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January
- 01-29-2016
- Inadequate Security Management Practices Left Utah Department of Health Sensitive Medicaid Data at Risk of Unauthorized Disclosure (A-07-15-00455)
- Hidalgo Medical Services Did Not Comply With All Federal Requirements Related to Its Capital Development Grant (A-06-14-00056)
- 01-25-2016
- Most Children With Medicaid in Four States Are Not Receiving Required Dental Services (OEI-02-14-00490)
- North Carolina Department of Health and Human Services Did Not Always Claim Costs Under CDC Prevention and Public Health Fund Awards in Accordance with Federal Requirements (A-04-14-04028)
- Advisory Opinion 16-01 (regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies, whereby [names redacted] (the "Requestors") would indirectly contract with hospitals for discounts on the otherwise-applicable Medicare inpatient deductibles for their policyholders and, in turn, would provide a premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
- 01-22-2016
- CAPTURED FUGITIVE: Maelis Yanet Porto Fernandez
- Montana Correctly Claimed Federal Reimbursement for Most Medicaid Physician-Administered Drugs (A-07-15-06062)
- North Dakota Correctly Claimed Federal Reimbursement for Most Medicaid Physician-Administered Drugs (A-07-15-06058)
- Puerto Rico Childcare Home Providers Did Not Always Comply With Commonwealth Health and Safety Requirements (A-02-14-02016)
- 01-21-2016
- Not All of the Washington Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-09-14-01006)
- Teaching & Mentoring Communities Claimed Unallowable Head Start Costs (A-06-14-00036)
- 01-20-2016
- National Background Check Program for Long Term Care Employees: Interim Report (OEI-07-10-00420)
- Terminated Advisory Opinion No. 10-06 (concerning a patient assistance program that assists underinsured patients with their prescription drug co-payment obligations)
- Terminated Advisory Opinion No. 08-17 (concerning a nonprofit, tax-exempt, charitable organization's arrangement to provide financial assistance to cover cost-sharing obligations associated with outpatient drug treatment owed by financially needy Medicare or Medicaid patients with a certain disease)
- 01-19-2016
- Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2015 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-16-00353)
- Independent Attestation Review: National Institutes of Health Fiscal Year 2015 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-16-00352)
- Independent Attestation Review: Indian Health Service Fiscal Year 2015 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions (A-03-16-00351)
- 01-12-2016
- Updated Corporate Integrity Agreement List: RehabCare Group, Inc.
- California Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00018)
- California Claimed Unallowable Federal Medicaid Reimbursement by Not Billing Manufacturers for Rebates for Some Physician-Administered Drugs (A-09-14-02038)
- 01-11-2016
- CAPTURED FUGITIVE: Sandy De La Fe
- Updated Corporate Integrity Agreement List: CIAs Added and Closed
- 01-08-2016
- LEIE Database Updated with December 2015 Exclusions and Reinstatements
- 01-06-2016
- CMS Could Not Effectively Ensure That Advance Premium Tax Credit Payments Made Under the Affordable Care Act Were Only for Enrollees Who Paid Their Premiums (A-02-14-02025)
- New York Claimed Medicaid Reimbursement for Some Adult Day Health Care Services Provided by Center for Nursing and Rehabilitation That Were Unallowable (A-02-12-01015)
- Modification of Advisory Opinion 04-15 (modifies Advisory Opinion 04-15 grants provided by a nonprofit, charitable organization to financially-needy patients suffering from specific chronic or life-threatening diseases to defray the costs of prescription drug therapies, and its first modification at Modification of Advisory Opinion 04-15, to reflect guidance issued on May 21 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
- 01-04-2016
- Podcast: December 2015 OIG Monthly Update
- Advisory Opinion 15-17 (regarding a non-profit, tax-exempt, charitable organization's proposal to provide financial assistance with copayment obligations, health insurance premiums, and insurance deductibles to patients, including Medicare and Medicaid beneficiaries, receiving treatment for [disease state redacted])
- Advisory Opinion 15-16 (regarding a nonprofit, tax-exempt, charitable organization's proposal to provide assistance with out-of-pocket expenses for outpatient prescription drugs to financially needy insured patients, including, but not limited to, Medicare and Medicaid beneficiaries)
December
- 12-30-2015
- Modification of Advisory Opinion 06-04 (modifies Advisory Opinion 06-04, which concerned a nonprofit, tax-exempt, charitable corporation's proposal to provide financially needy Medicare beneficiaries with assistance with premiums and cost-sharing obligations, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
- 12-29-2015
- Not All of the Colorado Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-07-14-03199)
- New York State Improperly Claimed Medicaid Reimbursement for Some Adult Day Health Care Services (A-02-13-01016)
- Advisory Opinion 15-15 (regarding a proposal for a hospital to bill a radiology group for transcription of the radiology group's reports for individuals who are not hospital patients, but rather patients of a third-party clinic that provides the technical component of the radiology exams)
- Modification of Advisory Opinion 07-06 (modifies Advisory Opinion 07-06 which concerned the management by a health care industry consultancy of a charitable organization's arrangements to assist patients with specified chronic diseases with cost-sharing and premium obligations, and its first modification at Modification of Advisory Opinion 07-06, to reflect guidance issued on May 21 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
- Modification of Advisory Opinion 11-05 (modifies Advisory Opinion 11-05 which concerns a nonprofit, tax-exempt, charitable organization's practices of providing vouchers for genetic tests and assistance with cost-sharing obligations for certain genetic tests and prescription drugs for cancer treatment and its first modification at Modification of Advisory Opinion 11-05, to permit earmarking of donations to specific disease states and to reflect guidance issued on May 21 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.
- 12-23-2015
- California Withdrew Excessive Federal Medicaid Funds for Fiscal Year 2010 (A-09-13-02001)
- Updated Corporate Integrity Agreement List: 3 CIAs Added
- 12-21-2015
- South Carolina Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00016)
- 12-18-2015
- Medicare Compliance Review of Nebraska Methodist Hospital for 2012 and 2013 (A-07-15-05073)
- Englewood Hospital and Medical Center Claimed Unallowable Medicare Part B Reimbursement for Outpatient Cardiac and Pulmonary Rehabilitation Services (A-02-14-01013)
- Alaska Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00017)
- Oregon Incorrectly Claimed Medicaid Expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00014)
- 12-17-2015
- Average Manufacturer Prices Increased Faster Than Inflation for Many Generic Drugs (A-06-15-00030)
- 12-16-2015
- Modification of OIG Advisory Opinion 06-13 (modifies Advisory Opinion 06-13 concerning a nonprofit, tax-exempt, charitable organization's proposal to provide financially needy persons who have [diseases redacted] with grants to defray the costs of premiums and cost-sharing obligations under Medicare Part B, Medicare Part D, Medicare Supplementary Health Insurance, and Medicare Advantage, and its first modification, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.)
