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What's New

December

12-13-2018
California Made Medicaid Payments on Behalf of Non-Newly Eligible Beneficiaries Who Did Not Meet Federal and State Requirements (A-09-17-02002)
12-12-2018
The National Institutes of Health Generally Complied With Federal Requirements for the Preparation and Receipt of Select Agent Shipments (A-03-15-00354)
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)
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)
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)
12-10-2018
OIG Most Wanted Fugitive: Ashot Sanamian
LEIE Database Updated with November 2018 Exclusions and Reinstatements
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 Corporate Integrity Agreement List
Updated Provider Self-Disclosure Settlements
Updated Stipulated Penalties and Exclusion for Material Breach
Updated Civil Monetary Penalties and Affirmative Exclusions
12-04-2018
Adverse Events in Long-Term-Care Hospitals: National Incidence Among Medicare Beneficiaries (OEI-06-14-00530)
Podcast: Adverse Events in Long-Term-Care Hospitals
Medicare Improperly Paid Suppliers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Provided to Beneficiaries During Inpatient Stays (A-09-17-03035)
Review of Medicare Administrative Contractor Information Security Program Evaluations for Fiscal Year 2017 (A-18-18-11300)
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)

November

11-30-2018
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)
New York May Have Improperly Claimed Medicaid Reimbursement for Certain Dental Services (A-02-16-01020)
11-28-2018
Updated Corporate Integrity Agreement List
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-18-17-09302)
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
Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2018 (OEI-03-19-00020)
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 condition)
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., Claimed Some Unallowable Medicare Pension Costs (A-07-18-00543)
National Government Services, Inc., Did Not Claim Some Allowable Medicare Postretirement Benefit Costs (A-07-18-00552)
11-14-2018
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)
Although Hospital Tax Programs in Seven States Complied With Hold-Harmless Requirements, the Tax Burden on Hospitals Was Significantly Mitigated (A-03-16-00202)
11-13-2018
Updated Civil Monetary Penalties and Affirmative Exclusions
11-09-2018
LEIE Database Updated with October 2018 Exclusions and Reinstatements
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
11-08-2018
Updated Corporate Integrity Agreement List
11-07-2018
Wanted: Oscar Larach-Zablah
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
The Centers for Disease Control and Prevention's Namibia Office Implemented Our Prior Audit Recommendations (A-04-18-01008)
CMS Did Not Always Ensure Hospitals Complied With Medicare Reimbursement Requirements for Graduate Medical Education (A-02-17-01017)
New York Claimed Federal Reimbursement for Some Assertive Community Treatment Services That Did Not Meet Medicaid Requirements (A-02-17-01008)
11-01-2018
The Food and Drug Administration's Policies and Procedures Should Better Address Postmarket Cybersecurity Risk to Medical Devices (A-18-16-30530)

October

10-31-2018
Pennsylvania Generally Complied With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-03-15-03300)
Updated Stipulated Penalties and Exclusion for Material Breach
10-29-2018
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 indirectly with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 off the next renewal premium to policyholders who use a network hospital for an inpatient stay (the "Proposed Arrangement")
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)
Professional Clinical Laboratory, Inc., Generally Did Not Comply With Medicare Requirements For Billing Phlebotomy Travel Allowances (A-06-16-02002)
Updated Civil Monetary Penalties and Affirmative Exclusions
10-26-2018
Updated Corporate Integrity Agreement List
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
Medicare Compliance Review of Mobile Infirmary Medical Center (A-04-17-08057)
10-19-2018
United Government Services, LLC, Properly Updated the Medicare Segment Pension Assets as of January 1, 2015 (A-07-18-00538)
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)
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 they provide to the health plan's enrolled Medicaid beneficiaries)
States Follow a Common Framework in Responding to Breaches of Medicaid Data (OEI-09-16-00210)
10-17-2018
Florence Crittenton Services of Orange County, Inc., Did Not Always Claim Expenditures in Accordance With Federal Requirements (A-09-17-01002)
Updated Civil Monetary Penalties and Affirmative Exclusions
10-16-2018
Ohio Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries' Deaths 
10-15-2018
Updated: Work Plan
Updated Corporate Integrity Agreement List
10-11-2018
LEIE Database Updated with September 2018 Exclusions and Reinstatements
10-10-2018
Updated: Provider Self-Disclosure Settlements and CIA Reportable Events
10-09-2018
Protecting Against Cybersecurity Threats
10-04-2018
Wisconsin Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries’ Deaths (A-05-17-00006)
Updated Corporate Integrity Agreement List
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
Most Wanted Deadbeat: David Adams owes over $4.2 million in child support

