ensure That Institutions Report All Sources of Research Support, Financial Interests, and Affil
- Updated Corporate Integrity Agreements
09-26-2019
- Department of Health and Human Services Had Email Requirements for Political Appointees, but Office of the Secretary Lacked Effective Monitoring and Enforcement (A-18-18-11050)
- The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2017 in Accordance With Federal Requirements (A-04-19-04071)
- National Government Services, Inc., Claimed Some Unallowable Medicare Nonqualified Plans Costs Through Its Final Administrative Cost Proposals (A-07-19-00563)
- National Government Services, Inc., Claimed Some Unallowable Supplemental Executive Retirement Plan Costs Through Its Final Administrative Cost Proposals (A-07-18-00551)
09-24-2019
09-23-2019
- Arrested Deadbeat: Charles Hefner
- Ohio Made Medicaid Capitation Payments That Were Duplicative or Were Improper Based on Beneficiary Eligibility Status or Demographics (A-05-16-00061)
- Opioid Use in Medicare Part D in Missouri (OEI-02-19-00391)
09-20-2019
09-19-2019
- Some Medicare Part D Beneficiaries Face Avoidable Extra Steps That Can Delay or Prevent Access to Prescribed Drugs (OEI-09-16-00411)
- Testimony of Ann Maxwell , Assistant Inspector General, Office of Inspector General, Office of Evaluation and Inspections, U.S. Department of Health and Human Services: U.S. House Committee on Energy
- Texas Did Not Bill Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-06-17-04001)
09-18-2019
- Updated Stipulated Penalties and Exclusion for Material Breach
- Testimony of Ann Maxwell , Assistant Inspector General, Office of Inspector General, Office of Evaluation and Inspections, U.S. Department of Health and Human Services: U.S. House Committee on Appropr
- Medicare's Oversight of Ambulatory Surgery Centers (OEI-01-15-00400)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated CIA Reportable Events
09-16-2019
- Medicare Incorrectly Paid Providers for Emergency Ambulance Transports From Hospitals to Skilled Nursing Facilities (A-09-18-03030)
- Provider Shortages and Limited Availability of Behavioral Health Services in New Mexico's Medicaid Managed Care (OEI-02-17-00490)
- Updated: Work Plan
09-13-2019
- Updated Provider Self-Disclosure Settlements
- Rebates for Brand Name Drugs in Part D Substantially Reduced the Growth in Spending from 2011 to 2015 (OEI-03-19-00010)
- Updated Grantee Self-Disclosure Protocol
09-12-2019
09-11-2019
09-10-2019
- The Centers for Medicare & Medicaid Services Could Use Comprehensive Error Rate Testing Data To Identify High-Risk Home Health Agencies (A-05-17-00035)
- Advisory Opinion 19-04 (regarding a technology company's proposal to make visible to Federal health care program beneficiaries: (i) its online healthcare directory for searching and booking medical ap
09-06-2019
09-05-2019
- Oceanside Medical Group Received Unallowable Medicare Payments for Psychotherapy Services (A-09-18-03004)
- Twin Palms Received Unallowable Medicare Payments for Chiropractic Services (A-04-16-07065)
- West Florida ACO, LLC, Generally Reported Complete and Accurate Data on Quality Measures Through the CMS Web Portal, but There Were a Few Reporting Deficiencies That Did Not Affect the Overall Quality
- Updated Corporate Integrity Agreements
09-04-2019
- Colorado Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries (A-07-16-04228)
- Care Provider Facilities Described Challenges Addressing Mental Health Needs of Children in HHS Custody (OEI-09-18-00431)
- Unaccompanied Alien Children Care Provider Facilities Generally Conducted Required Background Checks but Faced Challenges in Hiring, Screening, and Retaining Employees (A-12-19-20001)
- Featured Topics: Unaccompanied Children
- Media Materials: Unaccompanied Children
- Florida Medicaid Paid Hundreds of Millions in Unallowable Payments to Jackson Memorial Hospital Under Its Low Income Pool Program (A-04-17-04058)