- Arizona State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00280)
- The Response to Superstorm Sandy Highlights the Importance of Recovery Planning for Child Care Nationwide (OEI-04-14-00410)
- 12-15-2015
- Attorney Openings (Deadline to Apply: January 11, 2016)
- 12-14-2015
- New York University School of Medicine Budgeted Costs That Were Appropriate and Claimed Allowable Hurricane Sandy Disaster Relief Act Funds (A-02-14-02011)
- 12-11-2015
- New York Claimed Medicaid Reimbursement for Some Adult Day Health Care Services Provided by Metropolitan Jewish Health System That Were Unallowable (A-02-12-01024)
- 12-09-2015
- High-Risk Security Vulnerabilities Identified During Reviews of Information System General Controls at Three California Managed-Care Organizations Raise Concerns About the Integrity of Systems Used To Process Medicaid Claims (A-09-15-03004)
- Updated Corporate Integrity Agreement List: 2 CIAs Closed
- 12-08-2015
- LEIE Database Updated with November 2015 Exclusions and Reinstatements
- Podcast: November 2015 OIG Monthly Update
- 12-07-2015
- Modification of OIG Advisory Opinion 07-11
(modifies Advisory Opinion 07-11, which concerned a nonprofit, tax-exempt, charitable organization's practice of providing financially needy cancer patients with grants to defray their out-of-pocket treatment costs, to reflect guidance issued on May 21, 2014 in the Supplemental Special Advisory Bulletin regarding Independent Charity Patient Assistance Programs.) - 12-03-2015
- Hoveround Corporation Claimed Millions in Federal Reimbursement for Power Mobility Devices That Did Not Meet Medicare Requirements (A-05-12-00057)
- Podcast: CMS Has Not Performed Required Close Outs of Contracts Worth Billions
- CMS Has Not Performed Required Closeouts of Contracts Worth Billions (OEI-03-12-00680)
- 12-02-2015
- Updated Corporate Integrity Agreements: Neuroscience, Inc., Pharmasan Labs, Inc., Gottfried Kellerman Ph.D., and Mieke Kellerman
- 12-01-2015
- New Mexico Received Millions in Unallowable Bonus Payments (A-04-15-08040)
- Updated Corporate Integrity Agreements: John Sunghoon Won, D.D.S., M.D.; John S. Won, D.D.S., M.D., P.A. dba Preston Oral and Maxillofacial Surgery
November
- 11-30-2015
- Fall 2015 Semiannual Report to Congress
- Medicare Compliance Review of University of California, Davis, Medical Center for 2011 Through 2013 (A-09-14-02036)
- 11-25-2015
- WANTED: Child Support Deadbeat Christopher Carroll
- Updated Corporate Integrity Agreements: Aventis, Inc, Sanofi US Services, Inc., Sanofi-Aventis, US LLC and Genzyme Corporation
- 11-24-2015
- Part B Payments for 340B Purchased Drugs (OEI-12-14-00030)
- 11-23-2015
- Medicare Compliance Review of Sierra View Medical Center (A-09-14-02039)
- National Government Services, Inc., Made Medicare Payments for Diabetic Test Strips When Beneficiaries Had Not Nearly Exhausted Previously Dispensed Supplies (A-09-15-02001)
- 11-20-2015
- Updated Corporate Integrity Agreement List: Novartis Pharmaceuticals Corporation (Addendum)
- Advisory Opinion 15-14 (regarding a non-profit, tax-exempt, charitable organization's program to help financially needy patients, including Medicare and Medicaid beneficiaries, obtain magnetic resonance imaging for the diagnosis or ongoing evaluation of [disease state redacted] (the "Arrangement").)
- 11-17-2015
- Vermont Obtained CMS Approval to Report Certain Primary Care Service Expenditures in the Indian Health Service Facilities Column on the CMS-64 (A-05-15-00019)
- Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part A Administrative Costs for FYs 2009, 2010, and 2011 (A-05-13-00020)
- Wisconsin Physicians Service Insurance Corporation Claimed Unallowable Medicare Part B Administrative Costs for FYs 2009, 2010, and 2011 (A-05-13-00019)
- 11-16-2015
- FY 2015 Top Management Challenges
- Notice of Waivers of Certain Fraud and Abuse Laws in Connection with the Comprehensive Care for Joint Replacement Model
- 11-10-2015
- The District of Columbia Claimed Allocated Costs to Its Establishment Grants in Accordance With Federal Requirements (A-03-14-03300)
- Boulevard Health Care, Inc., Improperly Claimed Medicare Reimbursement for Outpatient Physical Therapy Services (A-02-14-01004)
- Wisconsin Improperly Claimed Enhanced Federal Reimbursement for Some Non-Family Planning Services (A-05-13-00034)
- 11-09-2015
- LEIE Database Updated with October 2015 Exclusions and Reinstatements
- Medicare Compliance Review of Naples Community Hospital for 2011 and 2012 (A-04-14-07049)
- 11-05-2015
- Testimony of Gloria L. Jarmon, Deputy Inspector General for the Office of Audit Services, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Oversight and Investigations: "Examining the Costly Failures of ObamaCare's CO-OP Insurance Loans"
- Some South Carolina Childcare Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-04-14-08032)
- Some South Carolina Family Childcare Homes Did Not Always Comply With State Health and Safety Requirements (A-04-14-08031)
- 11-04-2015
- Podcast: October 2015 OIG Monthly Update
- 11-02-2015
- Work Plan FY 2016
October
- 10-30-2015
- OIG Policy Statement Regarding Hospitals That Discount or Waive Amounts Owed by Medicare Beneficiaries for Self-Administered Drugs Dispensed in Outpatient Settings
- 10-28-2015
- Medicare Program: Final Waivers in Connection with the Shared Savings Program
- The Medicaid Program Could Have Achieved Savings if New York Applied Medical Loss Ratio Standards Similar to Those Established by the Affordable Care Act (A-02-13-01036)
- 10-26-2015
- Medicare Compliance Review of Boca Raton Regional Hospital, Inc., for 2011 and 2012 (A-04-14-07048)
- Most Medicaid Payments Oklahoma Made to Providers for Full Vials of Herceptin Were Correct (A-06-15-00023)
- Delaware Medicaid Electronic Health Record Payments (A-03-14-00402)
- 10-23-2015
- Kindred Hospital of Central Ohio Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00002)
- Vibra Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00001)
- 10-22-2015
- Inspector General Community Accomplishments Will Receive Recognition
- 10-21-2015