September

09-28-2018
Heartland Human Care Services, Inc., Generally Met Safety Standards, but Claimed Unallowable Rental Costs (A-05-16-00038)
09-27-2018
Fraud Risk Indicator
Medicare Advantage Appeal Outcomes and Audit Findings Raise Concerns About Service and Payment Denials (OEI-09-16-00410)
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)
Nevada Implemented Some New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-09-17-01003)
Etheredge Chiropractic Received Unallowable Medicare Payments for Chiropractic Services (A-04-16-07064)
09-25-2018
Eye on Oversight: Emergency Response
Statistical Sampling: A Toolkit for MFCUs
New Hampshire Medicaid Fraud Control Unit: 2017 Onsite Review (OEI-09-17-00200)
New York Medicaid Fraud Control Unit: 2017 Onsite Inspection (OEI-12-17-00340)
New Jersey Medicaid Fraud Control Unit: 2017 Onsite Review (OEI-06-17-00520)
09-24-2018
Updated Civil Monetary Penalties and Affirmative Exclusions
09-21-2018
Colorado Implemented Many New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-07-17-06076)
09-20-2018
Medicare Payments for Clinical Diagnostic Laboratory Tests in 2017: Year 4 of Baseline Data  (OEI-09-18-00410)
First Coast Service Options, Inc., Overstated Medicare’s Share of the Medicare Segment Excess Pension Liabilities (A-07-18-00535)
09-18-2018
CMS Enrollment System Needs To Enhance Resiliency (A-18-17-06501)
09-17-2018
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)
Updated: Work Plan
Updated Civil Monetary Penalties and Affirmative Exclusions
09-12-2018
National Institute of Transplantation, an Independent Histocompatibility Laboratory, Did Not Fully Comply With Medicare’s Cost-Reporting Requirements (A-09-16-02010)
Updated Corporate Integrity Agreement List
09-11-2018
FDA Should Further Integrate Its Review of Cybersecurity Into the Premarket Review Process for Medical Devices (OEI-09-16-00220)
09-10-2018
LEIE Database Updated with August 2018 Exclusions and Reinstatements
Updated Corporate Integrity Agreement List
09-07-2018
Updated Civil Monetary Penalties and Affirmative Exclusions
09-06-2018
Testimony of Ruth Ann Dorrill, Regional Inspector General, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Energy and Commerce, Subcommittee on Oversight and Investigations: Examining Federal Efforts to Ensure Quality of Care and Resident Safety in Nursing Homes
09-05-2018
Job Opening: Health Care Attorney Application Deadline: October 12
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)
Updated Provider Self-Disclosure Settlements
09-04-2018
Job Opening: Affirmative Litigation Attorney Application Deadline: September 18, 2018

August

08-29-2018
Updated Corporate Integrity Agreement List
David Kim Added to Top 10 Most Wanted Fugitives List
8-28-2018
STAT Op-Ed by Joanne M. Chiedi
Fraud, waste, and abuse in the Medicare hospice program is 'repellent'
08-23-2018
OIG Excludes Company and Owner from Federal Health Care Programs
Mississippi Did Not Comply With Federal Waiver and State Requirements at All 20 Adult Day Care Facilities Reviewed (A-04-17-00116)
Updated Corporate Integrity Agreement List
Updated Civil Monetary Penalties and Affirmative Exclusions
08-22-2018
Updated Corporate Integrity Agreement List
08-21-2018
Liberty Medical, LLC, Received Unallowable Medicare Payments for Inhalation Drugs (A-09-17-03019)
Virginia Did Not Claim Some Medicaid Administrative Costs for Its Medallion 3.0 Waiver Program In Accordance With Federal Requirements (A-03-17-00200)
Updated Civil Monetary Penalties and Affirmative Exclusions
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 indirectly with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 off the next renewal premium to policyholders who use a network hospital for an inpatient stay)
08-20-2018
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)
Updated Corporate Integrity Agreement List
08-16-2018
The Passamaquoddy Tribe's Pleasant Point Health Center Did Not Always Meet Federal and Tribal Health and Safety Requirements (A-01-17-01500)
California Created a Medicaid Program Vulnerability by Reporting Placeholders That Did Not Represent Actual Expenditures Supported by Documentation (A-09-15-02027)
California Claimed Millions of Dollars in Unallowable Federal Medicaid Reimbursement for Specialty Mental Health Services (A-09-15-02040)
Updated Virginia and Washington State False Claims Act Review Letters
08-15-2018
Updated: Work Plan
08-14-2018
Maryland Did Not Adequately Secure Its Medicaid Data and Information Systems (A-18-16-30520)
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 services and to bill for such services according to the billing practices in the jurisdiction where such services are rendered)
08-13-2018
Assistant Attorney General Benczkowski Announces Newark/Philadelphia Medicare Fraud Strike Force to Focus on Health Care Fraud and Illegal Opioid Prescriptions
Alaska Received Millions in Unallowable Bonus Payments (A-04-17-08059)
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)
08-10-2018
LEIE Database Updated with July 2018 Exclusions and Reinstatements
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 and conditions that apply to its unaffiliated members)
Updated Corporate Integrity Agreement List
Updated Civil Monetary Penalties and Affirmative Exclusions
08-03-2018
Illinois Did Not Always Comply With Maternal, Infant, and Early Childhood Home Visiting Program Requirements (A-05-16-00066)
Georgia Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-04-18-03578)
New Hampshire Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-01-18-02500)
Illinois Did Not Comply With Federal Waiver and State Requirements at 18 of 20 Adult Day Service Centers Reviewed (A-05-17-00028)
Updated Provider Self-Disclosure Settlements
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
Updated: Work Plan
Job Opening: Associate Counsel Application Deadline: August 24, 2018

