U.S. flag

An official website of the United States government

Dot gov

The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Department of Health and Human Services

Office of Inspector General -- AUDIT

"Review of Quality Improvement Organization in Iowa," (A-07-06-01035)

October 18, 2007

PDF FileComplete Text of Report is available in PDF format (657 kb). Copies can also be obtained by contacting the Office of Public Affairs at 202-619-1343.


The Senate Finance Committee requested that OIG assess the fiscal integrity of the Medicare Quality Improvement Organizations with respect to six specified fiscal integrity areas.

Of the $10.3 million of costs reviewed, $9.6 million appeared reasonable for Federal reimbursement.  Of the remaining costs, the Iowa Foundation for Medical Care (IFMC) incurred $208,974 of costs that were unallowable and $530,822 of costs that may not have complied with Federal requirements.

OIG recommended that IFMC (1) refund $179,358, which includes $145,091 of direct costs and $34,267 of associated indirect costs, for unallowable food and equipment; (2) reduce the indirect cost pool by $29,616 for chartered air travel costs incurred by board members; and (3) work with the CMS contracting officer to determine what portion of the $530,822 incurred for board member fees, board member travel costs, and executive compensation during our audit period should be excluded from the indirect cost pool for purposes of determining final rates.  IFMC disagreed with the recommendations.