- Advisory Opinion 15-13 (regarding a plan to offer free van shuttle service to certain medical facilities in an integrated health system)
- Updated Corporate Integrity Agreement List: 3 CIAs Added
- 10-19-2015
- Wisconsin Inappropriately Withdrew Federal Medicaid Funds for Fiscal Years 2010 Through 2012 (A-05-13-00045)
- Total Sleep Management, Inc., Billed Medicare for Unallowable Sleep Study Services (A-04-14-07051)
- 10-15-2015
- The Kentucky Marketplace's Internal Controls Were Generally Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-04-14-08036)
- Medicare Compliance Review of Altru Hospital for 2012 and 2013 (A-07-15-05070)
- CAPTURED: Ubert Guillermo Rodriguez
- 10-14-2015
- Joint Strategic Oversight Plan on U.S. Government Activities: International Ebola Response and Preparedness, October 2015
- 10-09-2015
- LEIE Database Updated with September 2015 Exclusions and Reinstatements
- Massachusetts Generally Complied With Medicaid Requirements When Claiming Reimbursement for School-Based Health Services (A-01-14-00003)
- 10-08-2015
- Updated Corporate Integrity Agreement List: 2 CIAs Closed + Aliases
- 10-07-2015
- Testimony of Gary Cantrell, Deputy Inspector General for Investigations, Office of Inspector General, U.S. Department of Health and Human Services before the Senate Special Committee on Aging: "Protecting Seniors from Identity Theft: Is the Federal Government Doing Enough?"
- Podcast: September 2015 OIG Update
- Puerto Rico Child Day Care Centers Did Not Always Comply With Commonwealth Health and Safety Requirements (A-02-14-02001)
- State Medicaid Agencies Can Significantly Reduce Medicaid Costs for Durable Medical Equipment and Supplies (A-05-15-00025)
- 10-06-2015
- OIG Policy Reminder: Information Blocking and the Federal Anti-Kickback Statute
- From the IG: A Reminder about Information Blocking and the Federal Anti-Kickback Statute
- 10-02-2015
- Penetration Test of the Administration for Children and Families' Computer Networks and External Web Applications (A-18-14-30330)
- Review of Intermediate Care Facilities in New York With High Rates of Emergency Room Visits by Intellectually Disabled Medicaid Beneficiaries (A-02-14-01011)
- 10-01-2015
- Kansas Correctly Claimed Federal Reimbursement for Most Medicaid Physician-Administered Drugs (A-07-14-06056)
- Arkansas Complied With the Requirements of the Affordable Care Act in Its Review of Cases of Credible Allegations of Medicaid Fraud (A-06-15-00026)
- National Government Services, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00016)
September
- 09-30-2015
- Podcast: The Medicare Payment System for Skilled Nursing Facilities Needs to Be Reevaluated
- The Medicare Payment System for Skilled Nursing Facilities Needs To Be Reevaluated (OEI-02-13-00610)
- CMS Should Use Targeted Tactics to Curb Questionable and Inappropriate Payments for Chiropractic Services (OEI-01-14-00200)
- Georgia State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00090)
- Medicare Payments for Clinical Laboratory Tests in 2014: Baseline Data (OEI-09-15-00210)
- 09-29-2015
- Inappropriate Payments and Questionable Billing for Medicare Part B Ambulance Transports (OEI-09-12-00351)
- OCR Should Strengthen Its Oversight of Covered Entities' Compliance With the HIPAA Privacy Standards (OEI-09-10-00510)
- OCR Should Strengthen Its Followup of Breaches of Patient Health Information Reported by Covered Entities (OEI-09-10-00511)
- 2016 Spring Legal Extern Positions: Deadline to Apply is October 30, 2015
- 09-28-2015
- Hawaii State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-09-14-00540)
- 09-25-2015
- CMS's Reliance on Puerto Rico's Certification Surveys Could Not Ensure the Safety of Medicare Beneficiaries Who Received Home Health Care Services Provided by St. Luke's Home Health Agency - Juana Diaz (A-02-11-01030)
- District of Columbia Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-14-00660)
- 09-24-2015
- Some Pennsylvania Family Child Day Care Centers Did Not Always Comply With State Health and Safety Requirements (A-03-14-00251)
- Maine State Medicaid Fraud Control Unit: 2015 Onsite Review (OEI-07-15-00140)
- 09-23-2015
- Not All Internal Controls Implemented by the New York Marketplace Were Effective in Ensuring That Individuals Were Enrolled in Qualified Health Plans According to Federal Requirements (A-02-14-02020)
- Oklahoma Made Incorrect Medicaid Electronic Health Record Incentive Payments to Health Care Professionals (A-06-14-00030)
- Utah Correctly Claimed Most of Its Medicaid Supplemental Physicians' Payments (A-07-14-01149)
- 09-22-2015
- CMS Did Not Identify All Federal Marketplace Contract Costs and Did Not Properly Validate the Amount To Withhold for Defect Resolution on the Principal Federal Marketplace Contract (A-03-14-03002)
- 09-21-2015
- Public Summary Report: The Centers for Medicare & Medicaid Services' Implementation of Security Controls Over the Multidimensional Insurance Data Analytics System Needs Improvement (A-06-14-00067)
- 09-17-2015
- States' Collection of Rebates for Drugs Paid Through Medicaid Managed Care Organizations Has Improved (OEI-05-14-00431)
- 09-16-2015
- Questionable Billing for Medicare Ophthalmology Services (OEI-04-12-00280)
- TrailBlazer Health Enterprises, LLC, Did Not Claim Some Allowable Medicare Postretirement Benefit Costs for Fiscal Years 2005 Through 2011 (A-07-15-00461)
- TrailBlazer Health Enterprises, LLC, Understated Its Allocable Medicare Postretirement Benefit Plan Costs for Calendar Years 2008 Through 2013 (A-07-15-00462)
- 09-15-2015
- CMS Did Not Always Manage and Oversee Contractor Performance for the Federal Marketplace as Required by Federal Requirements and Contract Terms (A-03-14-03001)
- Jefferson Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00005)
- 09-11-2015
- Testimony of John Hagg, Director of Medicaid Audits, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Health: Strengthening Medicaid Program Integrity and Closing Loopholes
- 09-10-2015
- Rhode Island State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-02-14-00580)
- 09-09-2015
- LEIE Database Updated with August 2015 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List: Columbus Regional Healthcare System, Inc.
