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What's New

November

11-22-2019
Highlands of Little Rock West Markham Holdings, LLC: Audit of Documentation of Therapy Resource Utilization Groups A-06-18-08003
11-21-2019
Registered Nurses Did Not Always Visit Medicare Beneficiaries' Homes At Least Once Every 14 Days To Assess The Quality of Care and Services Provided by Hospice Aides A-09-18-03022
11-19-2019
Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2019 (OEI-03-20-00070)
11-18-2019
2019 Top Management & Performance Challenges Facing HHS
11-15-2019
Updated Corporate Integrity Agreements
Updated: Work Plan
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 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 Through Its Incurred Cost Proposals A-07-18-00550
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
Audit of Medicare Part D Pharmacy Fees: Geisinger Health Systems, Inc. A-03-18-00006
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

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
Testimony of Brian P. Ritchie, Assistant Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services: U.S. Senate Committee on Finance, Subcommittee on Health Care: Medicaid: Compliance with Eligibility Requirements
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
Updated Corporate Integrity Agreements
10-24-2019
Testimony of Gary Cantrell, Deputy Inspector General for Investigations, Office of Investigations, Office of Inspector General, U.S. Department of Health and Human Services: U.S. Senate Committee on Finance: OIG's Efforts to Address the Prescribing and Treatment Dimensions of the Opioid Crisis
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 Performance Score (A-09-18-03019)
Updated Civil Monetary Penalties and Affirmative Exclusions
10-22-2019
Trends in Nursing Home Complaints (2016-2018)
10-21-2019
New York State Claimed Federal Reimbursement for Unallowable Childcare Subsidies Paid to New York City (A-02-17-02010)
10-15-2019
Updated Fraud Risk Indicator
Updated: Work Plan
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
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
Updated Corporate Integrity Agreements
10-04-2019
The Next Door Foundation Claimed Unallowable Indirect Costs and Did Not Document the Funding Source of Program Expenditures in Accordance With Federal Requirements (A-05-18-00008)
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
California Needs To Improve Oversight of Community-Based Adult Services Providers' Compliance With Health and Safety and Administrative Requirements (A-09-18-02002)
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

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
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)
Patient Safety Organizations: Hospital Participation, Value, and Challenges (OEI-01-17-00420)
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 Affiliations (A-03-19-03003)
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
CMS Paid Over $277 Million in Unallowable CHIPRA Bonus Payments Based on Incorrect Enrollment Data (A-04-17-08061)
09-23-2019
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)
Arrested Deadbeat: Charles Hefner
09-20-2019
Reasonable Assumptions in Manufacturer Reporting of AMPs and Best Prices (OEI-12-17-00130)
09-19-2019
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 & Commerce: HHS-OIG Oversight of the Unaccompanied Alien Children Program
Some Medicare Part D Beneficiaries Face Avoidable Extra Steps That Can Delay or Prevent Access to Prescribed Drugs (OEI-09-16-00411)
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
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 Appropriations: HHS-OIG Oversight of the Unaccompanied Alien Children Program
Medicare's Oversight of Ambulatory Surgery Centers (OEI-01-15-00400)
Updated Civil Monetary Penalties and Affirmative Exclusions
Updated Stipulated Penalties and Exclusion for Material Breach
Updated CIA Reportable Events
09-16-2019
Provider Shortages and Limited Availability of Behavioral Health Services in New Mexico's Medicaid Managed Care (OEI-02-17-00490)
Medicare Incorrectly Paid Providers for Emergency Ambulance Transports From Hospitals to Skilled Nursing Facilities (A-09-18-03030)
Updated: Work Plan
09-13-2019
Rebates for Brand Name Drugs in Part D Substantially Reduced the Growth in Spending from 2011 to 2015 (OEI-03-19-00010)
Updated Provider Self-Disclosure Settlements
Updated Grantee Self-Disclosure Protocol
09-12-2019
Vermont's Office of Child Support Needs Better Oversight Over Its Administrative Costs Claimed (A-01-18-02501)
09-11-2019
Advisory Opinion 19-05 (regarding a proposed purchase of real estate from a limited liability company owned, in part, by an excluded individual)
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 appointments, where healthcare professionals pay, or would pay, per-click or per-booking fees to be listed in the directory; and (ii) sponsored advertisements on its online healthcare directory and third-party websites, where healthcare professionals pay, or would pay, per-impression or per-click fees for such sponsored advertisements (the "Proposed Arrangement"))
09-06-2019
LEIE Database Updated with August 2019 Exclusions and Reinstatements
09-05-2019
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 Performance Score (A-09-18-03003)
Oceanside Medical Group Received Unallowable Medicare Payments for Psychotherapy Services (A-09-18-03004)
Updated Corporate Integrity Agreements
09-04-2019
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
Colorado Did Not Correctly Determine Medicaid Eligibility for Some Newly Enrolled Beneficiaries (A-07-16-04228)
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

