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What's New

See also: Archive

May

05-25-2023
The Office of Refugee Resettlement Needs To Improve Its Oversight Related to the Placement and Transfer of Unaccompanied Children A-06-20-07002
The Centers for Medicare & Medicaid Services Should Improve Preventative and Detective Controls To More Effectively Mitigate the Risk of Compromise A-18-20-08001
05-24-2023
Video: Assistant IG for Evaluation and Inspections Erin Bliss Testifies Before the Committee on Aging: "Residents at Risk: The Strained Nursing Home Inspection System and the Need to Improve Oversight, Transparency, and Accountability"
05-23-2023
Video: Testimony of Megan Tinker, Chief of Staff, before the U.S. Senate Homeland Security & Governmental Affairs Committee: "Examining Health Care Denials and Delays in Medicare Advantage"
Seventeen of Thirty Selected Health Centers Did Not Use or May Not Have Used Their HRSA COVID-19 Supplemental Grant Funding in Accordance With Federal Requirements A-02-21-02005
05-22-2023
Employee Profile: Rochelle Wong
Department of Health and Human Services Met Many Requirements, but It Did Not Fully Comply With the Payment Integrity Information Act of 2019 and Applicable Improper Payment Guidance for the Fiscal Year 2022 A-17-23-52000
05-19-2023
Montana Generally Complied With Requirements for Telehealth Services During the COVID-19 Pandemic A-07-21-03250
05-18-2023
Testimony of Erin Bliss, Assistant Inspector General for Evaluation and Inspections, before the U.S. Senate Special Committeeon Aging: "Residents at Risk: The Strained Nursing Home Inspection System and the Need to Improve Oversight, Transparency, and Accountability"
The Risk of Misuse and Diversion of Buprenorphine for Opioid Use Disorder Appears to Be Low in Medicare Part D OEI-02-22-00160
Massachusetts MMIS and E&E System Security Controls Were Generally Effective, but Some Improvements Are Needed A-18-20-08003
05-17-2023
Testimony of Megan Tinker, Chief of Staff, before the U.S. Senate Homeland Security & Governmental Affairs Committee: "Examining Health Care Denials and Delays in Medicare Advantage"
05-16-2023
Consumer Alert: Fraud Schemes Targeting Native American Communities in Behavioral Health Treatment Centers
05-15-2023
Updated: Work Plan
State Agencies Can Improve Their Reporting of Children Missing From Foster Care to Law Enforcement for Entry Into the National Crime Information Center Database as Required by Federal Statute A-07-21-06104
Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2022 OEI-03-23-00090
05-12-2023
Updated: CMP and Affirmative Exclusions
05-10-2023
Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2022 A-18-22-11200
LEIE Database Updated with April 2023 Exclusions and Reinstatements
05-09-2023
Updated:
05-04-2023
Medicare Improperly Paid Providers for Some Psychotherapy Services, Including Those Provided via Telehealth, During the First Year of the COVID-19 Public Health Emergency A-09-21-03021
The Office of Refugee Resettlement Needs To Improve Its Practices for Background Checks During Influxes A-06-21-07003
Updated: Corporate Integrity Agreements
05-02-2023
Inspector General Grimm HCCA 27th Annual Compliance Institute Keynote

April

04-26-2023
Medicare Could Have Saved Up To $128 Million Over 5 Years if CMS Had Implemented Controls To Address Duplicate Payments for Services Provided to Individuals With Medicare and Veterans Health Administration Benefits A-09-22-03004
04-24-2023
Toolkit: Analyzing Telehealth Claims to Assess Program Integrity Risks OEI-02-20-00723
Crow/Northern Cheyenne Hospital—an IHS-Operated Health Facility—Did Not Timely Conduct Required Background Checks of Staff and Supervise Certain Staff A-02-21-02004
Compliance Guidance Update
Modification of Advisory Opinion 20-04 (Regarding a charitable organization’s proposal to purchase or receive donations of unpaid medical debt owed by qualifying patients from certain types of health care providers and then forgive that debt.)
04-21-2023
Medicare Advantage Compliance Audit of Specific Diagnosis Codes That HumanaChoice (Contract H6609) Submitted to CMS A-05-19-00013
04-20-2023
2023 Nationwide COVID-19 Health Care Fraud Enforcement Action
04-19-2023
Updated: CMP and Affirmative Exclusions
04-18-2023
Testimony of Christi A. Grimm, Inspector General, United States House Committee on Energy and Commerce Subcommittee on Oversight and Investigations, Testimony to "Insights from the HHS Inspector General on Oversight of Unaccompanied Minors, Grant Management, and CMS"
04-17-2023
Updated: Work Plan
04-14-2023
Updated: Fraud Risk Indicator
04-12-2023
CMS Did Not Accurately Report on Care Compare One or More Deficiencies Related to Health, Fire Safety, and Emergency Preparedness for an Estimated Two-Thirds of Nursing Homes A-09-20-02007
04-10-2023
LEIE Database Updated with March 2023 Exclusions and Reinstatements
04-07-2023
Updated: Corporate Integrity Agreements
04-06-2023
Updated:
04-04-2023
Employee Profile: Curtis Roy
04-03-2023
Rhode Island Medicaid Fraud Control Unit: 2022 Inspection OEI-07-22-00370