- 09-08-2015
- Washington State Did Not Suspend Medicaid Payments to Some Providers With Credible Allegations of Fraud in Accordance With the Affordable Care Act (A-09-14-02018)
- Maine Did Not Implement Both Recommendations From a Prior Review of Medicaid Overpayments to Nursing Facilities (A-01-14-00007)
- 09-04-2015
- Texas Made Incorrect Medicaid Electronic Health Record Incentive Payments (A-06-13-00047)
- Providers Did Not Always Reconcile Patient Records With Credit Balances and Report and Return the Associated Medicaid Overpayments to State Agencies (A-04-14-04029)
- 09-03-2015
- 2016 SUMMER LEGAL EXTERN POSITIONS: Deadline to Apply is October 5, 2015
- Updated Corporate Integrity Agreement List: North Broward Hospital District Added and
2 CIAs Closed + Aliases - Podcast: August 2015 OIG Monthly Update
- 09-02-2015
- HHS Oversight of Grantees Could Be Improved Through Better Information Sharing (OEI-07-12-00110)
- 09-01-2015
- Updated Corporate Integrity Agreement List: 3 CIAs Added + Aliases
August
- 08-31-2015
- Some of New Jersey's Claims for Medicaid Personal Care Services Did Not Comply With Federal and State Requirements (A-02-13-01022)
- Medicare Compliance Review of Moses H. Cone Memorial Hospital for 2012 (A-04-14-04023)
- 08-28-2015
- Ilya Slepak Added to Most Wanted Fugitives List
- National Government Services Claimed Allowable Administrative Costs for Fiscal Year 2010 and the First Quarter of Fiscal Year 2011 under Medicare Contract 00450 (A-05-14-00025)
- National Government Services Claimed Allowable Administrative Costs for Fiscal Year 2010 and the First Quarter of Fiscal Year 2011 Under Medicare Contract 00130 (A-05-14-00024)
- 08-25-2015
- Miguel Hernandez and Maria Moreira Added to Most Wanted Fugitives List
- 08-24-2015
- Community of Hope Generally Complied With the Requirements of a Capital Development Grant Funded Under the Affordable Care Act (A-03-14-03304)
- Medicare Compliance Review of Saint Luke's Hospital of Chesterfield for 2011 and 2012 (A-07-14-05063)
- NIH Postaward Grant Administration and Oversight Could Be Improved (OEI-07-11-00190)
- 08-17-2015
- OIG Site Visits to Indian Health Service Hospitals in the Billings, Montana Area (OEI-09-13-00280)
- Missouri Claimed Unallowable and Unsupported Medicaid Payments for Group Home Habilitation Services (A-07-14-03201)
- 08-14-2015
- Overlap Between Physician-Owned Hospitals and Physician-Owned Distributors (OEI-01-14-00270)
- State False Claims Act Review: Vermont
- 08-13-2015
- Advisory Opinion 15-12 (regarding a home health provider's policy to offer free introductory visits to patients who have chosen it as their home health provider)
- 08-12-2015
- Advisory Opinion 15-11 (regarding a program to provide a drug for free for a limited time to patients who experience a delay in the insurance approval process)
- Updated Corporate Integrity Agreement List: 5 Closed with Alias
- Connecticut Claimed Unallowable Medicaid Payments for Targeted Case Management Services Provided to Individuals With Chronic Mental Illness (A-01-14-00001)
- 08-10-2015
- Podcast: Not All of the Federally Facilitated Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Properly Determined Eligible for Qualified Health Plans and Insurance Affordability Programs
- Not All of the Federally Facilitated Marketplace's Internal Controls Were Effective in Ensuring That Individuals Were Properly Determined Eligible for Qualified Health Plans and Insurance Affordability Programs (A-09-14-01011)
- LEIE Database Updated with July 2015 Exclusions and Reinstatements
- 08-07-2015
- Podcast: July 2015 OIG Monthly Update
- 08-06-2015
- Updated Corporate Integrity Agreement List: 1 New, 1 Closed with Alias
- Medicare Compliance Review of Mary Hitchcock Memorial Hospital for 2009 through 2012 (A-01-13-00513)
- CGS Administrators, LLC, Made Medicare Payments for Diabetic Test Strips When Beneficiaries Had Not Nearly Exhausted Previously Dispensed Supplies (A-09-14-02015)
- Medicare Contractors' Payments to Providers for Hospital Outpatient Dental Services in Kentucky and Ohio Did Not Comply With Medicare Requirements (A-06-14-00020)
- 08-05-2015
- Providers Terminated from One State Medicaid Program Continued Participating in Other States (OEI-06-12-00030)
- California Improperly Claimed Enhanced Federal Reimbursement for Medicaid Family Planning Drugs Provided in Orange County (A-09-14-02028)
- Most Medicaid Payments Arkansas Made to Providers for Full Vials of Herceptin Were Incorrect (A-06-14-00032)
- 08-04-2015
- Armando "Ana" Zamora and Abayomi Onajobi Added to Most Wanted Fugitives List
July
- 07-31-2015
- New York Improperly Claimed Some Child Care and Development Targeted Funds (A-02-12-02012)
- New Jersey Improperly Claimed Medicaid Reimbursement for Some Home Health Claims Submitted by Home Health Agencies (A-02-12-01012)
- 07-30-2015
- Podcast: Low Enrollment and Financial Losses May Affect CO-OPs' Ability To Repay Loans Provided Under the ACA
- Actual Enrollment and Profitability Was Lower Than Projections Made by the Consumer Operated and Oriented Plans and Might Affect Their Ability to Repay Loans Provided Under the Affordable Care Act (A-05-14-00055)
- Performance Data for the Senior Medicare Patrol Projects: July 2015 Performance Report (OEI-02-15-00100)
- Job Opening: Experienced Litigation Attorney; Application Deadline is August 13
- 07-29-2015
