Advisory Opinion 12-22
(concerning an arrangement in which a hospital pays a cardiology group compensation that includes a performance bonus based on implementing certain patient service, quality, and cost savings measures associated with procedures performed at the hospital's cardiac catheterization laboratories.)

Updated Corporate Integrity Agreement List: Seven CIAs Closed

01-04-2013

CAPTURED: Leonard Nwafor | OIG Most Wanted Fugitives

01-03-2013

Advisory Opinion 12-21
(concerning a Federally qualified health center's proposal to offer grocery store gift cards to certain patients in capitated managed care plans as an incentive to receive health screenings or other clinical services.)

December

12-31-2012

Community Living Assistance Services and Supports Program: 2012 Report to Congress (OEI-04-11-00451)

Louisiana State Medicaid Fraud Control Unit: 2012 Onsite Review (OEI-09-12-00010)

12-27-2012

Comparison of Second-Quarter 2012 Average Sales Prices and Average Manufacturer Prices: Impact on Medicare Reimbursement for Fourth Quarter 2012 (OEI-03-13-00100)

12-26-2012

Pennsylvania Claimed Unallowable Medicaid Administrative Costs for the Regional Housing Coordinator Initiative (A-03-11-00210)

The Medicare Contractor's Payments in Jurisdictions 6 and 8 for Full Vials of Herceptin Were Often Incorrect (A-05-11-00112)

Connecticut Title IV-E Training Costs Did Not Always Comply With Federal Requirements (A-01-12-02500)

Limited Supplier Solicitation of Prescribing Physicians Under Medicare DMEPOS Competitive Bidding Program (OEI-06-11-00081)

12-21-2012

Review of Medicare Outpatient Billing for Selected Drugs at St. Joseph Hospital (A-09-12-02039)

Medicare Compliance Review of New York University Langone Medical Center for the Period July 1, 2008, Through December 31, 2010 (A-02-11-01043)

Providers Did Not Correctly Bill Medicare Part B for the Oral Form of the Drug Emend (A-07-11-04181)

Medicare Compliance Review of Hoag Memorial Hospital Presbyterian for Calendar Years 2008 Through 2011 (A-09-12-02012)

Medicare Compliance Review of Rhode Island Hospital for Calendar Years 2010 and 2011 (A-01-12-00510)

12-20-2012

Podcast: Home Health Agency Oversight

CMS and Contractor Oversight of Home Health Agencies (OEI-04-11-00220)

Amgen Inc. Added to Corporate Integrity Agreement List

12-19-2012

Medicare Supplier Acquisition Costs for L0631 Back Orthoses (OEI-03-11-00600)

Advisory Opinion 12-20
(concerning a hospital's proposal to provide free access to an electronic interface to community physicians and physician practices that would allow those physicians and practices to transmit orders for certain services to, and receive the results of those services from, the hospital.)

12-17-2012

Captured: Most Wanted Deadbeat Robert Sand

The Department of Health and Human Services Has Implemented Predictive Analytics Technologies But Can Improve Its Reporting on Related Savings and Return on Investment (A-17-12-53000)

12-13-2012

Comparison of First-Quarter 2012 Average Sales Prices and Average Manufacturer Prices: Impact on Medicare Reimbursement for Third Quarter 2012 (OEI-03-12-00730)

New York Improperly Claimed Medicaid Reimbursement for Some Home Health Services Claims Submitted by Certified Home Health Agencies in New York City (A-02-10-01022)

Risk Adjustment Data Validation of Payments Made to PacifiCare of California for Calendar Year 2007 (Contract Number H0543) (A-09-09-00045)

Medicare Contractors' Payments Made to Providers Currently Assigned to Jurisdiction 4 for Full Vials of Herceptin Were Often Incorrect (A-06-12-00001)

Massachusetts Generally Implemented Recommendations From Prior Review of Claims for Hospital Outpatient Clinical Laboratory Services (A-01-12-00005)

Medicare Compliance Review of Hartford Hospital for Calendar Years 2009 and 2010 (A-01-11-00533)

Medical Services of America Did Not Always Have Required Documentation on File to Support Its Medicare Claims (A-04-11-04010)

Review of Medicare Outpatient Billing for Selected Drugs at St. Luke's Boise Medical Center (A-09-12-02043)

Review of Medicare Outpatient Billing for Selected Drugs at Sky Lakes Medical Center (A-09-12-02061)

Most of Pinnacle's Medicare Part B Administrative Costs Reported for Fiscal Years 2008 and 2009 Were Allowable (A-06-11-00045)

12-12-2012

LEIE Database Updated with November 2012 Exclusions and Reinstatements

12-11-2012

Home and Community-Based Services in Assisted Living Facilities (OEI-09-08-00360)

12-10-2012

CAPTURED: Elizabet Martinez and Lazaro Betancourt | OIG Most Wanted Fugitives

October Recovery Act Oversight Monthly Report Posted

12-07-2012

Advisory Opinion 12-19
(concerning four proposed arrangements involving a pharmacy company's provision of items and services to community homes in which its customers reside.)