09-03-2019
- New Jersey Did Not Bill Manufacturers for Tens of Millions of Dollars in Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-02-16-01011)
- Illinois Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries' Deaths (A-05-18-00026)
August 2019
08-29-2019
- Organizational Challenges to Improving Quality of Care in Indian Health Service Hospitals (OEI-06-16-00390)
- Mederi Caretenders Home Health Billed for Home Health Services That Did Not Comply With Medicare Billing Requirements (A-07-16-05092)
08-28-2019
- All Six States Reviewed Had Partially Implemented New Criminal Background Check Requirements for Childcare Providers, and Five of the States Anticipate Full Implementation by Fiscal Year 2020 (A-05-19
- Utah Medicaid Fraud Control Unit: 2018 Onsite Review (OEI-09-18-00170)
08-27-2019
- Medicare Part D Is Still Paying Millions for Drugs Already Paid for Under the Part A Hospice Benefit (A-06-17-08004)
- Updated Civil Monetary Penalties and Affirmative Exclusions
08-26-2019
08-23-2019
- New York Incorrectly Claimed Enhanced Federal Medicaid Reimbursement for Some Beneficiaries (A-02-15-01023)
- New York Should Improve Its Oversight of Selected Nursing Homes' Compliance With Federal Requirements for Life Safety and Emergency Preparedness (A-02-17-01027)
- The Administration for Children and Families Should Improve the Oversight of Tribal Grantees' Low-Income Home Energy Assistance Programs (A-07-17-04105)
- Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2018 (A-18-19-11300)
08-22-2019
- The Food and Drug Administration Did Not Submit Clearance Documents for Any Audit Recommendations During Fiscal Years 2015 and 2016 but Has Since Made Significant Progress (A-07-18-03231)
- Idaho Medicaid Fraud Control Unit: 2018 Onsite Inspection (OEI-12-18-00320)
08-20-2019
- Connecticut Claimed Unallowable Federal Reimbursement for Medicaid Physician-Administered Drugs That Were Not Invoiced to Manufacturers for Rebates (A-07-18-06078)
- National Review of Opioid Prescribing in Medicaid Is Not Yet Possible (OEI-05-18-00480)
- Southwest Key Did Not Have Adequate Controls in Place To Secure Personally Identifiable Information Under the Unaccompanied Alien Children Program (A-18-18-06001)
- Southwest Key Programs Did Not Always Comply With Health and Safety Requirements For The Unaccompanied Alien Children Program (A-06-17-07005)
- The Health Resources and Services Administration Resolved All of Its Audit Recommendations, With Over 99 Percent Resolved in Accordance With Federal Timeliness Requirements (A-07-19-03235)
08-19-2019
08-16-2019
08-15-2019
- Pennsylvania Did Not Ensure That Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions (A-03-16-00205)
- Updated: Work Plan
- Many Medicaid-Enrolled Children Who Were Treated for ADHD Did Not Receive Recommended Followup Care (OEI-07-17-00170)
- HHS Did Not Always Efficiently Plan and Coordinate Its International Ebola Response Efforts (A-04-16-03567)
08-14-2019
08-13-2019
- Georgia Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries' Deaths (A-04-15-06183)
- States' Payment Rates Under the Child Care and Development Fund Program Could Limit Access to Child Care Providers (OEI-03-15-00170)
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the First Quarter of 2019 (OEI-03-19-00050)
- New York Achieved Program Goals For Enhancing Its Prescription Drug Monitoring Program (A-02-18-02001)
08-09-2019
08-08-2019
08-06-2019
July 2019
07-31-2019
- Group Health Incorporated Understated Its Cash Balance Pension Plan Medicare Segment Pension Assets as of January 1, 2011 (A-07-19-00557)
- Group Health Incorporated Understated Its EmblemHealth Services Company, LLC, Employees' Retirement Plan Medicare Segment Pension Assets as of January 1, 2015 (A-07-19-00561)
- Group Health Incorporated Overstated Its Local 153 Pension Plan Medicare Segment Pension Assets as of January 1, 2015 (A-07-19-00562)
07-30-2019
07-29-2019
