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What's New

See also: Archive

April 2024

04-22-2024
SENTENCED: Lilit Galstyan, Former HHS-OIG Fugitive
04-18-2024
28th Annual Compliance Institute - HHS-OIG Enforcement and Compliance Update
04-17-2024
Employee Profile: Dan Hoy
04-16-2024
The Testimony of Inspector General Christi A. Grimm: Examining How Improper Payments Cost Taxpayers Billions and Weaken Medicare and Medicaid
04-15-2024
Updated: Work Plan
Updated: Corporate Integrity Agreements
04-11-2024
Ohio Generally Completed Medicaid Eligibility Actions During the Unwinding Period in Accordance With Federal and State Requirements A-05-23-00019
Advisory Opinion 24-02 Favorable opinion regarding patient assistance funds operated by a nonprofit, tax exempt charitable organization.
04-10-2024
LEIE Database Updated with March 2024 Exclusions and Reinstatements
Updated: Corporate Integrity Agreements
04-05-2024
CMS Could Improve Its Procedures for Setting Medicare Clinical Diagnostic Laboratory Test Rates Under the Clinical Laboratory Fee Schedule for Future Public Health Emergencies A-01-21-00506
Missouri May Not Have Used All CARES Act Funds for the Older Americans Act Nutrition Services Program in Accordance With Federal and State Requirements A-07-22-04130
Alabama MMIS and E&E System Security Controls Were Adequate, but Some Improvements Are Needed A-18-22-09010
04-04-2024
New York Generally Identified and Corrected Duplicate Children’s Health Insurance Plan Payments Made to Managed Care Organizations A-02-23-01017
Alabama Claimed Federal Medicaid Reimbursement for Millions of Dollars in Targeted Case Management Services That Did Not Comply With Federal and State Requirements A-07-22-03253
Updated: CIA Reportable Events
Updated: CMP and Affirmative Exclusions
Updated: Fraud Self-Disclosures
Updated: Grant and Contractor Fraud Self-Disclosures
04-03-2024
Nursing Home Residents With Endangering Behaviors and Mental Health Disorders May Be Vulnerable to Facility-Initiated Discharges OEI-01-18-00252
Concerns Remain About Safeguards To Protect Residents During Facility-Initiated Discharges From Nursing Homes OEI-01-18-00251
ACF Has Enhanced Some Cybersecurity Controls Over the Unaccompanied Children Portal and Data But Improvements Are Needed A-18-22-03200
A Lack of Behavioral Health Providers in Medicare and Medicaid Impedes Enrollees’ Access to Care OEI-02-22-00050
04-02-2024
Administration for Children and Families Data Hosted in Certain Cloud Information Systems May Be at a High Risk of Compromise A-18-22-08020
Fiscal Year 2018 and 2019 Biomedical Advanced Research and Development Authority Appropriations May Not Have Been Used for Their Intended Purpose in Accordance With Federal Requirements A-03-20-03002
04-01-2024
New Jersey Significantly Improved Its Oversight of Medicaid Adult Partial Care Services Except for Those Provided Using Telehealth During the COVID-19 Public Health Emergency A-02-22-01007
IHS Did Not Coordinate Supply Service Center Operations Before and During the COVID-19 Pandemic and Should Consider Upgrading Supply Centers’ Inventory Management Systems and Implementing Policies and Procedures To Enhance Coordination and Alignment  A-07-22-04131

March 2024

03-29-2024
New Jersey Complied With Federal Regulations When Implementing Programs Under SAMHSA’s Opioid Response Grants, But Did Not Meet Its Program Services Goals A-02-22-02002
03-28-2024
CMS Did Not Ensure That Selected States Complied With Medicaid Managed Care Mental Health and Substance Use Disorder Parity Requirements A-02-22-01016
03-27-2024
The Thailand Ministry of Public Health Managed PEPFAR Funds According to Federal Regulations but Internal Controls Could Be Improved A-04-21-01021
Delaware Made Capitation Payments to Medicaid Managed Care Organizations After Enrollees' Deaths A-03-22-00205
03-26-2024
HHS-OIG Cybersecurity Toolkit: Cybersecurity Considerations For HHS's Rapid Rollout of Information Systems
03-25-2024
Updated: CMP and Affirmative Exclusions
03-21-2024
New Video: HHS-OIG's Perspective on Managed Care
03-19-2024
Utah MMIS and E&E System Had Adequate Security Controls In Place, but Improvements Are Needed A-18-21-09001
South Carolina MMIS and E&E System Security Controls Were Adequate, but Some Improvements Are Needed A-18-22-09005
03-18-2024
NEW HHS-OIG Impact Brief: Medicare Advantage Prior Authorization
03-15-2024
Updated: Work Plan
03-14-2024
Medicaid Fraud Control Units Fiscal Year 2023 Annual Report
03-13-2024
IG Grimm Named Among Top Women Leaders in Health Care
Kansas’s Medicaid Estate Recovery Program Was Cost Effective, but Kansas Did Not Always Follow Its Procedures, Which Could Have Resulted in Reduced Recoveries A-07-22-03254
Pennsylvania Improperly Claimed $551 Million in Medicaid Funds for Its School-Based Program A-02-21-01011
03-12-2024
Issue Brief: Insights from OIG’s Work on the Office of Refugee Resettlement’s Efforts to Care for Unaccompanied Children OEI-09-23-00440
03-11-2024
FY 2025 Congressional Budget Justification
Updated: CMP and Affirmative Exclusions
03-08-2024
LEIE Database Updated with February 2024 Exclusions and Reinstatements
03-07-2024
HRSA Made Some Potential Overpayments to Providers Under the Phase 2 General Distribution of the Provider Relief Fund Program A-09-22-06001
Updated: Fraud Self-Disclosures
03-06-2024
Consumer Alert: Urinary Catheter Scams
Data Snapshot: Biosimilar Cost and Use Trends in Medicare Part B OEI-05-22-00141