Updated Civil Monetary Penalties:

12-06-2012

CAPTURED: Juan Heredia | OIG Most Wanted Fugitives

Advisory Opinion 12-18
(concerning a proposed arrangement whereby three municipalities will reciprocally waive the otherwise applicable cost-sharing obligations of each other's bona fide residents when providing backup emergency medical services transportation to such individuals in certain circumstances.)

Central City Concern, a Health Resources and Services Administration Grantee, Claimed Some Inadequately Documented Costs Under the Recovery Act (A-09-11-01009)

The Centers for Disease Control and Prevention's Namibia Office Did Not Always Properly Monitor Recipients' Use of the President's Emergency Plan for AIDS Relief Funds (A-04-12-04020)

12-05-2012

Compendium of Unimplemented Recommendations: December 2012 Edition

Medicare Compliance Review of Tufts Medical Center for Calendar Years 2009 and 2010 (A-01-12-00503)

Almost All of Pinnacle's Medicare Part A Administrative Costs Reported for Fiscal Years 2008 and 2009 Were Allowable (A-06-11-00044)

12-04-2012

Podcast: Preventive Screenings for Medicaid Children

Updated Corporate Integrity Agreement List: Three CIAs Closed

12-03-2012

Review of Medicare Outpatient Billing for Selected Drugs at University of California, Irvine, Medical Center (A-09-12-02063)

Review of Medicare Outpatient Billing for a Selected Drug at Arroyo Grande Community Hospital (A-09-12-02064)

Iowa Did Not Properly Pay Some Medicare Part A and Part B Deductibles and Coinsurance (A-07-12-03178)

The Medicare Contractor's Payments in Jurisdiction 3 for Full Vials of Herceptin Were Often Incorrect (A-07-12-04186)

Podcast: OIG Monthly Update

November

11-30-2012

HHS Public Health and Medical Services Emergency Support Preparedness (OEI-04-11-00260)

11-29-2012

3 Fugitives Arrested in Miami for Multiple Scams Involving $24.3 Million

Early Assessment Finds That CMS Faces Obstacles in Overseeing the Medicare EHR Incentive Program (OEI-05-11-00250)

11-28-2012

Updated Civil Monetary Penalties:

11-27-2012

Fall 2012 Semiannual Report to Congress

Semiannual Report News Release:
OIG Reports $6.9 Billion in Expected Recoveries Among FY 2012 Accomplishments

Updated Corporate Integrity Agreement List: New CIAs Added

Washington State's Medicaid False Claims Act Reviewed

Tennessee's Amended Medicaid False Claims Act Reviewed

11-26-2012

Patricia Chisanga Added to Most Wanted Fugitives List

Assessment of Hospital Reporting of Present on Admission Indicators on Medicare Claims (OEI-06-09-00310)

Community Medical and Dental Care, Inc., Did Not Meet Select Financial Performance Measures and Claimed Unallowable Federal Grant Expenditures (A-02-11-02001)

11-23-2012

LifeCenter Northwest Did Not Fully Comply With Medicare Requirements for Reporting Organ Statistics in Its Fiscal Year 2009 Medicare Cost Report (A-09-11-02039)

The Emergency Medical Services Authority of Oklahoma City Billed and Was Paid for Advanced Life Support Transports That Were Not Medically Necessary (A-06-11-00050)

Medicare Made Payments to United Healthcare of Wisconsin, Inc. Under Part D for Drugs That Were Already Covered Under Part C (A-05-11-00051)

Least Costly Alternative Policies: Impact on Prostate Cancer Drugs Covered Under Medicare Part B (OEI-12-12-00210)

11-20-2012

Medicare Compliance Review of the University of Iowa Hospital for Calendar Years 2009 and 2010 (A-07-12-05023)

Noninstitutional Providers in North Carolina Did Not Reconcile Invoice Records With Credit Balances and Report the Associated Medicaid Overpayments to the State Agency (A-04-11-04016)

