The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about a fraud scheme involving orthotic braces and … [Read more...]
Fall 2018 Semiannual Report to Congress
This fall edition of the Semiannual Report to Congress covers OIG activities from April 2018 through September 2018. Historically, about 80 percent of … [Read more...]
New York May Have Improperly Claimed Medicaid Reimbursement for Certain Dental Services
New York may have improperly claimed reimbursement for 7,650 dental services totaling $1.3 million ($670,000 Federal share). Of these, 712 claims, … [Read more...]
OIG: Healthcare Fraud Exceptions for 2 Value-Based Payment Models
October 24, 2018 - Two recent advisory opinions from the Office of the Inspector General (OIG) at HHS are demonstrating why current healthcare fraud … [Read more...]
Michigan Physician Charged in a $32 Million Illegal Opioid Distribution Conspiracy
An indictment was unsealed today charging the owner and sole practitioner of a medical clinic with conspiracy to illegally distribute prescription … [Read more...]
Eye on Oversight – Cybersecurity
OIG recognizes Protecting HHS Data, Systems, and Beneficiaries from Cybersecurity Threats as a top management and performance challenge facing HHS. In … [Read more...]
Houston Psychiatrist Sentenced to More Than 12 Years in Prison for Role in $155 Million Medicare Fraud Scheme
A Houston psychiatrist was sentenced today to 150 months in prison for his role in a $155 million Medicare fraud scheme involving false and fraudulent … [Read more...]
AG Paxton’s Medicaid Fraud Control Unit Collaborates on Multi-Agency Arrests
Attorney General Ken Paxton commended the Medicaid Fraud Control Unit of his office for its role in the arrests of 12 Houston-area individuals as part … [Read more...]
Provider Health Insurance Fraud Schemes, Settlements Top $310M
January 17, 2018 - Law enforcement agencies and federal healthcare administrators including HHS, the Office of the Inspector General (OIG), the FBI, … [Read more...]
Medicaid was shortchanged $1B due to misclassified drugs: IG
Federal taxpayers may have forfeited at least $1 billion because a slate of drugs were misclassified under Medicaid’s rebate program, the Health and … [Read more...]
The top 10 management and performance challenges facing the Department of Health and Human Services
If he’s confirmed as the next secretary of the Department of Health and Human Services, Alex Azar will have his hands full. The Office of Inspector … [Read more...]
HHS Watchdog to Probe Medicaid Health Homes Program
A relatively new Medicaid health homes program has caught the eye of a health-care watchdog, with a report expected by fiscal year 2019.The Health and … [Read more...]
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