Recommendations Tracker

HHS-OIG provides independent and objective oversight that promotes economy, efficiency, and effectiveness in HHS programs and operations. To drive positive change, we produce reports and identify recommendations for improvement. We have developed this public-facing page for tracking all of our open recommendations. Learn More

Summary of Recommendations Data

Updated Monthly · Last updated on May 17, 2023

1,380

Open recommendations since start of FY 2000

$249.9B

Potential savings from open recommendations

2,087

Closed recommendations since start of FY 2018

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Showing 501–513 of 513 reports, containing 1,380 recommendations Sorted by most recent report

Evaluation: OEI-02-08-00080
HHS Agency: FDA
Issued: 04/05/2010
Report link: View report

Recommendation text	Responsible agency	Potential savings
FDA should consider seeking statutory authority to impose civil penalties through administrative proceedings against facilities that do not voluntarily comply with statutory and regulatory requirements.	FDA	–

Audit: A-07-08-03107
HHS Agency: CMS
Issued: 03/19/2010
Report link: View report

Recommendation text	Responsible agency	Potential savings
We recommended that the State agency refund $20,469,670 ($4,212,506 for the St. Louis Public and Springfield school districts and $16,257,164 for the other Missouri school districts) to the Federal Government for unallowable School District Administrative Claiming (SDAC) program expenditures.	CMS	$20,469,670

Evaluation: OEI-03-08-00480
HHS Agency: CMS
Issued: 02/04/2010
Report link: View report

Recommendation text	Responsible agency	Potential savings
CMS should develop an automated system for the collection of ASP data.	CMS	–

Evaluation: OEI-02-08-00460
HHS Agency: CMS
Issued: 09/04/2009
Report link: View report

Recommendation text	Responsible agency	Potential savings
CMS should hold sponsors more accountable for inaccuracies in the bids.	CMS	–

Audit: A-02-07-01054
HHS Agency: CMS
Issued: 06/08/2009
Report link: View report

Recommendation text	Responsible agency	Potential savings
We recommend that the State refund $275,327,274 to the Federal Government.	CMS	$275,327,274

Audit: A-05-07-00077
HHS Agency: CMS
Issued: 04/20/2009
Report link: View report

Recommendation text	Responsible agency	Potential savings
We recommended that CMS consider adjusting the estimated number of evaluation and management (E&M) services within eye global surgery fees to reflect the number of E&M services actually being provided to beneficiaries or using the financial results of this audit, in conjunction with other information, during the annual update of the physician fee schedule.	CMS	–
We recommend that CMS consider adjusting the estimated number of E&M services within eye global surgery fees to reflect the number of E&M services actually being provided to beneficiaries, which may reduce payments by an estimated $97.6 million.	CMS	$97,600,000

Audit: A-05-07-00076
HHS Agency: CMS
Issued: 03/30/2009
Report link: View report

Recommendation text	Responsible agency	Potential savings
We recommend that the State agency ensure that Medicaid payments for inpatient psychiatric services are made only to eligible hospitals.	CMS	–
We recommend that the State agency identify and refund the Federal share of additional unallowable Medicaid payments to hospital A for inpatient psychiatric services provided after June 30, 2007.	CMS	–
We recommend that the State agency refund $16,298,423 to the Federal Government for Medicaid inpatient psychiatric service payments made to hospital A from July 1, 1996, through June 30, 2007.	CMS	$16,298,423

Evaluation: OEI-05-07-00730
HHS Agency: FDA
Issued: 01/09/2009
Report link: View report

Recommendation text	Responsible agency	Potential savings
FDA should require that sponsors submit financial information for clinical investigators as part of the pretrial application process.	FDA	–

Evaluation: OEI-03-07-00380
HHS Agency: CMS
Issued: 10/30/2008
Report link: View report

Recommendation text	Responsible agency	Potential savings
CMS should use this required information to help determine the effectiveness of sponsors' fraud and abuse programs.	CMS	–

Evaluation: OEI-03-02-00771
HHS Agency: CMS
Issued: 11/25/2005
Report link: View report

Recommendation text	Responsible agency	Potential savings
CMS should ensure that the carriers’ claims processing systems only pay claims with modifier 59 when the modifier is billed with the correct code.	CMS	–

Evaluation: OEI-12-04-00310
HHS Agencies: HRSA, NIH
Issued: 10/11/2005
Report link: View report

Recommendation text	Responsible agency	Potential savings
NIH should improve internal controls involving case file management.	NIH	–
NIH should implement a corrective action process that would address unreported cases.	NIH	–
HRSA should implement a corrective action process that would address unreported cases.	HRSA	–

Evaluation: OEI-05-03-00170
HHS Agencies: CMS, HRSA
Issued: 08/08/2005
Report link: View report

Recommendation text	Responsible agency	Potential savings
CMS should seek legislative authority or administratively require RHC applicants to document need and impact on access to health care in rural underserved areas.	CMS	–
HRSA should publish regulations to revise its shortage-designation criteria.	HRSA	–

Audit: A-03-00-00216
HHS Agency: CMS
Issued: 09/11/2001
Report link: View report

Recommendation text	Responsible agency	Potential savings
We recommended that CMS provide States with definitive guidance for calculating the upper payment limit (UPL), which should include using facility-specific UPLs that are based on actual cost report data.	CMS	–

Recommendations Tracker

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Food and Drug Administration Inspections of Domestic Food Facilities

Review of MO Medicaid Payments for School District Administrative Claiming Program For FFYs 2004 through 2006

Average Sales Prices: Manufacturer Reporting and CMS Oversight

Medicare Part D Sponsors: Reconciliation Payments for 2006 and 2007

Review Of Medicaid Personal Care Services Claims Made By Providers In New York City

Nationwide Review of Global Surgeries within the Eye & Ocular Adnexa Surgical System

REVIEW OF MEDICAID PARTICIPATION ELIGIBILITY FOR ONE INDIANA STATE-OWNED PSYCHIATRIC HOSPITAL FOR THE PERIOD JULY 1, 1996, THROUGH JUNE 30, 2007

The Food and Drug Administration’s Oversight of Clinical Investigators’ Financial Interests

Medicare Drug Plan Sponsors' Identification of Potential Fraud and Abuse

Use of Modifier 59 to Bypass Medicare's National Correct Coding Initiative Edits

HHS Agencies’ Compliance With the National Practitioner Data Bank Malpractice Reporting Policy

Status of Rural Health Clinic Program

INTERGOVERNMENTAL TRANSFERS/MEDICAID/ROLL-UP RPT

Recommendations Tracker

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