Review of Medicare Outpatient Billing for a Selected Drug at Community Hospital Long Beach Memorial (A-09-12-02065)

Review of Medicare Outpatient Billing for a Selected Drug at Banner Baywood Medical Center (A-09-12-02062)

The Medicare Contractor's Payments in Jurisdiction 2 for Full Vials of Herceptin Were Often Incorrect (A-09-12-02003)

11-19-2012

2012 Top Management and Performance Challenges

The New Jersey Department of Human Services Claimed Medicaid Disproportionate Share Hospital Payments to Five Hospitals That Did Not Meet Federal Eligibility Requirements (A-02-09-01017)

11-15-2012

Portfolio: Personal Care Services: Trends, Vulnerabilities, and Recommendations for Improvement

Podcast: Personal Care Services

Spotlight: Medicaid Personal Care Services

Improvements Are Needed at the Administrative Law Judge Level of Medicare Appeals (OEI-02-10-00340)

11-13-2012

Inappropriate Payments to Skilled Nursing Facilities Cost Medicare More Than a Billion Dollars in 2009 (OEI-02-09-00200)

Podcast: Skilled Nursing Facilities

11-09-2012

Vivian Yusuf Added to Most Wanted Fugitives List

Advisory Opinion 12-17
(concerning a proposal for a hospice to establish a volunteer program to provide non-skilled services to terminally ill patients who do not qualify for hospice care.)

11-08-2012

Supplier Billing for Diabetes Test Strips and Inappropriate Supplier Activities in Competitive Bidding Areas (OEI-04-11-00760)

Blue Cross Blue Shield of Tennessee Did Not Claim Some Allowable Restoration Supplemental Executive Retirement Plan Costs for Fiscal Years 2008 and 2009 (A-07-12-00394)

Review of Medicare Outpatient Billing for Selected Drugs at Doctors Medical Center (A-09-12-02041)

Review of Medicare Outpatient Billing for Selected Drugs at Oroville Hospital (A-09-12-02040)

Review of Medicare Part D Prescription Drug Event Data for Schedule II Drugs at Humana Insurance Company (A-09-12-02031)

11-07-2012

Updated Corporate Integrity Agreement List: Four CIAs Closed

LEIE Database Updated with October 2012 Exclusions and Reinstatements

11-05-2012

Podcast: OIG Monthly Update

Advisory Opinion 12-16
(concerning a proposal to waive cost-sharing amounts on a non-routine, unadvertised basis for insured patients, including Federal health care program beneficiaries, based on individualized determinations of financial need.)

Blackstone Medical Inc. Added to Corporate Integrity Agreement List as part of
Orthofix International, N.V.

11-01-2012

Manuel Lopez added to Most Wanted Fugitives List

October 2012 Recovery Act Quality Control Audit Review (under Audit Activities)

October

10-31-2012

Rajindera Sachdeva added to Most Wanted Fugitives List

10-30-2012

Advisory Opinion 12-15
(concerning an existing arrangement under which a hospital pays a per diem fee to physicians for providing on-call coverage for the hospital's emergency department.)

The Medicare Contractor's Payments in Jurisdiction 5 for Full Vials of Herceptin Were Often Incorrect (A-07-12-04187)

Review of Medicare Outpatient Billing for Selected Drugs at Swedish Medical Center - First Hill (A-09-12-02042)

Review of Medicare Outpatient Billing for Selected Drugs at Ronald Reagan UCLA Medical Center (A-09-12-02050)

10-26-2012

Jose Argos added to Most Wanted Fugitives List

Boehringer Ingelheim Pharmaceuticals, Inc. Added to Corporate Integrity Agreement List

September Recovery Act Oversight Monthly Report Posted

Medicare Compliance Review of Intermountain Medical Center for Calendar Years 2009 and 2010 (A-07-12-01108)

Medicare Compliance Review of North Kansas City Hospital for Calendar Years 2009 and 2010 (A-07-12-01115)

Most of the Costs Claimed by Washington University in St. Louis Under American Recovery and Reinvestment Act of 2009 Grant Numbers 2R01HD036904-06A2, 3R01HD036904-07S1, and 5R01HD036904-07 Were Allowable (A-07-12-02778)

10-25-2012

Poul Thorsen added to Most Wanted Fugitives list

Medicare Compliance Review of Wing Memorial Hospital for Calendar Years
2009 and 2010 (A-01-11-00536)

10-24-2012

OIG Outlook 2013 Video Program Now Available

10-23-2012

CAPTURED: Orlando Mena, Akim Mena, and Xiomara Rodriguez | OIG Most Wanted Fugitives

