DentaQuest Dinged $1.5 Million by OIG

Texas HHS-OIG published on their website June 24 an audit they completed on DentaQuest back on January 9.  The audit found that DentaQuest had $1.53 million in “unallowable, unsupported, and overstated expenses on its Administrative Expenses FSR [Financial Statistical Report]” … Read More

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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 other medical equipment. Scammers are offering Medicare beneficiaries orthotic braces that are supposedly free to them … Read More

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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 OIG’s resources are directed to work related to Medicare and Medicaid. This is mirrored in the organization … Read More

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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 partnering with various HHS agencies to address this challenge, OIG has formed a multidisciplinary Cybersecurity Team comprised of auditors, … Read More

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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 Human Services Office of Inspector General will review an optional Medicaid benefit that creates health … Read More

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HHS OIG: Virginia failed to secure Medicaid data

Virginia has not adequately secured its Medicaid data and information systems, according to an HHS Office of Inspector General report.The Virginia Department of Medical Assistance Services, which manages the state’s Medicaid program, uses an outside contractor to operate its claims … Read More

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Data analysis hunts for Medicare fraud

When FBI and Health and Human Services investigators announced earlier this summer they had snared more than 300 people trying to bilk Medicare out of $900 million, one might have concluded the corner had been turned in the fight against … Read More

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