- Podcast: Medicare Part B Overpaid Millions for Selected Outpatient Drugs
- Medicare Part B Overpaid Millions for Selected Outpatient Drugs (A-09-14-02024)
- Iowa Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-14-06049)
- 07-28-2015
- Testimony of Gregory Demske, Chief Counsel to the Inspector General, Office of Counsel to the Inspector General, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Continuing Concerns with the Federal Select Agent Program: Department of Defense Shipments of Live Anthrax"
- Advisory Opinion 15-10 (regarding a hospital system's proposal to lease non-clinician employees and to provide operational and management services to a related psychiatric hospital for an amount equal to the hospital system's fully loaded costs)
- Alleviate Wellness Center Received Unallowable Medicare Payments for Chiropractic Services (A-09-14-02027)
- Palmetto Government Benefits Administrator Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments in Jurisdiction 1 (A-07-13-02795)
- 07-27-2015
- Medicare Contractors' Payments to Providers for Hospital Outpatient Dental Services in Jurisdiction K Did Not Comply With Medicare Requirements (A-06-14-00022)
- Hospice of New York, LLC, Improperly Claimed Medicare Reimbursement for Some Hospice Services (A-02-13-01001)
- 07-24-2015
- North Carolina Received Millions in Unallowable Bonus Payments (A-04-14-08035)
- Updated Civil Monetary Penalties:
- 07-23-2015
- Advisory Opinion 15-09 regarding the use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies
- 07-15-2015
- The Fraud Prevention System Increased Recovery and Prevention of Improper Medicare Payments, but Updated Procedures Would Improve Reported Savings (A-01-14-00503)
- Washington State Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid (A-09-13-02039)
- 07-14-2015
- Testimony of Ann Maxwell, Assistant Inspector General, Office of Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Oversight and Investigations: Medicare Part D: Measures Needed to Strengthen Program Integrity
- 07-13-2015
- Medicare Compliance Review of Saint Mary's Health Center for 2011 and 2012 (A-07-14-05065)
- The Medicare Contractor for Jurisdiction 1 Overpaid a Provider That Incorrectly Billed for Aflibercept (A-06-14-00055)
- 07-08-2015
- LEIE Database Updated with June 2015 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List: 2 Closed
- 07-07-2015
- Podcast: June 2015 OIG Monthly Update
- Maryland Claimed Unallowable Medicaid Costs for Residential Habilitation Add-on Services Under Its Community Pathways Waiver Program (A-03-13-00202)
- Massachusetts Made Claim Adjustments in Accordance With Federal Time Limit Regulations (A-01-15-00001)
- 07-06-2015
- Not All States Reported Medicaid Managed Care Encounter Data as Required (OEI-07-13-00120)
- Arkansas Made Incorrect Medicaid Electronic Health Record Incentive Payments to Hospitals (A-06-14-00010)
- Wisconsin Physicians Service Insurance Corporation Overpaid a Provider That Incorrectly Billed for Aflibercept (A-06-14-00051)
- 07-01-2015
- Community Health Network, Inc. Added to Corporate Integrity Agreement List
- CMS's Reliance on New Jersey Licensure Requirements Could Not Ensure the Quality of Care Provided to Medicaid Hospice Beneficiaries (A-02-11-01024)
- Skilled Nursing Facility Billing for Changes in Therapy: Improvements are Needed (OEI-02-13-00611)
- Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2015 (OEI-05-15-00120)
June
- 06-30-2015
- Medicare Compliance Review of the University of Kentucky HealthCare for 2011 and 2012 (A-04-13-08026)
- 06-29-2015
- SAMHSA Has Improved Outcome Reporting for the Substance Abuse Prevention and Treatment Block Grant (OEI-04-12-00160)
- 06-25-2015
- ARRESTED: Michael Paul Marsh
- CMS's Reliance on Accreditation Surveys Could Not Ensure the Quality of Care Provided to Medicare Hospice Beneficiaries by The Community Hospice, Inc. (A-02-11-01027)
- 06-24-2015
- Hebrew Homes Health Network, Inc. Added to Corporate Integrity Agreement List
- 06-23-2015
- Ensuring the Integrity of Medicare Part D (OEI-03-15-00180)
- Questionable Billing and Geographic Hotspots Point to Potential Fraud and Abuse in Medicare Part D (OEI-02-15-00190)
- 06-22-2015
- Some of the State-Operated Medicaid Program Expenditures Claimed by Missouri During the Period October 1, 2010, Through June 30, 2012, Were Unallowable (A-07-14-03197)
- 06-19-2015
- Video: Daniel R. Levinson's Gives Remarks at Health Care Fraud Takedown Press Conference
- Advisory Opinion 15-08 (regarding the proposed use of a "preferred hospital" network in connection with a Medigap plan, whereby an insurer would indirectly contract with hospitals for discounts on the otherwise applicable Medicare inpatient deductibles for its policyholders and, in turn, would provide a renewal premium credit of $100 to policyholders who use a network hospital for an inpatient stay)
- New York Did Not Have Evidence Available in Readily Reviewable Form To Support That It Reimbursed Medicaid Diabetic Testing Supply Rebates to the Federal Government (A-02-13-01002)
- AgeWell Physical Therapy & Wellness, P.C., Claimed Unallowable Medicare Part B Reimbursement for Outpatient Therapy Services (A-02-13-01031)
- 06-17-2015
- 1 New CIA and Alias Added to Corporate Integrity Agreement List
- Exclusions Waivers Updated:
- Rescinded Waiver: Patwardhan, M.D., Vinod Chandrashekhar
- New Waiver: Miranda, Eduardo, M.D.