CAPTURED: Ordiel Gonzalez | OIG Most Wanted Fugitives

Medicare Compliance Review of The University of Alabama at Birmingham Hospital for Calendar Years 2009 and 2010 (A-04-11-00080)

Community Health Network, Inc., Had Significant Liabilities On December 31, 2011 (A-04-11-03539)

New Hampshire Did Not Always Correctly Claim Medicaid Payments for School-Based Transportation Services (A-01-11-00008)

Texas Did Not Always Comply With Federal and State Requirements Regarding the Medicare Buy-In Program (A-06-10-00070)

Massachusetts Medicaid Payments to Millbury Health Care Center Did Not Always Comply With Federal and State Requirements (A-01-12-00010)

10-22-2012

Arrested: Doctor Fails to Pay More Than $1 Million in Child Support

New Hampshire Medicaid Fraud Control Unit: 2012 Onsite Review (OEI-02-12-00180)

10-18-2012

OIG Outlook 2013 Preview Updates Added

South Carolina State Medicaid Fraud Control Unit: 2011 Onsite Review (OEI-09-11-00610)

10-16-2012

Analyzing Changes to Medicaid Federal Upper Limit Amounts (OEI-03-11-00650)

Advisory Opinion 12-14
(concerning a rewards program under which consumers would earn gasoline discounts based on the amount they spend on purchases in retail supermarkets, including cost-sharing amounts paid in connection with items covered by Federal health care programs purchased in the in-store pharmacies.)

10-15-2012

Awards Recognize Accomplishments of the Inspector General Community

Updated Corporate Integrity Agreement List: 1 CIA Closed

10-12-2012

Risk Adjustment Data Validation of Payments Made to Excellus Health Plan, Inc., for Calendar Year 2007 (Contract Number H3351) (A-02-09-01014)

Axerion Therapeutics Generally Claimed Allowable Recovery Act Grant Costs (A-01-11-02509)

10-11-2012

OIG Outlook 2013 Update

CMS Has Not Promulgated Regulations To Establish Payment Requirements for Prosthetics and Custom-Fabricated Orthotics (OEI-07-10-00410)

10-10-2012

CMS Response to Breaches and Medical Identity Theft (OEI-02-10-00040)

Updated Civil Monetary Penalties:

10-09-2012

LEIE Database Updated with September 2012 Exclusions and Reinstatements

Criminal Convictions for Nurse Aides With Substantiated Findings of Abuse, Neglect, and Misappropriation (OEI-07-10-00422)

Focus on Compliance: The Next Generation of Corporate Integrity Agreements

10-05-2012

Video: IG Daniel R. Levinson Speaks at Medicare Fraud Strike Force Takedown Press Conference

Advisory Opinion 12-13
(concerning a proposal by a hearing aid supplier to begin billing Medicare for certain audiometric testing, while continuing to offer free hearing tests to prospective hearing aid customers.)

Wyoming Medical Center Added to Corporate Integrity Agreement List

West Virginia Improperly Claimed Some Personal Care Services Under Its Medicaid State Plan (A-03-11-00204)

Case Western Reserve University Claimed Allowable Equipment Costs Under NIH Grants (A-05-12-00074)

Maryland Claimed Medicaid Administrative Costs for Unallowable Remedial and Training Services for the Maryland Poison Center (A-03-12-00204)

The Child Development Council of Acadiana, Inc.'s, Financial Management Practices and Systems Did Not Always Meet Federal Requirements (A-06-11-00031)

University of Wisconsin-Madison Claimed Allowable Costs Under Recovery Act Grants (A-05-11-00102)

Consejo de Salud de Puerto Rico, Inc., Did Not Always Claim Recovery Act Costs in Accordance With Federal Requirements (A-02-11-02011)

Northeast Florida Community Action Agency, Inc., Did Not Always Charge Allowable Costs to the Community Services Block Grant - Recovery Act Program (A-04-11-01004)

10-03-2012

Podcast: Dietary Supplements

Dietary Supplements: Structure/Function Claims Fail To Meet Federal Requirements (OEI-01-11-00210)

Dietary Supplements: Companies May Be Difficult To Locate in an Emergency (OEI-01-11-00211)

10-02-2012

OIG Releases 2013 Work Plan

Upcoming Webcast Will Highlight OIG's 2013 Priorities

Updated Corporate Integrity Agreement List: Eight CIAs Closed

Medicare Compliance Review of Maine Medical Center for Calendar Years 2009 and 2010 (A-01-11-00535)