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
Utah Medicaid Fraud Control Unit: 2018 Onsite Review (OEI-09-18-00170)
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-05-19-00015)
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
National Background Check Program for Long Term Care Providers: Assessment of State Programs Concluded in 2017 and 2018 (OEI-07-18-00290)
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
Idaho Medicaid Fraud Control Unit: 2018 Onsite Inspection (OEI-12-18-00320)
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)
08-20-2019
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)
Connecticut Claimed Unallowable Federal Reimbursement for Medicaid Physician-Administered Drugs That Were Not Invoiced to Manufacturers for Rebates (A-07-18-06078)
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
Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2017 Average Sales Prices (OEI-03-19-00260)
08-16-2019
Updated Civil Monetary Penalties and Affirmative Exclusions
08-15-2019
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)
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)
08-14-2019
The Administration for Community Living Failed To Conduct Any of the Required Onsite Compliance Reviews of Independent Living Programs (A-05-18-00034)
08-13-2019
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)
Georgia Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries' Deaths (A-04-15-06183)
New York Achieved Program Goals For Enhancing Its Prescription Drug Monitoring Program (A-02-18-02001)
08-09-2019
Updated Corporate Integrity Agreements
Updated Provider Self-Disclosure Settlements
08-08-2019
LEIE Database Updated with July 2019 Exclusions and Reinstatements
08-06-2019
Updated Corporate Integrity Agreements

July

07-31-2019
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)
Group Health Incorporated Understated Its Cash Balance Pension Plan Medicare Segment Pension Assets as of January 1, 2011 (A-07-19-00557)
07-30-2019
Updated Civil Monetary Penalties and Affirmative Exclusions
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 Senate Committee on Finance: Promoting Elder Justice: A Call for Reform
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
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)
New York Did Not Correctly Determine Medicaid Eligibility for Some Non-Newly Eligible Beneficiaries (A-02-16-01005)
07-19-2019
Updated Corporate Integrity Agreements
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
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.S. House Committee on Oversight and Reform: HHS-OIG Oversight of the Unaccompanied Alien Children Program
Updated Civil Monetary Penalties and Affirmative Exclusions
07-11-2019
Updated Corporate Integrity Agreements
HHS OIG Grant Self-Disclosure Program Guidance
Updated Grantee Self-Disclosure Protocol
07-10-2019
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 Minimal Amount of Overpayments (A-02-17-01005)
New York Claimed Federal Reimbursement for Some Payments to Health Home Providers That Did Not Meet Medicaid Requirements (A-02-17-01004)
Updated Stipulated Penalties and Exclusion for Material Breach
Updated Corporate Integrity Agreements
07-09-2019
Hospice Deficiencies Pose Risks to Medicare Beneficiaries (OEI-02-17-00020)
Safeguards Must Be Strengthened To Protect Medicare Hospice Beneficiaries From Harm (OEI-02-17-00021)
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
Updated Provider Self-Disclosure Settlements
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
The Florida Department of Children and Families Made Some Unallowable Refugee Cash Assistance Payments (A-04-18-02011)
Updated Civil Monetary Penalties and Affirmative Exclusions

