What's New
December 2022
12-28-2022
12-27-2022
12-23-2022
12-22-2022
- National Government Services, Inc., Claimed Some Unallowable Medicare Postretirement Benefit Plan Costs Through Its Incurred Cost Proposals A-07-22-00624
- National Government Services, Inc., Claimed Some Unallowable Medicare Supplemental Executive Retirement Plan Costs Through Its Incurred Cost Proposals A-07-22-00625
- National Government Services, Inc., Claimed Some Unallowable Medicare Nonqualified Plan Costs Through Its Incurred Cost Proposals A-07-22-00628
12-21-2022
- Keystone First Should Improve Its Procedures for Reviewing Service Requests That Require Prior Authorization A-03-20-00201
- Mandated Analysis of Home Health Service Utilization From January 2016 Through March 2022 A-05-20-00031
- Updated: Corporate Integrity Agreements
12-20-2022
- For Medicaid-Enrolled Children Diagnosed With Lead Toxicity in Five States, Documentation Reviewed for Diagnoses and Treatment Services Raises Concerns OEI-07-18-00370
- New Work Plan Item: Implementation of Inflation-Indexed Rebates for Part B Drugs
12-19-2022
- Medicare Part B Spending on Lab Tests Increased in 2021, Driven By Higher Volume of COVID-19 Tests, Genetic Tests, and Chemistry Tests OEI-09-22-00400
- Providers Did Not Always Comply With Federal Requirements When Claiming Medicare Bad Debts A-07-20-02825
- Advisory Opinion 22-20 (Regarding a hospital's utilization of its employed nurse practitioners to perform services that traditionally have been performed by a patient's attending physician in certain
12-16-2022
12-15-2022
- 2022 Top Unimplemented Recommendations: Solutions To Reduce Fraud, Waste, and Abuse in HHS Programs
- Updated: Work Plan
12-14-2022
12-13-2022
12-12-2022
12-09-2022
12-08-2022
12-07-2022
- FDA's Approach to Overseeing Online Tobacco Retailers Needs Improvement OEI-01-20-00241
- Updated: Civil Monetary Penalties and Affirmative Exclusions
- Updated: Fraud Self-Disclosures
12-06-2022
12-05-2022
12-01-2022
November 2022
11-25-2022
- Medicare Improperly Paid Physicians for Co-Surgery and Assistant-at-Surgery Services That Were Billed Without the Appropriate Payment Modifiers A-01-20-00503
- National Government Services, Inc., Accurately Calculated Hospice Cap Amounts but Did Not Collect All Cap Overpayments A-06-21-08004
11-23-2022
11-22-2022
11-18-2022
- Updated: Corporate Integrity Agreements
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That BCBS of Rhode Island (Contract H4152) Submitted to CMS A-01-20-00500
- The Centers for Medicare & Medicaid Services' Review Contractors Generally Conducted Medicaid Fee-for-Service Claim Reviews for Selected States Under the Payment Error Rate Measurement Program in Acco
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2022 OEI-03-23-00070
11-17-2022
11-16-2022
11-15-2022
- Updated: Work Plan
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That California Physicians' Service, Inc. (Contract H0504) Submitted to CMS A-09-19-03001
11-14-2022
- The Number of Beneficiaries Who Received Medicare Part B Clinical Laboratory Tests Decreased During the First 10 Months of the COVID-19 Pandemic A-09-21-03004
- Updated: Civil Monetary Penalties and Affirmative Exclusions
- Updated: Fraud Self-Disclosures
- Findings of Whistleblower Retaliation by Administration for Children and Families Grantee Management Official
11-10-2022
- Employee Profile: Farooq Al-Farooq
- LEIE Database Updated with October 2022 Exclusions and Reinstatements
- Iowa Implemented Most of Our Prior Audit Recommendations and Generally Complied With Federal and State Requirements for Reporting and Monitoring Major Incidents A-07-21-06105