February 2024

02-29-2024
Lessons Learned During the Pandemic Can Help Improve Care in Nursing Homes OEI-02-20-00492
02-26-2024
Advisory Opinion 24-01 Favorable opinion regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract with a preferred hospital organization to provide 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.
02-22-2024
New: Single Audits - Information and Oversight Activities
02-20-2024
Medicare Advantage Compliance Audit of Specific Diagnosis Codes That MediGold (Contract H3668) Submitted to CMS A-07-20-01198
Findings of Whistleblower Retaliation by Indian Health Service Contractor Management
Updated: Connecticut State False Claims Act Review Letter
02-16-2024
Report to Congress on the Reported Impact of Discarded-Drug Refunds on Biosimilar Biological Products A-06-23-04003
02-15-2024
Gaps in Sponsor Screening and Followup Raise Safety Concerns for Unaccompanied Children OEI-07-21-00250
Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2023 OEI-03-24-00050
Updated: Work Plan
02-14-2024
Medicare Generally Paid for Evaluation and Management Services Provided via Telehealth During the First 9 Months of the COVID-19 Public Health Emergency That Met Medicare Requirements A-01-21-00501
Updated: Corporate Integrity Agreements
02-08-2024
NIH Generally Implemented System Controls Over the Sequence Read Archive But Some Improvements Needed A-18-22-03300
LEIE Database Updated with January 2024 Exclusions and Reinstatements
Updated: Fraud Self-Disclosures
02-06-2024
Colorado Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control A-07-22-07009
Job Opening: ACRB Deputy Branch Chief
02-02-2024
Updated: Corporate Integrity Agreements

January 2024

01-29-2024
Updated: CMP and Affirmative Exclusions
01-26-2024
Updated: Fraud Risk Indicator
01-22-2024
Updated: CMP and Affirmative Exclusions
01-19-2024
HHS-OIG Issues Notice of Exclusion to Founder and CEO of Theranos, Inc.
01-18-2024
Updated: Corporate Integrity Agreements
01-16-2024
Two Tribes in Oklahoma and Their Health Programs Did Not Meet All Federal and Tribal Requirements for Background Investigations on Individuals in Contact With Indian Children A-01-20-01505
Updated: Work Plan
01-12-2024
CDC Has Improved the Nursing Homes Reporting Process for COVID-19 Data in NHSN, but Challenges Remain OEI-06-22-00030
Updated: Corporate Integrity Agreements
Updated: Fraud Self-Disclosures
Updated: Grant and Contractor Fraud Self-Disclosures
01-11-2024
Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2023 Detailed Accounting Report and Budget Formulation Compliance Report for National Drug Control Activities and Accompanying Required Assertions A-03-24-00352
Independent Attestation Review: Indian Health Service Fiscal Year 2023 Detailed Accounting Report and Budget Formulation Compliance Report for National Drug Control Activities, and Accompanying Required Assertions A-03-24-00351
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-04-24-02041
01-10-2024
LEIE Database Updated with December 2023 Exclusions and Reinstatements
Job Opening: ACRB Deputy Branch Chief
01-09-2024
Oklahoma Could Better Ensure That Nursing Homes Comply With Federal Requirements for Life Safety, Emergency Preparedness, and Infection Control A-06-22-09007
Cahaba Safeguard Administrators, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals A-07-23-00637
Cahaba Safeguard Administrators, LLC, Overstated Its Medicare Segment Pension Assets as of January 1, 2020 A-07-23-00631
Cahaba Safeguard Administrators, LLC, Claimed Some Unallowable Medicare Pension Costs Through Its Incurred Cost Proposals A-07-23-00635
Cahaba Government Benefits Administrators, LLC, Did Not Claim Some Allowable Medicare Pension Costs Through Its Incurred Cost Proposals A-07-23-00634
Cahaba Government Benefits Administrators, LLC, Claimed Some Unallowable Medicare Postretirement Benefit Costs Through Its Incurred Cost Proposals A-07-23-00636
01-05-2024
Cahaba Government Benefits Administrators, LLC, Properly Updated the Medicare Segment Pension Assets and Overstated Medicare's Share of the Medicare Segment Excess Pension Liabilities as of December 31, 2018 A-07-22-00627
01-03-2024
Advisory Opinion 23-12 Favorable opinion regarding a one-time, voluntary redemption offer to physician partners reaching age 67 to have their partnership units repurchased by a partnership over a 2-year period, contingent upon the physician partners’ agreement to retire from the practice of medicine.
Advisory Opinion 23-13 Favorable opinion regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract with a preferred hospital organization to provide 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.
Advisory Opinion 23-14 Favorable opinion regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby an insurance company would contract with a preferred hospital organization to provide 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.
Advisory Opinion 23-15 Favorable opinion regarding a physician consulting company’s proposal to offer physician practices that are current customers of the company certain gift cards for referring potential new physician practice customers.

Archive