June

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
The National Institutes of Health Administered Superfund Appropriations During Fiscal Year 2016 in Accordance With Federal Requirements (A-04-18-04065)
Updated Corporate Integrity Agreements
06-20-2019
Updated Corporate Integrity Agreements
06-19-2019
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 Prescription Drug Prices, Part III: Examining Agency Efforts to Further Competition and Increase Affordability
Medicare Could Have Saved Millions of Dollars in Payments for Three-Dimensional Conformal Radiation Therapy Planning Services (A-09-18-03026)
06-18-2019
Updated Corporate Integrity Agreements
06-17-2019
Updated: Work Plan
Princeton Place Did Not Always Comply With Care Plans for Residents Who Were Diagnosed With Urinary Tract Infections (A-06-17-02002)
The Therapy Resource Utilization Groups at Epworth Villa Retirement Community's Skilled Nursing Facility Were Properly Supported (A-06-18-08002)
06-14-2019
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 Audit (A-18-17-09304)
Updated Corporate Integrity Agreement List
Job Opening: Medicare/Medicaid Attorney Deadline to Apply: June 28, 2019
06-13-2019
Alaska Did Not Fully Comply With Federal and State Requirements for Reporting and Monitoring Critical Incidents Involving Medicaid Beneficiaries With Developmental Disabilities (A-09-17-02006)
06-12-2019
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)
Medicare Payments to Providers for Polysomnography Services Did Not Always Meet Medicare Billing Requirements (A-04-17-07069)
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
Great Lakes Home Health Services, Inc., Billed for Home Health Services That Did Not Comply With Medicare Coverage and Payment Requirements (A-05-16-00057)
06-05-2019
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 Taxpayer-Funded Medical Research: Oversight Opportunities and Policy Solutions
Job Openings: Experienced Health Care Attorneys (Associate and Senior Counsel Positions) Deadline to Apply: July 12, 2019
St. Joseph's Hospital and Medical Center Submitted Some Inaccurate Wage Data (A-01-17-00510)
LEIE Database Updated with May 2019 Exclusions and Reinstatements
06-03-2019
Fraud Alert: Genetic Testing Scam
Spring Semiannual Report to Congress

May

05-31-2019
FY18 Health Care Fraud and Abuse Control (HCFAC) Program
05-29-2019
2018 Performance Data for the Senior Medicare Patrol Projects (OEI-02-19-00280)
05-24-2019
Metropolitan Jewish Home Care, Inc., Billed for Home Health Services That Did Not Comply with Medicare Requirements (A-02-16-01001)
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)
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
Using Health IT for Care Coordination: Insights from Six Medicare Accountable Care Organizations (OEI-01-16-00180)
05-21-2019
Four States Did Not Comply With Federal Waiver and State Requirements in Overseeing Adult Day Care Centers and Foster Care Homes (A-05-19-00005)
05-15-2019
Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2018 (OEI-03-19-00040)
Video: Joanne Chiedi's Remarks at the 2019 HCCA Compliance Institute
Updated: Work Plan
05-13-2019
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 2018 (A-17-19-52000)
05-10-2019
California Medicaid Managed Care Organizations Received Capitation Payments After Beneficiaries� Deaths (A-04-18-06220)
Updated Corporate Integrity Agreement List
05-09-2019
LEIE Database Updated with April 2019 Exclusions and Reinstatements
05-07-2019
Updated Corporate Integrity Agreement List
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
Medicaid Could Save Hundreds of Millions by Excluding Authorized Generic Drug Transactions to Secondary Manufacturers from Brand Name Drugs� Average Manufacturer Price Calculations (A-06-18-04002)
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
The Children's Village, Inc., an Administration for Children and Families Grantee, Did Not Always Comply with Applicable Federal and State Policies and Requirements (A-02-16-02013)