- 06-16-2015
- CMS's Internal Controls Did Not Effectively Ensure the Accuracy of Aggregate Financial Assistance Payments Made to Qualified Health Plan Issuers Under the Affordable Care Act (A-02-14-02006)
- 06-15-2015
- CMS's Reliance on New Jersey Qualification Requirements Could Not Ensure the Quality of Care Provided to Medicaid Beneficiaries Receiving Home Health Services (A-02-11-01019)
- CMS's Reliance on Puerto Rico's Certification Surveys Could Not Ensure the Quality of Care Provided to Medicare Hospice Beneficiaries by Servicios Suplementarios de Salud, Inc. (A-02-11-01028)
- Most Medicaid Payments Texas Made to Providers for Full Vials of Herceptin Were Incorrect (A-06-14-00042)
- Illinois Improperly Claimed Medicaid Reimbursement for Optical Services and Supplies (A-05-13-00046)
- 06-11-2015
- National Government Services Claimed Allowable Administrative Costs for Fiscal Year 2010 and the First Quarter of Fiscal Year 2011 (A-05-14-00032)
- 06-09-2015
- LEIE Database Updated with May 2015 Exclusions and Reinstatements
- Fraud Alert: Physician Compensation Arrangements May Result in Significant Liability
- 06-08-2015
- Updated Civil Monetary Penalties:
- 06-05-2015
- The Hospital of Central Connecticut Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00003)
- CGS Administrators, LLC, Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-07-13-02791)
- 1 New CIA and aliases Added to Corporate Integrity Agreement List
- 06-04-2015
- Podcast: Texas Paid Millions for Unallowable Medicaid Orthodontic Services
- Texas Paid Millions for Unallowable Medicaid Orthodontic Services (A-06-11-00048)
- Advisory Opinion 15-07 (regarding subsidies a medical device manufacturer provides to certain patients participating in a clinical research study)
- Advisory Opinion 15-06 regarding a nonprofit, tax-exempt, charitable organization's proposal to provide financial assistance to individuals with chronic diseases, including cancer, to assist with the costs of health insurance and drug and device therapies
- 06-03-2015
- Updated Corporate Integrity Agreement List: 7 Closed
- Advanced Chiropractic Services Received Unallowable Medicare Payments for Chiropractic Services (A-07-13-01128)
- Minnesota Underreported the Federal Share and Did Not Accurately Report All Medicaid Overpayment Collections (A-05-14-00018)
- National Government Services, Inc., Understated Its Allocable Pension Costs for Calendar Years 2006 Through 2009 (A-07-14-00453)
- 06-02-2015
- Podcast: May 2015 OIG Monthly Update
- Medicare Compliance Review of Loma Linda University Medical Center for 2011 and 2012 (A-09-13-02056)
- United Government Services, LLC, Understated Its Medicare Segment Pension Assets as of January 1, 2010 (A-07-14-00447)
- United Government Services, LLC, Claimed Some Unallowable Medicare Pension Costs for Fiscal Years 1999 Through 2006 (A-07-14-00450)
- 06-01-2015
- Spring 2015 Semiannual Report
- TrustSolutions, LLC, Overstated Its Allocable Pension Costs for Calendar Years 2007 Through 2009 (A-07-14-00451)
- TrustSolutions, LLC, Understated Its Medicare Segment Pension Assets as of January 1, 2010 (A-07-14-00449)
May
- 05-29-2015
- ARRESTED: Child Support Deadbeat Raymond Payne
- 1 New CIA and aliases Added to Corporate Integrity Agreement List
- East Harlem Council for Human Services, Inc., Complied With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-02-14-02021)
- 05-28-2015
- Fiscal Year 2015 HHS OIG Work Plan Mid-Year Update
- 2 New CIAs Added to Corporate Integrity Agreement List
- Chase Brexton Health Care Complied With the Requirements of a Community Health Center Grant Funded Under the Affordable Care Act (A-03-14-03303)
- Medical Reserve Corps Volunteers in New York and New Jersey During Superstorm Sandy (OEI-04-13-00350)
- 05-27-2015
- National Government Services, Inc., Did Not Claim Some Allowable Medicare Pension Costs for Fiscal Years 2007 Through 2009 (A-07-14-00452)
- Cox Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-15-00004)
- 05-26-2015
- Century Ambulance Service, Inc. Added to Corporate Integrity Agreement List
- CMS's Reliance on New York Qualification Requirements Could Not Ensure the Quality of Care Provided to Medicaid Beneficiaries Receiving Home Health Services (A-02-11-01013)
- Some Pennsylvania Family Child Day Care Home Providers Did Not Always Comply With State Health and Safety Requirements (A-03-14-00250)
- 05-22-2015
- Daniel R. Levinson's Keynote Address at the 2015 HCCA Compliance Institute
Podcast | Video - 1 New CIA Added to Corporate Integrity Agreement List
- Medicare Compliance Review of Saint Luke's Hospital of Kansas City for 2011 and 2012 (A-07-14-05062)
- CGS Administrators, LLC, Overpaid Providers That Incorrectly Billed for Aflibercept (A-06-14-00053)
- 05-21-2015
- Medicare Compliance Review of Saint Anthony's Medical Center for 2011 and 2012 (A-07-14-05059)
- 05-20-2015
- U.S. Department of Health and Human Services Met Many Requirements of the Improper Payments Information Act of 2002 but Did Not Fully Comply for Fiscal Year 2014 (A-17-15-52000)
- First Coast Service Options, Inc., Paid Some Unallowable Sleep Study Claims (A-04-13-07039)
- 05-18-2015
- Questionable Billing for Medicaid Pediatric Dental Services in California (OEI-02-14-00480)
- 05-15-2015
- PharMerica Corporation added to Corporate Integrity Agreements List
- 05-13-2015
- VIDEO: Podiatrist Admits to Defrauding Almost $1 Million from Medicare
- Home Health Agencies Conducted Background Checks of Varying Types (OEI-07-14-00130)
- 05-11-2015
- Arizona Correctly Claimed Medicaid expenditures for Indian Health Service Facilities on the CMS-64 (A-05-15-00015)
- 05-08-2015
- ARRESTED: Jon McClendon
- LEIE Database Updated with April 2015 Exclusions and Reinstatements
- Incorrect Place-of-Service Coding Resulted in Potential Medicare Overpayments Costing Millions (A-01-13-00506)
- New Jersey Claimed Medicaid Hospice Services That Were Not in Compliance With Federal and State Requirements (A-02-11-01014)
- 05-07-2015
- Texas Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-06-12-00060)
- University of California, San Diego, Did Not Always Claim Nonpayroll Administrative and Clerical Costs Charged Directly to HHS Awards in Accordance with Federal Regulations (A-09-13-01003)