11-08-2022
11-07-2022
11-04-2022
11-03-2022
October 2022
10-28-2022
10-27-2022
- CMS Can Use OIG Audit Reports To Improve Its Oversight of Hospital Compliance A-04-21-08084
- California Made Almost $16 Million in Unallowable Capitation Payments for Beneficiaries With Multiple Client Index Numbers A-04-21-07097
10-26-2022
- Colorado Did Not Report and Refund the Correct Federal Share of Medicaid-Related Overpayments for 70 Percent of the State's Medicaid Fraud Control Unit Cases A-07-21-02834
- CMS Generally Ensured That Medicare Part C and Part D Sponsors Did Not Pay Ineligible Providers for Services to Medicare Beneficiaries A-02-20-01027
10-25-2022
10-21-2022
10-18-2022
- IHS Did Not Always Provide the Necessary Resources and Assistance To Help Ensure That Tribal Programs Complied With All Requirements During Early COVID-19 Vaccination Program Administration A-07-21-04
- Home Health Agencies Used Multiple Strategies To Respond to the COVID-19 Pandemic, Although Some Challenges Persist OEI-01-21-00110
- Updated: CMP and Affirmative Exclusions
- Updated: Fraud Self-Disclosures
10-17-2022
- Updated: Work Plan
- 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
10-13-2022
10-12-2022
10-07-2022
- LEIE Database Updated with September 2022 Exclusions and Reinstatements
- Texas Claimed or May Have Claimed More Than $30 Million of $9.89 Billion in Federal Funds for Medicaid Uncompensated Care Payments That Did Not Meet Federal and State Requirements
10-05-2022
- Advisory Opinion 22-19 (Regarding a proposal whereby certain pharmaceutical manufacturers would: (i) fund, through Requestor, cost-sharing subsidies for the manufacturers' Part D oncology drugs; (ii)
- Updated: Corporate Integrity Agreements
10-04-2022
10-03-2022
- CDC's Corrective Actions Improved Program Operations at the National Institute of Health in Mozambique and Facilitated the Institute's Implementation of Prior OIG Audit Recommendations A-04-20-01019
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Highmark Senior Health Company (Contract H3916) Submitted to CMS A-03-19-00001
- UPICs Hold Promise To Enhance Program Integrity Across Medicare and Medicaid, But Challenges Remain OEI-03-20-00330
September 2022
09-30-2022
- Medicare Dialysis Services Provider Compliance Audit - Dialysis Clinic, Inc. A-05-20-00010
- Indiana Did Not Comply With Requirements for Documenting Psychotropic and Opioid Medications Prescribed for Children in Foster Care A-05-21-00020
- Initial Observations of IHS Capacity to Manage Supplemental $3.5 Billion Appropriated to Sanitation Facilities Construction Projects OEI-06-22-00320
- Medicare Advantage Compliance Audit of Diagnosis Codes That Inter Valley Health Plan, Inc. (Contract H0545), Submitted to CMS A-05-18-00020
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That BlueCross BlueShield of Tennessee, Inc. (Contract H7917) Submitted to CMS A-07-19-01195
09-29-2022
- Michigan Medicaid Fraud Control Unit: 2021 Review OEI-06-21-00270
- Delays in Confirmatory Trials for Drug Applications Granted FDA's Accelerated Approval Raise Concerns OEI-01-21-00401
- HHS's and HRSA's Controls Related to Selected Provider Relief Fund Program Requirements Could Be Improved A-09-21-06001
09-28-2022
- Employee Profile: Omar Pérez Aybar
- ACF Should Improve Oversight of Head Start To Better Protect Children's Safety OEI-BL-19-00560
- Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2020 Average Sales Prices OEI-03-22-00170
- HHS Made Some Progress Toward Compliance With the Geospatial Data Act A-18-22-11400
09-27-2022
- Operational Challenges Within ORR and the ORR Emergency Intake Site at Fort Bliss Hindered Case Management for Children OEI-07-21-00251