April

04-30-2019
The Centers for Disease Control and Prevention's South Africa Office Generally Implemented Our Prior Audit Recommendation (A-04-18-01009)
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
Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2018 (A-18-18-11200)
04-18-2019
Washington State Made Progress Toward Achieving Program Goals for Enhancing Its Prescription Drug Monitoring Program (A-09-18-01001)
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
Updated: Work Plan
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
LEIE Database Updated with March 2019 Exclusions and Reinstatements
04-09-2019
Fraud Alert: Nationwide Brace Scam
Media Materials: Nationwide Brace Scam
04-08-2019
Highlights from Principal Deputy IG Joanne Chiedi's 2019 HCCA Compliance Institute Remarks
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
Although the Administration for Community Living Resolved Nearly All Audit Recommendations, It Did Not Always Do So in Accordance With Federal Timeframe Requirements (A-07-18-03232)
04-04-2019
Updated Corporate Integrity Agreement List
Updated Provider Self-Disclosure Settlements
Grantee Self-Disclosure Settlements
04-02-2019
The Substance Abuse and Mental Health Services Administration Followed Grant Regulations and Program-Specific Requirements When Awarding State Targeted Response to the Opioid Crisis Grants (A-03-17-03302)

March

03-28-2019
New Jersey Did Not Provide Adequate Oversight of Its Medicaid Delivery System Reform Incentive Payment Program (A-02-17-01007)
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
Final Rule: Revisions to State Medicaid Fraud Control Unit Rules
03-20-2019
Updated Corporate Integrity Agreement List
03-19-2019
Updated Stipulated Penalties and Exclusion for Material Breach
03-18-2019
FY 2020 Congressional Budget Justification
03-15-2019
Updated: Work Plan
03-13-2019
Summary Report for Office of Inspector General Penetration Testing of Eight HHS Operating Division Networks (A-18-18-08500)
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
Advisory Opinion 19-03 (regarding a program offered by a medical center that provides free, in-home follow-up care to eligible individuals with congestive heart failure (the "Current Arrangement") and the proposed expansion of this program to include certain individuals with chronic obstructive pulmonary disease)
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

02-28-2019
Although the Centers for Disease Control and Prevention Resolved Nearly All Audit Recommendations, It Did Not Always Do So in Accordance With Federal Timeframe Requirements (A-07-17-03226)
02-21-2019
Updated Civil Monetary Penalties and Affirmative Exclusions
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
Lincoln Hall Boys' Haven, an Administration for Children and Families Grantee, Did Not Always Comply With Applicable Federal and State Policies and Requirements (A-02-16-02007)
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 Commerce, Subcommittee on Oversight and Investigations: Examining the Failures of the Trump Administration's Inhumane Family Separation Policy
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
Updated Corporate Integrity Agreement List
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-Related Findings (A-04-18-06225)
Updated State False Claims Act Review Letters
02-01-2019
Updated Fraud Risk Indicator

January

01-29-2019
Advisory Opinion 19-02 (regarding a pharmaceutical manufacturer's proposal to loan, on a temporary basis, a limited- functionality smartphone to financially needy patients who do not have the technology necessary to receive adherence data from a sensor embedded in prescribed antipsychotic medication)
01-25-2019
Updated Civil Monetary Penalties and Affirmative Exclusions
01-24-2019
Updated Corporate Integrity Agreement List
01-22-2019
Kelley Medical Equipment and Supply, LLC, Received Unallowable Medicare Payments for Orthotic Braces (A-09-17-03030)
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
Updated: Work Plan
Updated Corporate Integrity Agreement List
01-15-2019
Updated Corporate Integrity Agreement List
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
UPDATED: The Tornillo Influx Care Facility: Concerns About Staff Background Checks and Number of Clinicians on Staff
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
Pathways for Children Generally Complied With Health and Safety Requirements (A-01-18-02502)
01-08-2019
Updated Provider Self-Disclosure Settlements
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
Pacific Medical, Inc., Received Some Unallowable Medicare Payments for Orthotic Braces (A-09-17-03027)
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-02-16-01009)