- Updated Corporate Integrity Agreements
- Updated Stipulated Penalties and Exclusion for Material Breach
07-26-2019
- Oversight of Opioid Prescribing and Monitoring of Opioid Use: States Have Taken Action To Address the Opioid Epidemic (A-09-18-01005)
- Kansas Medicaid Fraud Control Unit: 2018 Onsite Inspection (OEI-12-18-00210)
07-24-2019
- The Substance Abuse and Mental Health Services Administration Resolved Approximately One-Third of Its Audit Recommendations, None in Accordance With Federal Timeframe Requirements (A-07-19-03233)
- ACOs' Strategies for Transitioning to Value-Based Care: Lessons From the Medicare Shared Savings Program (OEI-02-15-00451)
07-23-2019
- Testimony of Megan H. Tinker , Senior Advisor for Legal Affairs, Office of Counsel to the Inspector General, Office of Inspector General, U.S. Department of Health and Human Services: United States Se
- A Resource Guide for Using Diagnosis Codes in Health Insurance Claims To Help Identify Unreported Abuse or Neglect (A-01-19-00502)
07-22-2019
- New York Did Not Correctly Determine Medicaid Eligibility for Some Non-Newly Eligible Beneficiaries (A-02-16-01005)
- Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: OIG's Top Recommendations
- Case Study: Indian Health Service Management of Rosebud Hospital Emergency Department Closure and Reopening (OEI-06-17-00270)
- IHS Needs To Improve Oversight of Its Hospitals' Opioid Prescribing and Dispensing Practices and Consider Centralizing Its Information Technology Functions (A-18-17-11400)
07-19-2019
07-16-2019
- 99 of 100 California Department of Social Services Refugee Cash Assistance Payments Received Were Allowable (A-04-18-02017)
- Kentucky Did Not Comply With Federal Waiver and State Requirements at 14 of 20 Adult Day Health Care Facilities Reviewed (A-04-18-00123)
- Updated Corporate Integrity Agreements
07-15-2019
- Problems Remain for Ensuring That All High Risk Medicaid Providers Undergo Criminal Background Checks (OEI-05-18-00070)
- Eye on Oversight: Medicaid Provider Enrollment Screening
- Updated: Work Plan
07-12-2019
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Testimony of Ann Maxwell , Assistant Inspector General, Office of Inspector General, Office of Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services: U.
07-11-2019
- HHS OIG Grant Self-Disclosure Program Guidance
- Updated Corporate Integrity Agreements
- Updated Grantee Self-Disclosure Protocol
07-10-2019
- Updated Stipulated Penalties and Exclusion for Material Breach
- LEIE Database Updated with June 2019 Exclusions and Reinstatements
- Opioid Use Decreased in Medicare Part D, While Medication-Assisted Treatment Increased (OEI-02-19-00390)
- New York's Claims for Medicaid Nursing Home Transition and Diversion Waiver Program Services Generally Complied With Federal and State Requirements but Had Reimbursement Errors That Resulted in a Mini
- New York Claimed Federal Reimbursement for Some Payments to Health Home Providers That Did Not Meet Medicaid Requirements (A-02-17-01004)
- Updated Corporate Integrity Agreements
07-09-2019
- Safeguards Must Be Strengthened To Protect Medicare Hospice Beneficiaries From Harm (OEI-02-17-00021)
- Hospice Deficiencies Pose Risks to Medicare Beneficiaries (OEI-02-17-00020)
- 2019: Vulnerabilities in Hospice Care
07-05-2019
- Medicare Part D Rebates for Prescriptions Filled at 340B Contract Pharmacies (A-03-16-00002)
- Updated Fraud Risk Indicator
07-03-2019
07-02-2019
- Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2019 (OEI-05-19-00220)
- The Food and Drug Administration Generally Complied With Federal Requirements for the Preparation and Receipt of Select Agent Shipments (A-03-16-00354)
- Recommendation Followup: Delaware Is Reporting Medicaid Overpayments In Compliance With Federal Requirements (A-03-17-00203)
- Updated Civil Monetary Penalties and Affirmative Exclusions
07-01-2019
- Updated Civil Monetary Penalties and Affirmative Exclusions