March

03-31-2023
Texas Could Not Support the Permissibility of the Funds Used as the State Share of the Medicaid Delivery System Reform Incentive Payment Program A-06-17-09004
03-30-2023
Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Cigna-HealthSpring Life & Health Insurance Company, Inc. (Contract H4513) Submitted to CMS A-07-19-01192
03-29-2023
Advisory Opinion 23-03 (Regarding a proposal to provide a prepaid card to certain individuals, including Federal health care program beneficiaries, to encourage those individuals to return the sample collection kit associated with a colorectal cancer screening test.)
Missouri's Oversight of Certified Individualized Supported Living Provider Health and Safety Could Be Improved in Some Areas A-07-21-03247
Medicare Advantage Compliance Audit of Specific Diagnosis Codes That MCS Advantage, Inc. (Contract H5577) Submitted to CMS A-02-20-01008
03-28-2023
Featured Topic: Hospice
03-27-2023
Maryland's Child Support Administration Generally Claimed Administrative Costs That Were Allowable and Allocable A-01-22-02500
03-24-2023
Medicare Improperly Paid Physicians an Estimated $30 Million for Spinal Facet-Joint Interventions A-09-22-03006
03-21-2023
The District of Columbia Has Taken Significant Steps To Ensure Accountability Over Amounts Managed Care Organizations Paid to Pharmacy Benefit Managers A-03-20-00200
03-20-2023
Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Geisinger Health Plan (Contract H3954) Submitted to CMS A-09-21-03011
03-17-2023
Georgia Did Not Comply With Federal Waiver and State Requirements at All 20 Adult Day Health Care Facilities Reviewed A-04-22-00134
03-15-2023
IG Grimm RISE Conference Speech - OIG’s Vantage on Medicare Advantage
Updated: Work Plan
Georgia Did Not Always Invoice Rebates to Manufacturers for Pharmacy and Physician-Administered Drugs A-04-21-08089
03-14-2023
Some Skin Substitute Manufacturers Did Not Comply with New ASP Reporting Requirements OEI-BL-23-00010
03-13-2023
FY 2024 Congressional Budget Justification
Medicare Improperly Paid Physicians for Epidural Steroid Injection Sessions A-07-21-00618
Michigan MMIS and E&E Systems Security Controls Were Generally Effective, but Some Improvements Are Needed A-18-20-08004
03-10-2023
OIG’s COVID-19 Public Health Emergency Flexibilities End on May 11, 2023 Upon Expiration of the COVID-19 Public Health Emergency Declaration
Medicaid Fraud Control Units Fiscal Year 2022 Annual Report  OEI-09-23-00190
LEIE Database Updated with February 2023 Exclusions and Reinstatements
03-08-2023
Findings of Whistleblower Retaliation by Army and Contractor Jacobs Technologies Management Officials
Updated:
03-07-2023
Florida Did Not Invoice Manufacturers for Some Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations A-04-21-07098
03-06-2023
Women's History Month: The Legacy of IG June Gibbs-Brown
03-03-2023
State Agencies Did Not Always Ensure That Children Missing From Foster Care Were Reported to the National Center for Missing and Exploited Children in Accordance With Federal Requirements A-07-21-06102
Updated: Corporate Integrity Agreements
03-02-02023
The Inability To Identify Denied Claims in Medicare Advantage Hinders Fraud Oversight OEI-03-21-00380
Medicare Part D Plan Sponsors and CMS Did Not Ensure That Transmucosal Immediate-Release Fentanyl Drugs Were Dispensed Only to Beneficiaries Who Had a Cancer Diagnosis A-09-20-03033
03-01-2023
Medicare Could Have Saved up to $216 Million Over 5 Years if Program Safeguards Had Prevented At-Risk Payments for Definitive Drug Testing Services A-09-21-03006