- Medicare Hospice Provider Compliance Audit: Hospice of Palm Beach County, Inc. A-02-20-01001
09-23-2022
- End-Stage Renal Disease Network Organizations' Reported Actions Taken in Response to the COVID-19 Pandemic A-05-20-00051
- NEW: Advisory Opinion Request Template
- CMS's System Edits Significantly Reduced Improper Payments to Acute-Care Hospitals After May 2019 for Outpatient Services Provided to Beneficiaries Who Were Inpatients of Other Facilities A-09-22-0300
09-22-2022
- New York Generally Determined Eligibility for Its Basic Health Program Enrollees in Accordance With Program Requirements A-02-20-01028
- CMS Has Opportunities To Strengthen States' Oversight of Medicaid Managed Care Plans' Reporting of Medical Loss Ratios OEI-03-20-00231
- National Institutes of Health Grant Program Cybersecurity Requirements Need Improvement A-18-20-06300
- Updated: Corporate Integrity Agreements
09-21-2022
- FDA's Work with the Tri-Agency Task Force for Emergency Diagnostics Helped Labs Implement COVID-19 Tests OEI-01-20-00381
- FDA Repeatedly Adapted Emergency Use Authorization Policies To Address the Need for COVID-19 Testing OEI-01-20-00380
- Nearly All States Made Capitation Payments for Beneficiaries Who Were Concurrently Enrolled in a Medicaid Managed Care Program in Two States A-05-20-00025
09-20-2022
- Advisory Opinion 22-18 (Regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract with a p
- Medicare Part B Overpaid and Beneficiaries Incurred Cost-Share Overcharges of Over $1 Million for the Same Professional Services A-06-21-05003
- IHS's National Supply Service Center Was Generally Effective in Providing Supplies to Facilities During the COVID-19 Pandemic, but Its Internal Controls Could Be Improved A-07-20-04124
09-19-2022
09-15-2022
- Updated: Work Plan
- Opioid Overdoses and the Limited Treatment of Opioid Use Disorder Continue To Be Concerns for Medicare Beneficiaries OEI-02-22-00390
- Tennessee Did Not Always Invoice Rebates to Manufacturers for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations A-07-21-06096
09-13-2022
- New York Claimed $196 Million, Over 72 Percent of the Audited Amount, in Federal Reimbursement for NEMT Payments to New York City Transportation Providers That Did Not Meet or May Not Have Met Medicai
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Regence BlueCross BlueShield of Oregon (Contract H3817) Submitted to CMS A-09-20-03009
09-09-2022
- Updated: Fraud Self-Disclosures
- The IHS Telehealth System Was Deployed Without Some Required Cybersecurity Controls A-18-21-03100
09-08-2022
- LEIE Database Updated with August 2022 Exclusions and Reinstatements
- Updated: Corporate Integrity Agreements
09-07-2022
- Medicare Telehealth Services During the First Year of the Pandemic: Program Integrity Risks OEI-02-20-00720
- Connecticut Medicaid Fraud Control Unit: 2021 Inspection OEI-06-21-00360
- Certain Medicare Beneficiaries, Such as Urban and Hispanic Beneficiaries, Were More Likely Than Others To Use Telehealth During the First Year of the COVID-19 Pandemic OEI-02-20-00522
09-06-2022
- 2023 Spring OIG Health Care Fraud and Abuse Legal Internship
- Reducing Medicare's Payment Rates for Intermittent Urinary Catheters Can Save the Program and Beneficiaries Millions of Dollars Each Year OEI-04-20-00620
- Updated: Corporate Integrity Agreements
09-02-2022
- Foreign Assistance to Combat HIV/AIDS, Tuberculosis, and Malaria Fiscal Year 2023 Inspectors General Coordinated PEPFAR Oversight Plan U.S. Department of Health and Human Services, Office of Inspector