Risk Adjustment Data Validation of Payments Made to Paramount Care, Inc., for Calendar Year 2007 (Contract Number H3653) (A-05-09-00044)

New Jersey Did Not Always Claim Federal Medicaid Reimbursement for Personal Care Services Made by Bayada Nurses, Inc., in Accordance With Federal and State Requirements (A-02-10-01001)

New Jersey Generally Reported Medicaid Overpayments in Accordance With Federal Regulations (A-02-10-01009)

10-01-2012

Podcast: OIG Monthly Update

September

09-28-2012: Surety Bonds Remain an Unused Tool to Protect Medicare from Home Health Overpayments (OEI-03-12-00070); Excluded Individuals Employed by Providers Enrolled in Medicaid Managed Care Entities (OEI-07-09-00632); Blue Cross Blue Shield of Tennessee Overclaimed Supplemental Executive Retirement Plan Costs for Fiscal Years 2005 Through 2009 (A-07-12-00391); Missouri Claimed Federal Reimbursement for Unallowable Personal Care Services Claims (A-07-11-03171); Soundview Health Care Network Did Not Meet Select Financial Performance Measures and Claimed Unallowable Federal Grant Expenditures (A-02-11-02004); Recovery Act Costs Claimed by Coastal Family Health Center Were Generally Allowable (A-04-11-03540)
09-27-2012: Inappropriate Medicare Part D Payments for Schedule II Drugs Billed as Refills (OEI-02-09-00605); Allowability of Recovery Act Costs Claimed by Beaufort-Jasper-Hampton Comprehensive Health Services, Inc., for the Period March 27, 2009, Through July 20, 2011 (A-04-11-08009); Family Health Centers, Inc., 2009 Recovery Act Grant Costs Were Supported Most of the Time (A-04-11-07027); The Columbus Urban League Claimed Some Unallowable Costs to Head Start (A-05-11-00053)
09-25-2012: Medicare Compliance Review of Centro Cardiovascular de Puerto Rico y del Caribe for the Period January 1, 2008, through June 30, 2010 (A-02-11-01023); Appropriations Funding for National Institute of Allergy and Infectious Diseases Contract HHSN266-2005-00022C With PPD Development, LP (A-03-10-03118); Appropriations Funding for National Institute of Allergy and Infectious Diseases Contract N01-AI-30068 With PPD Development, LP (A-03-10-03116); Review of Medicare Outpatient Billing for Selected Drugs at Essentia Health Duluth (A-09-12-02021)
09-24-2012: Georgia Cancer Specialists I, P.C. Added to Corporate Integrity Agreement List
09-21-2012: August Recovery Act Oversight Monthly Report Posted; Allowability of Recovery Act Costs Claimed by Grace Hill Neighborhood Health Centers, Inc., for the Period March 27, 2009, Through March 26, 2011 (A-07-11-05022); Allowability of Recovery Act Costs Claimed by Primary Health Care, Inc., for the Period June 29, 2009, Through June 28, 2011 (A-07-11-05019)
09-20-2012: Testimony of John Hagg, Director of Medicaid Audits, before the Subcommittee on Government Organization, Efficiency and Financial Management; and Subcommittee on Health Care, District of Columbia, Census and the National Archives of the House Committee on Oversight and Government Reform on Medicaid payment rates for New York State-operated developmental centers.; Parkridge Medical Center Added to Corporate Integrity Agreement List; Kansas State Medicaid Fraud Control Unit: 2012 Onsite Review (OEI-07-12-00200)
09-19-2012: Summer 2013 Law Clerk Opportunity
09-18-2012: Lawndale Christian Health Center Claimed Unallowable Costs Under Recovery Act Grants (A-05-11-00057); Alabama Improperly Claimed Federal Funds for Children's Health Insurance Program Enrollees Who Had Medicaid or Other Health Insurance Coverage (A-04-11-08008); South Carolina Claimed Some Unallowable Room-and-Board Costs Under the Intellectual and Related Disabilities Waiver (A-04-11-04012); Review of New Mexico Medicaid Personal Care Services Provided by Coordinated Home Health (A-06-09-00064)
09-14-2012: Economic Opportunities Development Corporation of Atascosa, Karnes, and Wilson Counties' Financial Management Practices and Systems Did Not Always Meet Federal Requirements (A-06-11-00034)
09-13-2012: LEIE Database Updated with July 2012 Exclusions and Reinstatements; Advisory Opinion 12-12
(concerning a proposed bundle billing arrangement for basic life support advanced life support joint responses.); CMS Reporting to the Healthcare Integrity and Protection Data Bank (OEI-07-09-00292); Medicare Overpaid Inpatient Rehabilitation Facilities Millions of Dollars for Claims With Late Patient Assessment Instruments for Calendar Years 2009 and 2010 (A-01-11-00534)
09-11-2012: July Recovery Act Oversight Monthly Report Posted; Advisory Opinion 12-11
(concerning an ambulance supplier's proposal to routinely waive cost-sharing amounts for emergency medical services rendered on a part-time basis.)
09-10-2012: Updated Corporate Integrity Agreement List: Two CIAs Added; States Collection of Medicaid Rebates for Drugs Paid Through Medicaid Managed Care Organizations (OEI-03-11-00480); Iowa Lacked Some Documentation for Its Childcare Assistance Program Claims (A-07-11-03164); Allowability of Recovery Act Costs Claimed by Grace Hill Neighborhood Health Centers, Inc., for the Period June 29, 2009, Through June 28, 2011 (A-07-11-05021); Rutgers, The State University of New Jersey's Costs Claimed Under the Recovery Act for National Institutes of Health Grant Number 1RC1CA147187-01 Were Allowable (A-02-11-02010); Review of Select Expenditures Claimed by The Research Foundation of the State University of New York, State University of New York at Stony brook (A-02-11-02008); Bio Signal Group Corp., Did Not Always Claim Recovery Act Costs in Accordance With Federal Requirements (A-02-11-02009); Massachusetts Medicaid Payments to Newton Health Care Center Did Not Always Comply With Federal and State Requirements (A-01-12-00013)
09-06-2012: Deadbeat Arrested: Kiam A. Holley, a.k.a. Capone
09-05-2012: Updated Corporate Integrity Agreement List: Three CIAs Closed
09-04-2012: Podcast: OIG Monthly Update