February

02-28-2023
Updated List: High Risk - Heightened Scrutiny
Advisory Opinion 23-02 (Regarding a program to provide a drug for free, for a limited time, to patients who experience a delay in their insurance approval process for the drug.)
02-27-2023
Missouri Claimed Federal Medicaid Reimbursement for Tens of Millions in Consumer-Directed Personal Care Assistance Services That Did Not Comply With Federal and State Requirements A-07-20-03243
02-24-2023
Fraud Alert: Scammers Steal Money From the Public Through Fake HHS Websites and Social Media Schemes
Florida Made Capitation Payments for Enrollees Who Were Concurrently Enrolled in a Medicaid Managed Care Program in Another State A-05-21-00028
02-23-2023
The Health Resources and Services Administration Should Improve Preventive and Detective Controls To More Effectively Mitigate the Risk of Compromise A-18-20-08200
Advisory Opinion 23-01 (Regarding financial assistance for transportation, lodging, and meals provided by a drug manufacturer to financially needy pediatric patients and their caregiver(s) in connection with treatment with the manufacturer’s drug.)
02-17-2023
Employee Profile: Jasmyn Ferbish
02-15-2023
Updated: Work Plan
02-14-2023
Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2022 OEI-03-23-00080
Updated: Fraud Self-Disclosures
02-13-2023
Michigan Did Not Comply With Requirements for Documenting Psychotropic and Opioid Medications Prescribed for Children in Foster Care A-05-21-00030
Updated: Civil Monetary Penalties and Affirmative Exclusions
02-10-2023
LEIE Database Updated with January 2023 Exclusions and Reinstatements
02-08-2023
North Carolina Did Not Always Invoice Rebates to Manufacturers for Physician-Administered Drugs A-07-21-07002
Updated: Corporate Integrity Agreements
02-07-2023
Technical Assistance Brief: Implementation of Inflation-Indexed Rebates for Part B Drugs OEI-BL-23-00170

January

01-31-2023
Early Challenges Highlight Areas for Improvement in COVID-19 Vaccination Programs OEI-04-21-00190
Challenges With Vaccination Data Hinder State and Local Immunization Program Efforts To Combat COVID-19 OEI-05-22-00010
Updated: Fraud Risk Indicator
01-27-2023
Greater Bergen Community Action, Inc., Did Not Manage Its Head Start Awards in Accordance With Federal and State Requirements A-02-19-02008
01-25-2023
Operation Nightingale Enforcement Action
The National Institutes of Health and EcoHealth Alliance Did Not Effectively Monitor Awards and Subawards, Resulting in Missed Opportunities to Oversee Research and Other Deficiencies A-05-21-00025
01-20-2023
Employee Profile: Abbi Warmker
Updated: Corporate Integrity Agreements
Independent Attestation Review: National Institutes of Health Fiscal Year 2022 Detailed Accounting Submission and Budget Formulation Compliance Report for National Drug Control Activities, and Accompanying Required Assertions A-03-23-00351
Independent Attestation Review: Centers for Disease Control and Prevention Fiscal Year 2022 Detailed Accounting Submission and Budget Formulation Compliance Report for National Drug Control Activities and Accompanying Required Assertions A-03-23-00352
Independent Attestation Review: Food and Drug Administration Fiscal Year 2022 Detailed Accounting Submission and Budget Formulation Compliance Report for National Drug Control Activities and Accompanying Required Assertions A-03-23-00353
01-19-2023
More Than a Thousand Nursing Homes Reached Infection Rates of 75 Percent or More in the First Year of the COVID-19 Pandemic; Better Protections Are Needed for Future Emergencies OEI-02-20-00491
01-18-2023
ASPR Could Improve Its Oversight of the Hospital Preparedness Program To Ensure That Crisis Standards of Care Comply With Federal Nondiscrimination Laws A-01-21-01502
01-17-2023
Updated: Work Plan
Updated List: High Risk - Heightened Scrutiny
FDA Should Improve Its Management of Contracts for the Acquisition of Information Technology A-18-21-11100
01-13-2023
New Interactive: Recommendations Tracker
01-12-2023
Updated: Fraud Self-Disclosures
01-10-2023
LEIE Database Updated with December 2022 Exclusions and Reinstatements
Updated: Corporate Integrity Agreements
01-09-2023
WANTED: Fugitive Khalid A. Satary
National Government Services, Inc., Understated Its Plan A Medicare Segment Pension Assets and Overstated Medicare's Share of the Medicare Segment Excess Pension Liabilities as of December 31, 2018 A-07-22-00620
National Government Services, Inc., Overstated Its Plan B Medicare Segment Pension Assets and Overstated Medicare's Share of the Medicare Segment Excess Pension Assets as of December 31, 2018 A-07-22-00621
National Government Services, Inc., Overstated Its United Government Services, LLC, Medicare Segment Pension Assets and Understated Medicare's Share of the Medicare Segment Excess Pension Liabilities as of December 31, 2018 A-07-22-00622
National Government Services, Inc., Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals A-07-22-00623
01-06-2023
Illinois Generally Complied With Requirements for Claiming Medicaid Reimbursement for Telehealth Payments During COVID-19 A-05-21-00035
The Municipality of Manati Did Not Always Manage Its Head Start Disaster Assistance Awards in Accordance With Federal And Commonwealth Requirements A-04-20-02032
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-Related Findings A-04-22-06265
01-05-2023
Updated: Corporate Integrity Agreements
01-04-2023
Updated: Corporate Integrity Agreements
01-03-2023
Manufacturers May Need Additional Guidance To Ensure Consistent Average Sales Price Calculations OEI-BL-21-00330
CMS Should Bolster Its Oversight of Manufacturer-Submitted Average Sales Price Data To Ensure Accurate Part B Drug Payments OEI-03-21-00390

Archive