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 March 15, 2023

1,392

Open recommendations since start of FY 2000

$257.0B

Potential savings from open recommendations

1,638

Closed recommendations since start of FY 2018

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Evaluation

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Showing 521–525 of 525 reports, containing 1,392 recommendations Sorted by most recent report

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 implement a corrective action process that would address unreported cases.	NIH	–
NIH should improve internal controls involving case file management.	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
HRSA should publish regulations to revise its shortage-designation criteria.	HRSA	–
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	–

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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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

Summary of Recommendations Data

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