- The Florida Department of Children and Families Made Some Unallowable Refugee Cash Assistance Payments (A-04-18-02011)
June 2019
06-28-2019
- Illinois Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-05-18-00030)
- Updated Corporate Integrity Agreements
06-21-2019
- Updated Corporate Integrity Agreements
- The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2016 in Accordance With Federal Requirements (A-04-18-04065)
06-20-2019
06-19-2019
- Medicare Could Have Saved Millions of Dollars in Payments for Three-Dimensional Conformal Radiation Therapy Planning Services (A-09-18-03026)
- Testimony of Vicki L. Robinson , Senior Counselor for Policy, Office of Inspector General, U.S. Department of Health and Human Services: U.S. Senate Special Committee on Aging: The Complex Web of Pres
06-18-2019
06-17-2019
- Princeton Place Did Not Always Comply With Care Plans for Residents Who Were Diagnosed With Urinary Tract Infections (A-06-17-02002)
- Updated: Work Plan
- The Therapy Resource Utilization Groups at Epworth Villa Retirement Community's Skilled Nursing Facility Were Properly Supported (A-06-18-08002)
06-14-2019
- Job Opening: Medicare/Medicaid Attorney Deadline to Apply: June 28, 2019
- The National Institutes of Health Could Improve Its Monitoring To Ensure That an Awardee of the All of Us Research Program Had Adequate Cybersecurity Controls To Protect Participants' Sensitive Data A
- Updated Corporate Integrity Agreement List
06-13-2019
06-12-2019
- Medicare Payments to Providers for Polysomnography Services Did Not Always Meet Medicare Billing Requirements (A-04-17-07069)
- Video: Eye on Oversight: Abuse & Neglect of Medicare Beneficiaries
- Media Materials: Abuse and Neglect of Medicare Beneficiaries
- CMS Could Use Medicare Data To Identify Instances of Potential Abuse or Neglect (A-01-17-00513)
- Incidents of Potential Abuse and Neglect at Skilled Nursing Facilities Were Not Always Reported and Investigated (A-01-16-00509)
- Most Hospitals Obtain Compounded Drugs From Outsourcing Facilities, Which Must Meet FDA Quality Standards (OEI-01-17-00090)
06-11-2019
- New York May Not Have Complied With Federal and State Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-02-16-01022)
- The University of Kentucky Made Progress Toward Achieving Program Goals for Enhancing Its Prescription Drug Monitoring Program (A-04-18-02012)
- Updated Provider Self-Disclosure Settlements
06-07-2019
- Nevada Medicaid Fraud Control Unit: 2018 Onsite Inspection (OEI-06-18-00190)
- Updated Civil Monetary Penalties and Affirmative Exclusions
06-06-2019
06-05-2019
- St. Joseph's Hospital and Medical Center Submitted Some Inaccurate Wage Data (A-01-17-00510)
- Testimony of Leslie W. Hollie , Chief of Investigative Operations, Office of Inspector General, U.S. Department of Health and Human Services: U.S. Senate Committee on Finance: Foreign Threats to Taxpa
- Job Openings: Experienced Health Care Attorneys (Associate and Senior Counsel Positions) Deadline to Apply: July 12, 2019
- LEIE Database Updated with May 2019 Exclusions and Reinstatements
06-03-2019
May 2019
05-31-2019
05-29-2019
05-24-2019
- Massachusetts Did Not Ensure Its Managed-Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions (A-01-17-00003)
- Metropolitan Jewish Home Care, Inc., Billed for Home Health Services That Did Not Comply with Medicare Requirements (A-02-16-01001)
- Excella HomeCare Billed for Home Health Services That Did Not Comply With Medicare Coverage and Payment Requirements (A-01-16-00500)
05-23-2019
- EHS Home Health Care Service, Inc., Billed for Home Health Services That Did Not Comply With Medicare Coverage and Payment Requirements (A-05-16-00055)
- New Jersey Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-02-16-01012)
05-22-2019
05-21-2019
05-15-2019
- Video: Joanne Chiedi's Remarks at the 2019 HCCA Compliance Institute
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2018 (OEI-03-19-00040)