- California Implemented Security Controls Over the Web Site and Databases for Its Health Insurance Exchange but Could Improve Protection of Personally Identifiable Information (A-09-14-03005)
- Cedar Ridge Did Not Always Provide the Required Treatment and Therapy Hours for Residential Treatment and Acute Care (A-06-14-00029)
- 2 New CIAs Added to Corporate Integrity Agreement List
- 05-06-2015
- Podcast: April 2015 OIG Monthly Update
- Balboa Ambulance Services, Inc. Added to Corporate Integrity Agreement List
- Updated Civil Monetary Penalties:
- 05-05-2015
- FDA Has Made Progress on Oversight and Inspections of Manufacturers of Generic Drugs (OEI-01-13-00600)
- South Carolina Claimed Some Unallowable Room-and-Board Costs Under the Intellectual and Related Disabilities Waiver for State Fiscal Year 2010 (A-04-14-04019)
- Information Security at the Health Resources and Services Administration Needs Improvement Because Controls Were Not Fully Implemented and Monitored (A-18-14-30430)
- The Information Technology Infrastructure and Operations Office Had Inadequate Information Security Controls (A-18-14-30420)
- 05-01-2015
- Ohio State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-07-14-00290)
- New Video:$200 Million Fraud Scheme Involving Corrupt Doctors and Kickbacks
April
- 04-29-2015
- Early Alert: Without Clearer Guidance, Marketplaces Might Use Federal Funding Assistance for Operational Costs When Prohibited by Law (A-01-14-02509)
- The Medical Center of Central Georgia, Inc. Added to Corporate Integrity Agreement List
- Advisory Opinion 15-05 (regarding the use of a preferred hospital network as part of Medicare Supplemental Health Insurance (Medigap) policies)
- 04-27-2015
- Palmetto Government Benefits Administrator Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments in Jurisdiction 11 (A-07-10-02775)
- Palmetto GBA, LLC, Applied the Senior Executive Compensation Benchmark in Accordance With Federal Regulations (A-04-14-00102)
- 04-24-2015
- Medicaid Rebates for Brand-Name Drugs Exceeded Part D Rebates by a Substantial Margin (OEI-03-13-00650)
- 04-23-2015
- National Heritage Insurance Corporation Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00024)
- Lone Star Circle of Care Complied With Federal Requirements Related to Its Affordable Care Act-Funded Community Health Center Fund Grant (A-06-14-00058)
- Updated Corporate Integrity Agreement List: 1 New CIA with Multiple Aliases
- 04-22-2015
- Implementing OIG Recommendation Could Have Reduced Payments for DME Infusion Drugs by Hundreds of Millions of Dollars (OEI-12-15-00110)
- 04-21-2015
- Review of Medicare Contractor Information Security Program Evaluations for Fiscal Year 2013 (A-18-14-30500)
- Medicaid Fraud Control Units Fiscal Year 2014 Annual Report (OEI-06-15-00010)
- 04-20-2015
- HHS OIG and Industry Leaders Release Joint Guidance for Health Care Boards
- Practical Guidance for Health Care Governing Boards on Compliance Oversight
- 04-16-2015
- Medicare Compliance Review of Florida Hospital Orlando for the Period January 1, 2011, Through June 30, 2012 (A-04-13-07043)
- 04-15-2015
- Colorado Paid Over 800 Thousand Medicaid Claims With Missing or Invalid National Provider Identifiers During 2011 (A-07-13-06042)
- 04-14-2015
- Missouri Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs (A-07-14-06051)
- Updated Corporate Integrity Agreement List: 2 New and 1 Closed
- 04-13-2015
- Alabama State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-06-13-00660)
- 04-09-2015
- California Claimed Medicaid Reimbursement for Certain Nonemergency Medical Transportation Services in Los Angeles County Billed as Exempt From Prior Authorization That Did Not Comply With Federal and State Requirements (A-09-13-02054)
- 04-08-2015
- LEIE Database Updated with March 2015 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List: 1 Closed CIA
- 04-07-2015
- Iowa Did Not Always Make Correct Medicaid Adjustments (A-07-14-01135)
- Podcast: March 2015 OIG Monthly Update
- 04-03-2015
- Office of Counsel Careers: Position Openings
- Updated Corporate Integrity Agreement List: 1 New CIA and Several Closed CIAs
- 04-02-2015
- Novitas Solutions, Inc. (Formerly Highmark Medicare Services, Inc.), Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00023)
- First Coast Service Options, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00022)
- North Carolina Claimed Federal Medicaid Reimbursement for Dental Services That Did Not Always Comply With Federal and State Requirements (A-04-13-04014)
- 04-01-2015
- Review of the Accounting Structure Used for the Administration of Premium Tax Credits (OEI-06-14-00590)
- Cahaba Government Benefit Administrators, LLC, Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments (A-05-11-00019)
- CAPTURED: William Acosta
March
- 03-31-2015
- Video: HHS-OIG testifies about Medicare Fraud
- Video: HHS-OIG testifies on the 340B Drug Pricing Program
- 03-30-2015
- Texas Claimed Unallowable Federal Reimbursement for Some Family Planning Services (A-06-11-00016)
- Wisconsin Received Some Unallowable Bonus Payments (A-04-13-08021)
- 03-27-2015
- Maryland Misallocated Millions to Establishment Grants for a Health Insurance Marketplace (A-01-14-02503)
- 03-26-2015
- Podcast: Antipsychotic Drugs Prescribed for Children Enrolled in Medicaid
- Second-Generation Antipsychotic Drug Use Among Medicaid-Enrolled Children: Quality-of-Care Concerns (OEI-07-12-00320)
- 03-25-2015
- Advisory Opinion 15-04 (regarding a laboratory's proposal to enter into agreements with physician practices to provide all laboratory services for the practices' patients and waive all fees for those practices' patients who are enrollees of certain insurance plans that require the patients to use a different laboratory)
- 03-24-2015
- Testimony of Ann Maxwell, Assistant Inspector General, Office of Evaluation and Inspections, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Energy and Commerce Subcommittee on Health: Examining the 340B Drug Pricing Program
- Testimony of Gary Cantrell, Deputy Inspector General for Investigations, Office of Investigations, Office of Inspector General, U.S. Department of Health and Human Services before the House Committee on Ways and Means Subcommittee on Oversight: Fraud in Medicare