August

08-30-2012

Advisory Opinion 12-10
(concerning a proposal by a radiology group to offer free insurance pre-authorization services to physicians and patients.)

Citizens for Citizens, Inc., Generally Charged Allowable Costs to the Community Services Block Grant Program and the Community Services Block Grant - Recovery Act Program (A-01-12-02501)

Office of Human Concern, Inc., Claimed Allowable Costs Under a Recovery Act Grant (A-06-12-00028)

Crowley's Ridge Development Council, Inc., Claimed Unallowable Costs Under a Recovery Act Grant (A-06-11-00058)

08-29-2012

Safeguarding Medical Identity - Online Provider Training

08-28-2012

Updated Civil Monetary Penalties:

Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Wisconsin Physicians Service Insurance Corporation But Transitioned to Palmetto Government Benefits Administrator in Jurisdiction 1 for the Period January 1, 2006, Through June 30, 2009 (A-07-11-04182)

Blue Cross Blue Shield of Tennessee Overstated the Medicare Segment Pension Assets and Medicare's Share of the Excess Pension Liabilities Due to the Segment Closing (A-07-12-00389)

Blue Cross Blue Shield of Tennessee Did Not Claim Some Allowable Pension Costs for Fiscal Years 2003 Through 2009 (A-07-12-00390)

Medicare Contractors' Payments in Jurisdiction 14 for Full Vials of Herceptin Were Often Incorrect (A-01-11-00539)

08-24-2012

Wyoming Incorrectly Claimed Enhanced Reimbursement for Medicaid Family Planning Sterilization Costs (A-07-11-01100)

The Medicare Contractor's Payments to Maryland Providers in Jurisdiction 12 for Full Vials of Herceptin Were Sometimes Incorrect (A-03-12-00014)

Massachusetts Medicaid Payments to Calvin Coolidge Nursing and Rehabilitation Center for Northampton Did Not Always Comply With Federal and State Requirements (A-01-12-00012)

Cenla Community Action Committee's Financial Management Practices and Systems Did Not Always Meet Federal Requirements (A-06-11-00032)

Rhode Island Hospice General Inpatient Claims and Payments Did Not Always Meet Federal and State Requirements (A-01-12-00002)

08-22-2012

North Shore Community Health, Inc., Claimed Unallowable Costs Against Recovery Act Grants (A-01-11-01502)

New York Claimed Some Unallowable Costs for Services by New York City Providers Under the State's Developmental Disabilities Waiver Program (A-02-10-01027)

Medicare Contractors' Payments to Providers in Jurisdiction 11 for Full Vials of Herceptin Were Often Incorrect (A-03-11-00013)