July

07-31-2018
Vulnerabilities in the Medicare Hospice Program Affect Quality Care and Program Integrity: An OIG Portfolio
Media Materials: Vulnerabilities in Hospice Care
Eye on Oversight: Hospice
Solutions to Reduce Fraud, Waste, and Abuse in HHS Programs: Top Unimplemented Recommendations
07-25-2018
Updated Stipulated Penalties and Exclusion for Material Breach
07-23-2018
First Coast Service Options, Inc., Did Not Claim Some Medicare Supplemental Executive Retirement Plan Costs Through Its Incurred Cost Proposals (A-07-18-00536)
First Coast Service Options, Inc., Generally Claimed Allowable Pension Costs Through Its Incurred Cost Proposals (A-07-18-00534)
07-20-2018
Updated Corporate Integrity Agreement List
07-18-2018
Medicare Improperly Paid Providers for Nonemergency Ambulance Transports to Destinations Not Covered by Medicare (A-09-17-03018)
Setting Medicare Payment Rates for Clinical Diagnostic Laboratory Tests: Strategies To Ensure Data Quality (OEI-09-17-00050)
Updated Corporate Integrity Agreement List
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 indirectly with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a premium credit of $100 off the next renewal premium to policyholders who use a network hospital for an inpatient stay)
07-17-2018
Testimony of Gloria L. Jarmon, Deputy Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services: House Committee on Ways and Means Subcommittee on Oversight: Combating Fraud in Medicare: A Strategy for Success
07-16-2018
Updated: Work Plan
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
Weaknesses Exist in Medicaid Managed Care Organizations' Efforts To Identify and Address Fraud and Abuse (OEI-02-15-00260)
The Colorado Health Insurance Marketplace's Financial Management System Did Not Always Comply With Federal Requirements (A-07-17-02808)
07-10-2018
LEIE Database Updated with June 2018 Exclusions and Reinstatements
Opioids in Ohio Medicaid: Review of Extreme Use and Prescribing (OEI-05-18-00010)
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
07-06-2018
The Administration for Children and Families Did Not Always Resolve Audit Recommendations in Accordance With Federal Requirements (A-07-17-03225)
Some New York City Childcare Providers Did Not Always Comply With Health and Safety Requirements (A-02-16-02003)
University of Wisconsin Hospitals and Clinics Authority Incorrectly Billed Medicare Inpatient Claims With Severe Malnutrition (A-03-17-00005)
Updated Provider Self-Disclosure Settlements
07-05-2018
Updated Civil Monetary Penalties and Affirmative Exclusions

