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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 April 15, 2024
1,298
Unimplemented
recommendations
$280.1B
Potential savingsfrom unimplemented recommendations
2,443
Implemented and Closed
recommendations since FY 2017
OIG Recommendations Grouped by Report
Views
Showing 1,141–1,159 of 1,159 reports, containing 3,741 recommendations
Sorted by latest release date
-
Review of Medicaid Personal Care Services Claims Made by Providers in New York State
11-A-02-010.01We recommended that the State refund $100,335,472 to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $100,335,472
- Last Update Received
- 03/24/2024
- Next Update Expected
- 09/24/2024
- Legislative Related
- No
-
Guidance And Standards On Language Access Services: Medicare Providers
10-E-05-044.03OMH should offer model translated written materials and signs to providers.- Status
- Open Unimplemented
- Responsible Agency
- OCR
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 01/13/2011
- Next Update Expected
- 01/13/2020
- Legislative Related
- No
-
Challenges to FDA's Ability To Monitor and Inspect Foreign Clinical Trials
10-E-01-040.01FDA should require standardized electronic clinical trial data and create an internal database.- Status
- Closed Implemented
- Responsible Agency
- FDA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/05/2022
- Legislative Related
- No
-
Collection Status of Medicare Overpayments Identified by Program Safeguard Contractors
10-E-03-032.02CMS should require that PSCs, ZPICs, and claims processors have controls in their tracking systems to ensure that all overpayment referrals and data related to their collection status can be found.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/18/2022
- Legislative Related
- No
-
FDA Inspections of Domestic Food Facilities
10-E-02-029.05FDA should consider seeking statutory authority to impose civil penalties through administrative proceedings against facilities that do not voluntarily comply with statutory and regulatory requirements.- Status
- Open Unimplemented
- Responsible Agency
- FDA
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 01/31/2017
- Next Update Expected
- 10/05/2018
- Legislative Related
- Yes
-
Review of Missouri Medicaid Payments for the School District Administrative Claiming Program for Federal Fiscal Years 2004 Through 2006
10-A-07-290.01We 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.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $20,469,670
- Last Update Received
- 03/28/2024
- Next Update Expected
- 09/28/2024
- Legislative Related
- No
-
Review of Separately Billed Laboratory Tests Submitted by Spectra Laboratories for Medicare Beneficiaries With End-Stage Renal Disease Receiving Dialysis at Fresenius Medical Care North America's Facilities
10-A-01-287.01We recommended that Spectra Laboratories, a wholly owned subsidiary of Fresenius Medical Care North America (Fresenius), refund to the Medicare program $5.4 million in overpayments for CYs 2004–2006.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- $5,410,712
- Last Update Received
- -
- Closed Date
- 02/10/2022
- Legislative Related
- No
-
Average Sales Prices: Manufacturer Reporting and CMS Oversight
10-E-03-023.01CMS should develop an automated system for the collection of ASP data.- Status
- Closed Implemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 07/20/2023
- Legislative Related
- No
-
How Grantees Manage Financial Conflicts of Interest in Research Funded by the National Institutes of Health
10-E-03-010.04NIH should develop and disseminate guidance on methods to verify researchers' financial interests.- Status
- Closed Superseded
- Responsible Agency
- NIH
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 08/08/2022
- Legislative Related
- No
-
Medicare Part D Reconciliation Payments for 2006 and 2007
09-E-02-057.02CMS should hold sponsors more accountable for inaccuracies in the bids.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- 03/04/2010
- Next Update Expected
- 03/23/2022
- Legislative Related
- No
-
Review of Medicaid Credit Balances at Sunny Vista Living Center
09-A-07-373.01We recommend that the State agency recover from Sunny Vista the $74,163 ($37,081 Federal share) of Medicaid overpayments and refund the $37,081 to the Federal Government.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $37,081
- Last Update Received
- -
- Closed Date
- 11/22/2019
- Legislative Related
- No
-
Review of Medicaid Personal Care Services Claims Made by Providers in New York City
09-A-02-322.01We recommend that the State refund $275,327,274 to the Federal Government.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Partial Concur
- Potential Savings
- $275,327,274
- Last Update Received
- 03/24/2024
- Next Update Expected
- 09/24/2024
- Legislative Related
- No
-
Nationwide Review of Evaluation and Management Services Included in Eye and Ocular Adnexa Global Surgery Fees for Calendar Year 2005
09-A-05-275.01We 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.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- $97,600,000
- Last Update Received
- 02/14/2024
- Next Update Expected
- 08/14/2024
- Legislative Related
- No
09-A-05-275.02We 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.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- 02/14/2024
- Next Update Expected
- 08/14/2024
- Legislative Related
- No
-
Review of Medicaid Participation Eligibility for One Indiana State-owned Psychiatric Hospital for the Period July 1, 1996, Through June 30, 2007
09-A-05-250.01We 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.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- $16,298,423
- Last Update Received
- 04/09/2024
- Next Update Expected
- 10/09/2024
- Legislative Related
- No
09-A-05-250.02We 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.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 04/09/2024
- Next Update Expected
- 10/09/2024
- Legislative Related
- No
09-A-05-250.03We recommend that the State agency ensure that Medicaid payments for inpatient psychiatric services are made only to eligible hospitals.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 04/09/2024
- Next Update Expected
- 10/09/2024
- Legislative Related
- No
-
The Food and Drug Administration's Oversight of Clinical Investigators' Financial Information
09-E-05-018.07FDA should require that sponsors submit financial information for clinical investigators as part of the pretrial application process.- Status
- Open Unimplemented
- Responsible Agency
- FDA
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- 02/16/2017
- Next Update Expected
- 07/08/2009
- Legislative Related
- No
-
Use of Modifier 59 to Bypass Medicare's National Correct Coding Initiative
06-E-03-010.02CMS should ensure that the carriers’ claims processing systems only pay claims with modifier 59 when the modifier is billed with the correct code.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 01/02/2024
- Legislative Related
- No
-
HHS Agencies' ComplianceWith the National Practitioner Data Bank Malpractice Reporting Policy
06-E-12-002.01NIH should implement a corrective action process that would address unreported cases.- Status
- Closed Unimplemented
- Responsible Agency
- NIH
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/10/2024
- Legislative Related
- No
06-E-12-002.02NIH should improve internal controls involving case file management.- Status
- Closed Unimplemented
- Responsible Agency
- NIH
- Response
- Non-Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/10/2024
- Legislative Related
- No
06-E-12-002.05HRSA should implement a corrective action process that would address unreported cases.- Status
- Closed Unimplemented
- Responsible Agency
- HRSA
- Response
- Overdue
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 04/10/2024
- Legislative Related
- No
-
Status of Rural Health Clinic Program
05-E-05-083.03CMS should seek legislative authority or administratively require RHC applicants to document need and impact on access to health care in rural underserved areas.- Status
- Open Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- 07/05/2022
- Next Update Expected
- 08/08/2023
- Legislative Related
- Yes
05-E-05-083.04HRSA should publish regulations to revise its shortage-designation criteria.- Status
- Open Unimplemented
- Responsible Agency
- HRSA
- Response
- Overdue
- Potential Savings
- -
- Last Update Received
- 02/08/2021
- Next Update Expected
- 02/07/2006
- Legislative Related
- No
-
Review of Medicaid Enhanced Payments to Local Public Providers and the Use of Intergovernmental Transfers
01-A-03-308.02We 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.- Status
- Closed Unimplemented
- Responsible Agency
- CMS
- Response
- Concur
- Potential Savings
- -
- Last Update Received
- -
- Closed Date
- 09/25/2023
- Legislative Related
- No
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