- HHS Did Not Fully Comply With Federal Requirements and HHS Policies and Procedures When Awarding and Monitoring Contracts for Ventilators A-02-20-02002
09-01-2022
August 2022
08-31-2022
08-30-2022
- Montana Claimed Federal Medicaid Reimbursement for More Than $5 Million in Targeted Case Management Services That Did Not Comply With Federal and State Requirements A-07-21-03246
- Updated: Corporate Integrity Agreements
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That WellCare of Florida, Inc., (Contract H1032) Submitted to CMS A-04-19-07084
08-29-2022
08-25-2022
08-24-2022
08-23-2022
08-22-2022
08-19-2022
08-17-2022
08-16-2022
- Las imprecisiones en los datos de raza y origen étnico de Medicare dificultan la evaluación de disparidades en la salud OEI-02-21-00100
- The National Institutes of Health Did Not Ensure That All Clinical Trial Results Were Reported in Accordance With Federal Requirements A-06-21-07000
08-12-2022
08-11-2022
- South Carolina Did Not Always Invoice Rebates to Manufacturers for Physician-Administered Drugs A-07-21-07003
- Part D Plan Preference for Higher-Cost Hepatitis C Drugs Led to Higher Medicare and Beneficiary Spending OEI-BL-21-00200
- Updated: Corporate Integrity Agreements
08-05-2022
- Updated: CIA Reportable Events Fraud Self-Disclosures CMP and Affirmative Exclusions
- Updated: Corporate Integrity Agreements
08-03-2022
08-02-2022
08-01-2022
- Statement on the Passing of Former Inspector General June Gibbs Brown
- LEIE Database Updated with July 2022 Exclusions and Reinstatements
July 2022
07-29-2022
07-28-2022
- Employee Profile: Eyana J. Esters
- CMS Reported Collecting Just Over Half of the $498 Million in Medicare Overpayments Identified by OIG Audits A-04-18-03085
- Updated: Civil Monetary Penalties and Affirmative Exclusions
07-21-2022
07-20-2022
- 2022 National Health Care Fraud Enforcement Action
- Special Fraud Alert: OIG Alerts Practitioners To Exercise Caution When Entering Into Arrangements With Purported Telemedicine Companies
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Cariten Health Plan, Inc., (Contract H4461) Submitted to CMS A-02-20-01009
07-19-2022
07-18-2022
- Audits of Nursing Home Life Safety and Emergency Preparedness in Eight States Identified Noncompliance With Federal Requirements and Opportunities for the Centers for Medicare & Medicaid Services to I
- Updated: Work Plan
- Job Openings: Office of Counsel Attorney Positions
07-15-2022
- CDC Found Ways To Use Data To Understand and Address COVID-19 Health Disparities, Despite Challenges With Existing Data OEI-05-20-00540
- Medicare Hospice Provider Compliance Audit: Vitas Healthcare Corporation of Florida A-02-19-01018
07-14-2022
07-08-2022
- LEIE Database Updated with June 2022 Exclusions and Reinstatements
- Updated: Corporate Integrity Agreements
07-07-2022
07-06-2022
07-05-2022
- 2021 Health Care Fraud and Abuse Control Program Report
- Advisory Opinion 22-15 (Regarding a proposal to use donations to cover: (i) specialized care furnished to veterans who meet certain criteria; and (ii) certain out-of-pocket expenses related to that sp
07-01-2022
- The Centers for Medicare & Medicaid Services Had Policies and Procedures in Place To Mitigate Vulnerabilities in a Timely Manner, but Improvements Are Needed A-18-20-06500
- Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2022 OEI-05-22-00230
June 2022
06-29-2022
- The Food and Drug Administration's Foreign For-Cause Drug Inspection Program Can Be Improved To Protect the Nation's Drug Supply A-01-19-01500
- Advisory Opinion 22-14 (regarding an ophthalmology practice's proposed continuing education programs for local optometrists and four financing options to fund the programs.)