June

06-29-2018
Michigan Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Brokerage Program (A-05-16-00021)
CMS Did Not Detect Some Inappropriate Claims for Durable Medical Equipment in Nursing Facilities (OEI-06-16-00380)
06-28-2018
2018 National Takedown
Featured Topic: Combatting the Opioid Epidemic
Opioid Use in Medicare Part D Remains Concerning (OEI-02-18-00220)
Toolkit: Using Data Analysis To Calculate Opioid Levels and Identify Patients At Risk of Misuse or Overdose (OEI-02-17-00560)
Entities Generally Met Federal Select Agent Program Internal Inspection Requirements But CDC Could Do More To Improve Effectiveness (OEI-04-15-00431)
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 Governmental Affairs: Medicaid Fraud and Overpayments: Problems and Solutions
Updated: Work Plan
Tennessee Medicaid Fraud Control Unit: 2017 Onsite Inspection (OEI-12-17-00230)
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
Advisory Opinion 18-05 (regarding an arrangement under which a hospital has established a caregiver center that provides or arranges for free or reduced-cost support services to caregivers in the local community)
06-22-2018
Florence Crittenton Services of Orange County, Inc., Did Not Always Meet Applicable Safety Standards Related to Unaccompanied Alien Children (A-09-16-01005)
06-19-2018
Updated Corporate Integrity Agreement List
06-18-2018
Updated Civil Monetary Penalties and Affirmative Exclusions
06-15-2018
Updated: Work Plan
06-14-2018
Advisory Opinion 18-04 regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby insurance companies would contract indirectly with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for their policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay
06-13-2018
Podcast: Pain Management Doctor Was A "One-Man Crime Wave"
Nebraska Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-07-17-03224)
Illinois Implemented Most New Criminal Background Check Requirements for Childcare Providers, but Challenges Remain for Unimplemented Requirements (A-05-17-00047)
Updated Civil Monetary Penalties and Affirmative Exclusions
06-12-2018
Most Medicare Claims for Replacement Positive Airway Pressure Device Supplies Did Not Comply With Medicare Requirements (A-04-17-04056)
Companion Data Services, LLC, Did Not Claim Some Allowable Pension Costs Through Its Incurred Cost Proposals (A-07-17-00528)
Minnesota Did Not Comply With Federal Waiver and State Requirements for All 20 Adult Day Care Centers Reviewed (A-05-17-00009)
Ohio Did Not Always Comply With Requirements Related to the Case Management of Children in Foster Care (A-05-16-00022)
06-08-2018
LEIE Database Updated with May 2018 Exclusions and Reinstatements
Texas Made Increased Payments for Services Rendered by Eligible Primary Care Providers Under Federal Requirements (A-06-17-09003)
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)
Updated Corporate Integrity Agreement List
06-07-2018
The Food and Drug Administration Computed Prescription Drug User Fee Rates Accurately (A-05-17-00040)
06-06-2018
New York Claimed Federal Reimbursement for Consumer-Directed Personal Assistance Services That Did Not Meet Medicaid Requirements (A-02-16-01026)
Updated Provider Self-Disclosure Settlements
06-05-2018
2017 Performance Data for the Senior Medicare Patrol Projects (OEI-02-18-00130)
Updated Corporate Integrity Agreement List
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
Semiannual Report to Congress

May

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 clinic to facilitate telemedicine encounters
Updated Civil Monetary Penalties and Affirmative Exclusions
05-30-2018
HRSA Helped Health Centers With Elevated Risks and Can Continue To Take Additional Steps (OEI-05-14-00470)
05-29-2018
Testimony of Maureen Dixon, Special Agent in Charge, Philadelphia Regional Office, Office of Investigations, Office of Inspector General, Department of Health and Human Services: Senate Committee on Finance Health Care Subcommittee Field Hearing: Examining Efforts to Prevent Opioid Overutilization and Misuse in Medicare and Medicaid
05-25-2018
Eye on Oversight: Corporate Integrity Agreements
05-24-2018
Round 2 Competitive Bidding for Enteral Nutrition: Continued Access for Vast Majority of Beneficiaries (OEI-01-15-00042)
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)
Updated Corporate Integrity Agreement List
05-23-2018
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 Aging: Preventing and Treating Opioid Misuse Among Older Americans
Updated Civil Monetary Penalties and Affirmative Exclusions
05-22-2018
The South African National Department of Health Did Not Always Manage and Expend the President's Emergency Plan for AIDS Relief Funds in Accordance With Award Requirements (A-04-17-01002)
05-18-2018
Iowa Complied With Most Federal Requirements Prohibiting Medicaid Payments for Inpatient Hospital Services Related to Provider-Preventable Conditions (A-07-17-03221)
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)
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 Administrative Contract Allowable Pension Costs (A-07-17-00530)
Wisconsin Physicians Service Insurance Corporation Understated Medicareďż˝s Share of the Medicare Segment Excess Pension Assets (A-07-17-00529)
05-15-2018
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, Labor, and Pensions: Examining Oversight Reports on the 340B Drug Pricing Program
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)
05-14-2018
New Most Wanted Fugitive Posted: Angel Lagoa allegedly paid illegal kickbacks to patient recruiters in exchange for beneficiary information.
05-11-2018
Most of New York's Claims for Federal Reimbursement for Monthly Personal Emergency Response Service Charges Did Not Comply With Medicaid Requirements (A-02-15-01019)
05-09-2018
Updated Civil Monetary Penalties and Affirmative Exclusions
05-08-2018
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)
Updated Corporate Integrity Agreement List
05-07-2018
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 products to patients and contracts with a third party to conduct follow-up customer satisfaction surveys)
Updated Corporate Integrity Agreement List
Cahaba Safeguard Administrators, LLC, Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00526)
Cahaba Government Benefits Administrators, LLC, Understated Medicare Administrative Contract Allowable Pension Costs (A-07-17-00525)
Cahaba Government Benefits Administrators, LLC, Generally Claimed Allowable Medicare Pension Costs (A-07-17-00524)
Cahaba Government Benefits Administrators, LLC, Overstated Its Medicare Segment Pension Assets (A-07-17-00522)
05-04-2018
Florida Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid  (A-04-17-08052)
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)
05-03-2018
Updated Provider Self-Disclosure Settlements
05-01-2018
This is Real: Go Undercover with Our New Podcast