Texas Did Not Report Excess Contractor Profits in Accordance With Federal Regulations (A-06-10-00062)

Review of Medicare Outpatient Billing for Selected Drugs at Methodist Healthcare - Memphis Hospitals (A-09-12-02022)

Review of Medicare Outpatient Billing for Selected Drugs at Self Regional Healthcare (A-09-12-02032)

Medicare Part D Made Some Incorrect Payments to Community Insurance Inc. for Institutional Beneficiaries in 2008 (A-05-11-00042)

08-21-2012

Questionable Billing by Community Mental Health Centers (OEI-04-11-00100)

Podcast: Questionable Billing by Community Mental Health Centers

2013 Spring Semester Legal Extern Program Announcement

08-17-2012

Ashtabula County Medical Center Incorrectly Billed Medicare for Leuprolide Acetate Implants (A-03-12-00010)

Recovery Act Costs Claimed by Health Services, Inc., Were Generally Allowable (A-04-11-03541)

William Smith, Sr., Tri-County Child Development Council, Inc.'s, Financial Management Practices and Systems Did Not Always Meet Federal Requirements (A-06-11-00036)

08-13-2012

Francisco Chavez Added to Most Wanted Fugitives

Comparison of Fourth-Quarter 2011 Average Sales Prices and Average Manufacturer Prices: Impact on Medicare Reimbursement for Second Quarter 2012 (OEI-03-12-00410)

08-08-2012

June Recovery Act Oversight Monthly Report Posted

08-06-2012

Medicare Contractors' Payments to Providers in Four States in Jurisdiction 12 for Full Vials of Herceptin Were Often Incorrect (A-03-11-00014)

Hawaii Claimed Unallowable Community Services Block Grant Costs for Hawaii County Economic Opportunity Council's Expenditures Under the Recovery Act (A-09-11-01014)

New York State Claimed Allowable Community Services Block Grant Recovery Act Costs for Newburgh Community Action Committee, Inc. (A-02-11-02012)

The Medicare Contractor's Payments in Jurisdictions 6 for Full Vials of Herceptin Were Often Incorrect (A-05-12-00010)

Syntrix Biosystems, Inc.'s Costs Claimed Under the Recovery Act for National Institutes of Health Grant 3R44CA094612-05S2 Were Unallowable (A-09-11-01011)

Nevada Improperly Claimed Federal Reimbursement for Medicare Part B Premiums Paid on Behalf of Medicaid Beneficiaries (A-09-11-02024)

Massachusetts Medicaid Payments to Redstone Rehabilitation and Nursing Center Did Not Always Comply With Federal and State Requirements (A-01-12-00007)

Massachusetts Medicaid Payments to Cedar Hill Health Care Center Did Not Always Comply With Federal and State Requirements (A-01-12-00008)

08-02-2012

Gevork Aidinian Added to Most Wanted Fugitives List

Updated Corporate Integrity Agreement List: Eight CIAs Closed

Inappropriate and Questionable Billing by Medicare Home Health Agencies (OEI-04-11-00240)

08-01-2012

Podcast: OIG Monthly Update

LEIE Database Updated with July 2012 Exclusions and Reinstatements

July

07-31-2012

Not All of Colorado's Claimed State Children's Health Insurance Program Expenditures Were Allowable (A-07-12-02780)

07-30-2012

Advisory Opinion 12-09
(concerning reduced-rate arrangements for the provision of therapy services at state-operated veterans' homes.)

Pennsylvania Claimed Medicaid Administrative Costs for Provider Training Under Its Restraint Reduction Initiative. (A-03-11-00209)

Medicare Compliance Review of Boston Medical Center for Calendar Years 2009 and 2010 (A-01-11-00530)

Lake County Family YMCA Claimed Unallowable Early Head Start Costs (A-05-11-00055)

07-26-2012

U.S. Department of Health and Human Services Did Not Fully Comply With Executive Order 13520 When Reporting Fiscal Year 2010 High-Dollar Improper Payments (A-02-11-01007)

Maine Did Not Always Make Correct Medicaid Claim Adjustments (A-01-12-00001)

Superfund Financial Activities at the National Institute of Environmental Health Sciences-Fiscal Year 2011 (A-04-12-01013)

07-25-2012

CAPTURED: Enrique Gonzalez | OIG Most Wanted Fugitive

07-24-2012

Florida State University Did Not Always Claim Selected Costs Charged Directly to Department of Health and Human Services Awards in Accordance With Federal Regulations and National Institutes of Health Guidelines (A-04-11-01095)