- Justice Department's Criminal Division Creates New England Prescription Opioid Strike Force to Focus on Illegal Opioid Prescriptions
06-28-2022
- Testimony of Erin Bliss , Assistant Inspector General, Office of Evaluation and Inspections, Office of Inspector General, United States House Committee on Energy and Commerce Subcommittee on Oversight
- More Than 90 Percent of the New Hampshire Managed Care Organization and Fee-for-Service Claims for Opioid Treatment Program Services Did Not Comply With Medicaid Requirements A-01-20-00006
06-27-2022
06-23-2022
- Office of Refugee Resettlement's Influx Care Facility and Emergency Intake Sites Did Not Adequately Safeguard Unaccompanied Children From COVID-19 A-06-21-07002
- Advisory Opinion 22-13 (regarding a durable medical equipment manufacturer's arrangements with two financial institutions to make zero-interest financing available to qualified customers.)
06-22-2022
06-21-2022
- Iowa Medicaid Fraud Control Unit: 2021 Inspection OEI-07-21-00340
- Updated: Corporate Integrity Agreements
- Updated: Civil Monetary Penalties and Affirmative Exclusions
06-16-2022
06-15-2022
- Inaccuracies in Medicare's Race and Ethnicity Data Hinder the Ability To Assess Health Disparities OEI-02-21-00100
- Eye on Oversight Video: Inaccuracies in Medicare's Race and Ethnicity Data
- Updated: Work Plan
06-14-2022
06-13-2022
- Medicare and Beneficiaries Paid Substantially More to Provider-Based Facilities in Eight Selected States in Calendar Years 2010 Through 2017 Than They Paid to Freestanding Facilities in the Same State
- Updated: Corporate Integrity Agreements
06-10-2022
06-08-2022
06-07-2022
- Opportunities Exist To Strengthen NIH Grantees' Oversight of Investigators' Foreign Significant Financial Interests and Other Support OEI-03-20-00210
- Maine Implemented Our Prior Audit Recommendations and Generally Complied With Federal and State Requirements for Reporting and Monitoring Critical Incidents A-01-20-00007
06-06-2022
- Spring 2022 Semiannual Report to Congress
- California Collected and Disbursed Stimulus Payments and Income Tax Refunds Under the Federal Tax Refund Offset Program in Accordance With Federal and State Requirements A-01-21-01501
06-03-2022
- Texas Did Not Report and Return All Medicaid Overpayments for the State's Medicaid Fraud Control Unit's Cases A-06-20-04004
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Peoples Health Network (Contract H1961) Submitted to CMS A-06-18-05002
06-02-2022
- Updated Work Plan: Food and Drug Administration's Actions Regarding the Abbott Infant Formula Recall
- Cost Allocation Services Needs To Update Its Indirect Cost Rate-Setting Guidance 06-01-2022
- Vanderbilt University Medical Center: Audit of Outpatient Outlier Payments A-06-20-04003
06-01-2022
- Medicare Improperly Paid Durable Medical Equipment Suppliers an Estimated $8 Million of the $40 Million Paid for Power Mobility Device Repairs A-09-20-03016
- Advisory Opinion 22-12 (Regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract with a p
- Modification of Advisory Opinion 20-02 (Requestor now seeks to modify 20-02 to include Requestor's provision of financial assistance to eligible patients for travel, lodging, and certain other asso
May 2022
05-27-2022
05-26-2022
05-25-2022
05-23-2022
- Press Release: HHS-OIG Issues Notice of Exclusion to Owner of 7 Louisiana Nursing Homes
- National Snapshot of State Agency Approaches To Reporting and Locating Children Missing From Foster Care A-07-20-06095
05-19-2022
05-17-2022
- New AI/AN Training: Improving Health and Well-Being in American Indian and Alaska Native Communities Through Compliance
- Washington State Did Not Comply With Federal and State Requirements for Claiming Enhanced Federal Reimbursement for Medicaid Managed-Care Health Home Service Expenditures A-09-20-02008
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2021 OEI-03-22-00200
05-16-2022
05-12-2022
- Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018 OEI-06-18-00400
- National Background Check Program for Long-Term-Care Providers: An Interim Assessment OEI-07-20-00181
05-11-2022
05-10-2022
05-06-2022
05-05-2022
05-04-2022
- 2022 Opioid Enforcement Action
- HHS Should Improve Internal Coordination Regarding Unaccompanied Children OEI-BL-20-00670
05-03-2022
05-02-2022
April 2022
04-28-2022
- Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care OEI-09-18-00260
- Eye on Oversight Video: Medicare Advantage Denials of Care
- National Snapshot of Trends in the National Domestic Violence Hotline's Contact Data Before and During the COVID-19 Pandemic A-09-21-06000
- Advisory Opinion 22-09 (Regarding a proposed arrangement pursuant to which Requestor would compensate hospitals for certain specimen collection services for laboratory tests furnished by Requestor.)
