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You are here: Home / Archives for HHS-OIG

DentaQuest Dinged $1.5 Million by OIG

August 5, 2020 By TDMR Leave a Comment

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 … [Read more...]

Filed Under: Medicaid Reform News, Slider Tagged With: dentaquest, HHS-OIG, MCNA, Medicaid managed care

Life Safety and Emergency Preparedness Deficiencies Found at 18 of 20 Texas Nursing Homes

February 14, 2020 By TDMR Leave a Comment

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...]

Filed Under: Media Tagged With: HHS-OIG

HHS OIG Publishes Semiannual Report to Congress Detailing Almost $6 Billion in Fraud Recoveries

December 30, 2019 By TDMR Leave a Comment

The Department of Health and Human Services (“HHS”) Office of Inspector General (“OIG”) recently published its Fall 2019 Semiannual Report to … [Read more...]

Filed Under: Media Tagged With: health fraud, HHS, HHS-OIG

OIG Fiscal Year 2019 Semiannual Report Reveals Taxpayers Could See Nearly $5.9 Billion Returned to Government

December 6, 2019 By TDMR Leave a Comment

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...]

Filed Under: Media Tagged With: HHS-OIG, OIG

Hospitals Received Millions in Excessive Outlier Payments Because CMS Limits the Reconciliation Process

November 29, 2019 By TDMR Leave a Comment

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...]

Filed Under: Media Tagged With: Centers for Medicare & Medicaid Services, HHS-OIG

Beaumont counselor pleads guilty to bilking Medicaid out of nearly $270K

November 18, 2019 By TDMR Leave a Comment

BEAUMONT, Texas — A Beaumont counselor pleaded guilty Friday in federal court to health care fraud after overbilling Medicaid nearly … [Read more...]

Filed Under: Media Tagged With: HHS-OIG, medicaid fraud, Texas Medicaid Fraud Control Unit

Fraud Alert: Nationwide Brace Scam

April 12, 2019 By TDMR Leave a Comment

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...]

Filed Under: Media Tagged With: HHS-OIG, medicare

Fall 2018 Semiannual Report to Congress

December 3, 2018 By TDMR Leave a Comment

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...]

Filed Under: Media Tagged With: HHS-OIG, medicaid

New York May Have Improperly Claimed Medicaid Reimbursement for Certain Dental Services

December 2, 2018 By TDMR Leave a Comment

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...]

Filed Under: Media Tagged With: dental medicaid, HHS-OIG

OIG: Healthcare Fraud Exceptions for 2 Value-Based Payment Models

October 24, 2018 By TDMR Leave a Comment

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...]

Filed Under: Media Tagged With: HHS-OIG

Michigan Physician Charged in a $32 Million Illegal Opioid Distribution Conspiracy

October 24, 2018 By TDMR Leave a Comment

An indictment was unsealed today charging the owner and sole practitioner of a medical clinic with conspiracy to illegally distribute prescription … [Read more...]

Filed Under: Media Tagged With: HHS-OIG, illegal opioid distribution

Eye on Oversight – Cybersecurity

October 10, 2018 By TDMR Leave a Comment

OIG recognizes Protecting HHS Data, Systems, and Beneficiaries from Cybersecurity Threats as a top management and performance challenge facing HHS. In … [Read more...]

Filed Under: Media Tagged With: cybersecurity, HHS-OIG

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