- Updated: Work Plan
05-13-2019
05-10-2019
- Updated Corporate Integrity Agreement List
- California Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries� Deaths (A-04-18-06220)
05-09-2019
05-07-2019
05-06-2019
- One Percent of Drugs With Medicaid Reimbursement Were Not FDA-Approved (OEI-03-17-00120)
- Updated Provider Self-Disclosure Settlements
05-03-2019
05-02-2019
- Some Diagnosis Codes That Essence Healthcare, Inc., Submitted to CMS Did Not Comply With Federal Requirements (A-07-17-01170)
- Trends in Deficiencies at Nursing Homes Show That Improvements Are Needed To Ensure the Health and Safety of Residents (A-09-18-02010)
- Updated Corporate Integrity Agreement List
05-01-2019
April 2019
04-30-2019
04-26-2019
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated Civil Monetary Penalties and Affirmative Exclusions
04-25-2019
- National Background Check Program for Long Term Care Providers: Assessment of State Programs Concluded Between 2013 and 2016 (OEI-07-16-00160)
- Updated Corporate Integrity Agreement List
04-19-2019
04-18-2019
04-17-2019
- Concerns About Opioid Use in Medicare Part D in the Appalachian Region (OEI-02-18-00224)
- 2019 Appalachian Region Opioid Takedown
04-15-2019
04-11-2019
- Factsheet: Texas' Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-06-18-04000)
- Indiana Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-05-17-00038)
- Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria—Fiscal Year 2019 Inspectors General Coordinated Oversight Plan
04-10-2019
04-09-2019
04-08-2019
- The Passamaquoddy Tribe's Pleasant Point Health Center Needs To Improve Its Medical-Referral Process (A-01-17-01503)
- Updated Fraud Risk Indicator
- Updated Stipulated Penalties and Exclusion for Material Breach
04-05-2019
04-04-2019
- Updated Corporate Integrity Agreement List
- Updated Provider Self-Disclosure Settlements
- Grantee Self-Disclosure Settlements
04-02-2019
March 2019
03-28-2019
03-27-2019
- New York Did Not Provide Adequate Stewardship of Substance Abuse Prevention and Treatment Block Grant Funds (A-02-17-02009)
- Weill Cornell Medicine Monitored Subrecipients and Claimed Allowable National Institutes of Health Award Costs (A-02-17-02006)
03-25-2019
- Medicaid Fraud Control Units Fiscal Year 2018 Annual Report (OEI-09-19-00230)
- Medicare Market Shares of Non-Mail Order Diabetes Test Strips From April Through June 2018 (OEI-04-18-00441)
- Recommendation Followup: Vulnerabilities Continue To Exist in the HHS Small Business Innovation Research Program (OEI-04-18-00230)
- Updated Civil Monetary Penalties and Affirmative Exclusions
03-22-2019
03-20-2019
03-19-2019
03-18-2019
03-15-2019
03-13-2019
03-12-2019
- Factsheet: West Virginia's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-03-18-03302)
- Michigan Disbursed Only Part of Its Civil Money Penalty Collections, Limiting Resources To Protect or Improve Care for Nursing Facility Residents (A-05-17-00019)
03-11-2019
- LEIE Database Updated with February 2019 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List
03-08-2019
- Missouri Claimed Some Unallowable Medicaid Payments for Targeted Case Management Services (A-07-17-03219)
- New Mexico Did Not Always Appropriately Refund the Federal Share of Recoveries from Managed Care Organizations (A-06-18-09001)
- Updated Provider Self-Disclosure Settlements
03-07-2019
03-01-2019
- Factsheet: New Hampshire's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-01-18-01501)
- Updated Civil Monetary Penalties and Affirmative Exclusions
February 2019
02-28-2019
02-21-2019
02-20-2019
- CMS Improperly Paid Millions of Dollars for Skilled Nursing Facility Services When the Medicare 3-Day Inpatient Hospital Stay Requirement Was Not Met (A-05-16-00043)
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2018 (OEI-03-19-00030)
- Updated Corporate Integrity Agreement List
02-19-2019
- Factsheet: Nevada's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-09-18-01004)
