During our onsite inspections, we identified deficiencies in areas related to life safety or emergency preparedness at 18 of the 20 nursing homes that … [Read more...]
HHS OIG Publishes Semiannual Report to Congress Detailing Almost $6 Billion in Fraud Recoveries
The Department of Health and Human Services (“HHS”) Office of Inspector General (“OIG”) recently published its Fall 2019 Semiannual Report to … [Read more...]
OIG Fiscal Year 2019 Semiannual Report Reveals Taxpayers Could See Nearly $5.9 Billion Returned to Government
Washington, DC—America's taxpayers could see nearly $5.9 billion in misspent Medicare, Medicaid, and other health and human service program dollars … [Read more...]
Hospitals Received Millions in Excessive Outlier Payments Because CMS Limits the Reconciliation Process
Why OIG Did This Review Outlier claim payments are based on hospital cost reports from the latest cost-reporting period for which the cost report is … [Read more...]
Beaumont counselor pleads guilty to bilking Medicaid out of nearly $270K
BEAUMONT, Texas — A Beaumont counselor pleaded guilty Friday in federal court to health care fraud after overbilling Medicaid nearly … [Read more...]
Fraud Alert: Nationwide Brace Scam
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...]
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