04-27-2022
- Advisory Opinion 22-08 (Regarding an arrangement whereby certain existing patients of Requestor use limited-use smartphones that Requestor loaned to such patients to facilitate access to telehealth se
- Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2021 A-18-21-11200
04-26-2022
04-25-2022
04-22-2022
04-21-2022
04-20-2022
04-18-2022
04-15-2022
04-14-2022
04-11-2022
- Louisiana Faced Compliance and Contracting Challenges in Implementing Opioid Response Grant Programs A-06-20-07003
- Advisory Opinion 22-06 Regarding the provision of free genetic testing and genetic counseling services to individuals who meet specified clinical criteria.
- Updated: Corporate Integrity Agreements
04-08-2022
- LEIE Database Updated with March 2022 Exclusions and Reinstatements
- Posthospital Skilled Nursing Facility Care Provided to Dually Eligible Beneficiaries in Indiana Generally Met Medicare Level-of-Care Requirements A-05-20-00005
04-07-2022
- New COVID-19 Enforcement Action
- Updated: CIA Reportable Events , CMP and Affirmative Exclusions , and Fraud Self-Disclosures
04-06-2022
04-05-2022
04-04-2022
March 2022
03-31-2022
03-30-2022
- Inspector General Grimm HCCA 26th Annual Compliance Institute Keynote
- Psychotherapy Services Billed by a New York City Provider Did Not Comply With Medicare Requirements A-02-21-01006
03-28-2022
03-22-2022
03-17-2022
- Telehealth Was Critical for Providing Services to Medicare Beneficiaries During the First Year of the COVID-19 Pandemic OEI-02-20-00520
- Updated: Civil Monetary Penalties and Affirmative Exclusions
- New COVID-19 Enforcement Action
03-16-2022
- Advisory Opinion 22-05 Regarding the proposed subsidization of certain Medicare cost-sharing obligations in the context of a clinical trial.