- TrustSolutions, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals (A-07-18-00540)
- CDC Reimbursed Contractors for Some Unallowable World Trade Center Health Program Administrative Costs (A-02-16-02012)
- Updated Corporate Integrity Agreement List
02-15-2019
- Updated: Work Plan
- Job Opening: Health Information Technology Attorney (Term Appointment) , Deadline: March 13, 2019
02-14-2019
02-13-2019
- Most Wanted Fugitive Juan Gil Alejo Sentenced to Prison
- Opportunities Exist for the National Institutes of Health To Strengthen Controls in Place To Permit and Monitor Access to Its Sensitive Data (A-18-18-09350)
- Factsheet: Utah's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-07-18-05115)
- Factsheet: Tennessee's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-04-18-00124)
- Medicare Compliance Review of Community Hospital (A-05-17-00026)
02-11-2019
- CMS Guidance to State Survey Agencies on Verifying Correction of Deficiencies Needs To Be Improved To Help Ensure the Health and Safety of Nursing Home Residents (A-09-18-02000)
- Medicare Paid Twice for Ambulance Services Subject to Skilled Nursing Facility Consolidated Billing Requirements (A-01-17-00506)
02-07-2019
- Testimony of Ann Maxwell , Assistant Inspector General for Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services: U.S. House Committee on Energy and Com
- Factsheet: Nebraska's Oversight of Opioid Prescribing and Monitoring of Opioid Use (A-07-18-06080)
- Updated Civil Monetary Penalties and Affirmative Exclusions
- Updated Stipulated Penalties and Exclusion for Material Breach
- Updated Provider Self-Disclosure Settlements
02-06-2019
02-05-2019
- LEIE Database Updated with January 2019 Exclusions and Reinstatements
- Letter to Office of Management and Budget Director to Meet Requirements of Government Charge Card Abuse Prevention Act of 2012 Regarding Agency Progress Implementing Recommendations on Charge-Card-Rel
- Updated State False Claims Act Review Letters
02-01-2019
January 2019
01-29-2019
01-25-2019
01-24-2019
01-22-2019
01-18-2019
- Although the Centers for Medicare & Medicaid Services Has Made Progress, It Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements (A-07-18-03228)
- Updated Civil Monetary Penalties and Affirmative Exclusions
01-17-2019
- Separated Children Placed in Office of Refugee Resettlement Care (OEI-BL-18-00511)
- Featured Topic: Unacommpanied Children
- Media Materials: Unaccompanied Children
- News Release: HHS OIG: Many Children Separated from Parents, Guardians Before Ms. L. v. Ice Court Order and Some Separations Continue
01-16-2019
01-15-2019
01-14-2019
- Advisory Opinion 19-01 (regarding a charitable pediatric clinic's arrangement under which the clinic waives cost-sharing amounts in certain circumstances)
- Virginia Received Millions in Unallowable Bonus Payments (A-04-17-08060)
- Rhode Island Did Not Ensure Its Managed Care Organizations Complied With Requirements Prohibiting Medicaid Payments for Services Related to Provider-Preventable Conditions (A-01-17-00004)
- New York Has Not Fully Implemented New Criminal Background Check Requirements for Childcare Providers (A-02-17-02011)
01-11-2019
01-10-2019
- LEIE Database Updated with December 2018 Exclusions and Reinstatements
- Medicare Market Shares of Mail Order Diabetes Test Strips From April Through June 2018 (OEI-04-18-00440)
01-09-2019
01-08-2019
01-07-2019
- Most Wanted Fugitive: Betros Garabet
- A Queens Chiropractor Received Improper Medicare Payments for Chiropractic Services (A-02-15-01003)
- Updated Corporate Integrity Agreement List
01-03-2019
- Dialysis Services Provided by Atlantis Health Care Group of Puerto Rico, Inc., Did Not Comply With Medicare Requirements Intended To Ensure the Quality of Care Provided to Medicare Beneficiaries (A-02
- Pacific Medical, Inc., Received Some Unallowable Medicare Payments for Orthotic Braces (A-09-17-03027)