April

04-30-2018
Wanted: Amaury Perez
Updated Civil Monetary Penalties and Affirmative Exclusions
04-24-2018
Colorado Did Not Always Comply With Federal Requirements When Expending Federal Establishment Grant Funds Allocated for Its Shared Eligibility System Costs (A-07-16-02804)
04-20-2018
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)
Updated Corporate Integrity Agreement List
04-18-2018
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)
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)
04-16-2018
New: Compliance Resource Portal
Updated: Work Plan
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
Testimony of Megan H. Tinker Senior Advisor for Legal Review Office of Counsel to the Inspector General, Office of Inspector General, Department of Health and Human Services: House Committee on Oversight and Government Reform, Subcommittee on Government Operations Subcommittee on Intergovernmental Affairs: Improper Payments in State?Administered Programs: Medicaid
04-11-2018
Most Wanted Fugitive: Ebong Tilong
Updated Corporate Integrity Agreement List
Updated Civil Monetary Penalties and Affirmative Exclusions
04-10-2018
LEIE Database Updated with March 2018 Exclusions and Reinstatements
04-09-2018
Texas Did Not Make Increased Primary Care Provider Payments and Claim Reimbursement in Accordance With Federal Requirements (A-06-15-00045)
04-06-2018
FY 2017 Health Care Fraud and Abuse Control Program Report
04-04-2018
Updated Provider Self-Disclosure Settlements

March

03-30-2018
Medicaid Fraud Control Units Fiscal Year 2017 Annual Report (OEI-09-18-00180)
03-29-2018
Drug Supply Chain Security: Dispensers Received Most Tracing Information (OEI-05-16-00550)
03-28-2018
Updated Corporate Integrity Agreement List
03-27-2018
CAPTURED: Antonio Quevedo-Ledo
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
Small Business Innovation Research (SBIR) Fraud
03-16-2018
Updated Civil Monetary Penalties and Affirmative Exclusions
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
Updated Civil Monetary Penalties and Affirmative Exclusions
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
Updated Corporate Integrity Agreement List
03-06-2018
LEIE Database Updated with February 2018 Exclusions and Reinstatements
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
Updated Civil Monetary Penalties and Affirmative Exclusions

February

02-27-2018
Advisory Opinion 18-01 (regarding the effect of your exclusion from Medicare, Medicaid, and all other Federal health care programs)
02-26-2018
Diversity, Inclusion Enrich the Workplace
02-23-2018
The National Institutes of Health Did Not Always Administer Superfund Appropriations During Fiscal Year 2015 in Accordance With Federal Requirements (A-04-16-04046)
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
Medicare Needs Better Controls To Prevent Fraud, Waste, and Abuse Related to Chiropractic Services (A-09-16-02042)
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
FY 2019 Congressional Budget Justification
02-09-2018
Updated Corporate Integrity Agreement List
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

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 Investigations: Safety of the U.S. Food Supply: Continuing Concerns Over the Food and Drug Administration's Food-Recall Process
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 Accompanying Required Assertions (A-03-18-00354)
Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00353)
Independent Attestation Review: National Institutes of Health Fiscal Year 2017 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00352)
Independent Attestation Review: Indian Health Service Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-18-00351)
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 Means, Subcommittee on Oversight: The Opioid Crisis: The Current Landscape and CMS Actions to Prevent Opioid Misuse
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 Accompanying Required Assertions (A-03-18-00355)
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 the medical center will share with such neurosurgeons a percentage of its cost savings resulting from these measures)
01-04-2018
Updated Corporate Integrity Agreement List
01-03-2018
LEIE Database Updated with December 2017 Exclusions and Reinstatements
Updated Provider Self-Disclosure Settlements