- Ohio Did Not Always Comply With the Requirements of the Affordable Care Act in its Review of Cases of Credible Allegations of Medicaid Fraud (A-05-14-00008)
- 03-19-2015
- FY 2014 Health Care Fraud and Abuse Control Program Report
- 03-18-2015
- National Government Services, Inc., Did Not Always Refer Medicare Cost Reports and Reconcile Outlier Payments in Jurisdiction 8 (A-05-14-00046)
- 03-17-2015
- Compendium: March 2015 Edition
- Updated Corporate Integrity Agreement List: Albemarle Women's Clinic PA
- Medicare Compliance Review of Northwestern Memorial Hospital for 2011 and 2012 (A-05-13-00051)
- 03-16-2015
- Some Minnesota Childcare Home Providers Did Not Always Comply With State Health and Safety Licensing Requirements (A-05-14-00021)
- Some Minnesota Childcare Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-05-14-00022)
- Sandoz to Pay $12.64 Million in CMP Settlement with HHS OIG for Misrepresenting Drug
Pricing Data to Medicare - 03-13-2015
- Office of Counsel Attorney Positions
- WANTED: Barbaro Ortega and Raul Camejo
- 03-12-2015
- SENTENCED: Karo Gotti Blkhoyan
- Updated Civil Monetary Penalties:
- 03-11-2015
- Oregon Did Not Bill Manufacturers for Rebates for Physician-Administered Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations (A-09-13-02037)
- New York State Improperly Claimed Medicaid Reimbursement for Continuous 24-Hour Personal Care Claims in Ulster County (A-02-14-01003)
- 03-09-2015
- Podcast: Medicare Payments for Swing-Bed Services at Critical Access Hospitals
- Medicare Could Have Saved Billions at Critical Access Hospitals If Swing-Bed Services Were Reimbursed Using the Skilled Nursing Facility Prospective Payment System Rates (A-05-12-00046)
- New York State Improperly Claimed Medicaid Reimbursement for Continuous 24-Hour Personal Care Claims (A-02-12-01004)
- 03-06-2015
- Medicare Compliance Review of Mercy Hospital in Saint Louis for 2011 and 2012 (A-07-14-05057)
- New York Hospital Queens Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-13-00030)
- 03-05-2015
- LEIE Database Updated with February 2015 Exclusions and Reinstatements
- 03-04-2015
- Podcast: February 2015 OIG Monthly Update
- Updated Corporate Integrity Agreement List: 3 Cases Closed
- 03-03-2015
- Expanded Exclusions Waiver: Juan Tosado-Polanco, M.D.
- 03-02-2015
- Podcast: Not All Children in Foster Care Who Were Enrolled in Medicaid Received Required Health Screenings
- Not All Children in Foster Care Who Were Enrolled in Medicaid Received Required Health Screenings (OEI-07-13-00460)
- Updated Corporate Integrity Agreement List: Baptist Health and aliases
- Advisory Opinion 15-03 (regarding the proposed use of a "preferred hospital" network as part of Medicare Supplemental Health Insurance ("Medigap") policies)
February
- 02-27-2015
- Comparing Average Sales Prices and Average Manufacturer Prices for Medicare Part B Drugs: An Overview of 2013 (OEI-03-14-00520)
- 2015 Fall Legal Extern Position
- 02-26-2015
- Medicaid Fraud Control Units Statistical Data for Fiscal Year 2014
- 02-24-2015
- Health Reform Oversight Plan Fiscal Year 2015
- Methodist Hospital Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-14-00005)
- Baptist Medical Center Incorrectly Billed Medicare Inpatient Claims With Kwashiorkor (A-03-14-00007)
- 02-19-2015
- Updated Corporate Integrity Agreement List: Compassionate Care Hospice Group, Ltd.
- 02-18-2015
- CMS Made Payments Associated With Providers After Referring Individual Providers' Debts to the Department of the Treasury for Collection (A-02-12-01008)
- Louisiana Complied With the Federal Medicaid Requirements for Billing Manufacturers for Rebates for Physician-Administered Drugs (A-06-14-00031)
- Prosthetic Science San Antonio, Inc., Generally Met Medicare Documentation Requirements for Lower Limb Prosthetic Claims (A-06-14-00034)
- 02-13-2015
- Advisory Opinion 15-02 (regarding the effect of exclusion from Medicare, Medicaid, and all other Federal health care programs)
- 02-12-2015
- New Videos:
- Most Medicaid Payments the State of Illinois Made to Providers for Full Vials of Herceptin Were Incorrect (A-05-14-00023)
- 02-11-2015
- Updated Corporate Integrity Agreement List: Good Shepherd Hospice Added, 4 CIAs Closed
- Updated Civil Monetary Penalties:
- 02-10-2015
- Some Arizona Family Childcare Home Providers Did Not Always Comply With State Health and Safety Certification Requirements (A-09-13-01004)
- The New York Medicaid Program Could Significantly Lower Payment Rates for Selected Durable Medical Equipment and Supplies (A-02-13-01042)
- 02-09-2015
- LEIE Database Updated with January 2015 Exclusions and Reinstatements
- Updated Corporate Integrity Agreement List: Irwin County Hospital Added
- 02-06-2015
- SENTENCED: Vivian Yusuf
- Medicare Compliance Review of University of North Carolina Hospitals for the Period January 1, 2011, Through September 30, 2012 (A-04-13-04018)
- 02-05-2015
- Medicare Compliance Review of Missouri Baptist Medical Center for 2011 and 2012 (A-07-14-05058)
- Medicare Compliance Review of Utah Valley Regional Medical Center for 2010 and 2011 (A-07-13-05048)
- Review of Beth Israel Deaconess Medical Center Claims That Included Medical Device Replacements (A-01-14-00502)
- Updated Corporate Integrity Agreement List: 2 CIAs Added
- 02-04-2015
- January 2015 OIG Monthly Update
- New Mexico State Medicaid Fraud Control Unit: 2014 Onsite Review (OEI-09-14-00240)
- Acute-Care Hospitals in Ohio Did Not Always Reconcile Invoice Records With Credit Balances and Refund the Associated Medicaid Overpayments to the State Agency (A-05-12-00070)
- 02-03-2015
- Some Arizona Child Daycare Centers Did Not Always Comply With State Health and Safety Licensing Requirements (A-09-13-01008)
- Medicare Compliance Review of Iowa Methodist Medical Center for 2010 and 2011 (A-07-13-05042)
- 02-02-2015
- FY 2016 Congressional Budget Justification
- Advisory Opinion 15-01 (regarding an entity's practice of advertising and providing free diapers and play yards in connection with the services it provides under a state's home visiting program for at-risk mothers and infants)
- Updated Corporate Integrity Agreement List: Associates in Dermatology, Inc.
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