- New York Verified That Medicaid Assisted Living Program Providers Met Life Safety and Emergency Planning Requirements But Did Not Always Ensure That Assisted Living Program Services Met Federal and St
03-15-2022
03-10-2022
- New Video: Our Impact: HHS-OIG
- LEIE Database Updated with February 2022 Exclusions and Reinstatements
- New Jersey's Medicaid School-Based Cost Settlement Process Could Result in Claims That Do Not Meet Federal Requirements A-02-20-01012
03-08-2022
03-04-2022
- The Centers for Medicare & Medicaid Services' Eligibility Review Contractor Adequately Determined Medicaid Eligibility for Selected States Under the Payment Error Rate Measurement Program A-02-20-0100
- New COVID-19 Enforcement Action
03-03-2022
03-02-2022
- Leadership Update
- Advisory Opinion 22-04 (Regarding a program through which Requestor provides certain individuals access to digital contingency management and related tools to treat substance use disorders, where the
03-01-2022
February 2022
02-23-2022
- Employee Profile: Angela Grimes
- Hospitals Did Not Always Meet Differing Medicare Contractor Specifications for Bariatric Surgery A-09-20-03007
- Office of Inspector General's Partnership With the Oregon Secretary of State's Audits Division: Oregon Health Authority-Timely Notification of Inpatient Hospital Stays Could Help Reduce Improper Medic
02-18-2022
- Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2021 OEI-03-22-00190
- Updated: Corporate Integrity Agreements
02-17-2022
02-16-2022
- Medicare Payments of $6.6 Billion to Nonhospice Providers Over 10 Years for Items and Services Provided to Hospice Beneficiaries Suggest the Need for Increased Oversight A-09-20-03015
- Updated: Work Plan
02-14-2022
- Office of Refugee Resettlement Generally Ensured That Selected Care Provider Facilities for Its Unaccompanied Children Program Complied With Federal Emergency Preparedness Requirements A-04-20-02025
- Advisory Opinion 22-03 (Regarding Requestors' proposal to pay salaries to, and nurse aide certification program tuition costs on behalf of, new employees who Requestors have hired to work as certified
02-10-2022
- LEIE Database Updated with January 2022 Exclusions and Reinstatements
- Updated: Health Care Fraud Self-Disclosures
02-09-2022
- Advisory Opinion 22-02 (Regarding a proposed arrangement between Requestor and two individuals, pursuant to which Requestor and the individuals would reduce and subsidize certain costs incurred by qua
- The National Institutes of Health Could Improve Its Post-Award Process for the Oversight and Monitoring of Grant Awards A-03-20-03001
02-08-2022
02-07-2022
02-04-2022
- Medicare Advantage Compliance Audit of Diagnosis Codes That SCAN Health Plan (Contract H5425) Submitted to CMS A-07-17-01169
- Updated: Civil Monetary Penalties and Affirmative Exclusions
02-03-2022
02-02-2022
02-01-2022
January 2022
01-27-2022
- The Assistant Secretary for Administration Awarded and Managed Five Sole Source Contracts for COVID-19 Testing in Accordance With Federal and Contract Requirements A-05-21-00014
- HHS's Suspension and Debarment Program Helped Safeguard Federal Funding, But Opportunities for Improvement Exist OEI-04-19-00570
01-26-2022
01-24-2022
01-19-2022
01-18-2022
- CMS Should Take Further Action To Address States With Poor Performance in Conducting Nursing Home Surveys OEI-06-19-00460
- Updated: Corporate Integrity Agreements
- Updated: Work Plan
01-14-2022
- 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
- New COVID-19 Enforcement Action
01-13-2022
01-12-2022
01-11-2022
01-10-2022
- LEIE Database Updated with December 2021 Exclusions and Reinstatements
- Updated: Corporate Integrity Agreements
01-07-2022
- Job Openings: Office of Counsel Attorney Positions
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Healthfirst Health Plan, Inc., (Contract H3359) Submitted to CMS A-02-18-01029
01-06-2022
- Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Excess Pension Assets as of December 31, 2016 A-07-21-00603
- Noridian Healthcare Solutions, LLC, Did Not Claim Some Allowable Medicare Pension Costs for Calendar Years 2014 Through 2016 A-07-21-00602
- Updated: Corporate Integrity Agreements
01-05-2022
- Noridian Healthcare Solutions, LLC, Did Not Claim Some Allowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals for Calendar Years 2014 Through 2016 A-07-21-00605
- Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Postretirement Benefit Assets as of January 1, 2017 A-07-21-00604
01-04-2022
- COVID-19 Tests Drove an Increase in Total Medicare Part B Spending on Lab Tests in 2020, While Use of Non-COVID-19 Tests Decreased Significantly OEI-09-21-00240
- Louisiana's Monitoring Did Not Ensure Child Care Provider Compliance With Criminal Background Check Requirements at 8 of 30 Providers Reviewed A-06-19-02001