Colorado Did Not Always Identify or Prevent Excluded Providers From Participating in the Medicaid Program (A-07-11-06026)

Central Arkansas Development Council Claimed Allowable Costs Under a Recovery Act Grant (A-06-12-00013)

Review of Medicare Outpatient Billing for Selected Drugs at Touchette Regional Hospital (A-09-12-02033)

Review of Medicare Outpatient Billing for Selected Drugs at Memorial Health System (A-09-12-02023)

07-20-2012

Spotlight On... Adverse Events in Hospitals

Podcast: Adverse Events in Hospitals (English and español)

Few Adverse Events in Hospitals Were Reported to State Adverse Event Reporting Systems (OEI-06-09-00092)

Missouri State Medicaid Fraud Control Unit: 2011 Onsite Review (OEI-07-11-00750)

Pinnacle Medical Solutions, LLC Added to Corporate Integrity Agreements List

07-19-2012

Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Wisconsin Physicians Service Insurance Corporation in Jurisdiction 5 for the Period January 1, 2006, Through June 30, 2009 (A-07-11-04174)

Medicare Compliance Review of the Singing River Hospital for Calendar Years 2008 Through 2010 (A-04-11-03069)

Review of Medicare Part D Prescription Drug Event Data for Schedule II Drugs at United HealthCare Medicare & Retirement (A-09-11-02023)

Medicare Compliance Review of Christiana Care Health System for Calendar Years 2008 Through 2010 (A-03-11-06101)

The Centers for Medicare & Medicaid Services Did Not Reconcile Medicare Outlier Payments in Accordance With Federal Regulations and Guidance (A-07-10-02764)

07-18-2012

Updated Corporate Integrity Agreement List: Two CIAs Added

States Inappropriately Retained Federal Funds for Medicaid Collections for the First Recovery Act Quarter (A-06-11-00064)

07-17-2012

Review of Medicare Outpatient Billing for Selected Drugs at Augusta Health Care, Inc. (A-09-12-02034)

Review of Medicare Outpatient Billing for Selected Drugs at Johnston Memorial Hospital (A-09-12-02024)

The Medicare Contractor's Payments in Jurisdictions 6, 8, and 15 to Providers for Full Vials of Herceptin Were Often Incorrect (A-05-10-00091)

Georgetown University Costs Claimed Under the Recovery Act for National Institutes of Health Grant Number 1RC2NS069450 Were Allowable (A-03-11-03302)

Delaware Did Not Comply With Federal Requirements To Report All Medicaid Overpayment Collections (A-03-11-00203)

07-16-2012

New: Consumer Alert Page - Spanish Version Now Available for Diabetes Fraud Alert

07-13-2012

LEIE Database Updated with June 2012 Exclusions and Reinstatements

07-11-2012

Retirement Accumulation Program Costs Claimed by Blue Cross Blue Shield of Tennessee for Fiscal Years 2008 and 2009 Were Reasonable and Allowable (A-07-12-00393)

401(k) Costs Claimed by Blue Cross Blue Shield of Tennessee for Fiscal Years 2005 Through 2009 Were Reasonable and Allowable (A-07-12-00392)

Medicare Compliance Review of West Florida Hospital for Calendar Years 2009 and 2010 (A-04-11-08010)

Medicare Compliance Review of Palmetto General Hospital for Calendar Years 2009 and 2010 (A-04-11-07025)

Audit of Palmetto GBA's Railroad Retirement Board Final Administrative Cost Proposals for Fiscal Years 2007 and 2008 (A-04-11-04018)

Massachusetts Medicaid Payments to Alliance Health of Massachusetts, Inc., Did Not Always Comply With Federal and State Requirements (A-01-12-00003)

Massachusetts Medicaid Payments to Diocesan Health Facilities Did Not Always Comply With Federal and State Requirements (A-01-12-00004)

Indiana Reduced Medicaid Costs for Home Blood-Glucose Test Strips by Approximately 50 Percent Using Manufacturer Rebates (A-05-12-00011)

Virginia Commonwealth University Medical Center Incorrectly Billed Medicare for the Biological Drug Myozyme (A-03-12-00009)

07-10-2012

Former Football Star Ordered to Pay $322,000 in Child Support

Conflicts and Financial Relationships Among Potential Zone Program Integrity Contractors (OEI-03-10-00300)

07-09-2012

Nursing Facility Assessments and Care Plans for Residents Receiving Atypical Antipsychotic Drugs (OEI-07-08-00151)

07-06-2012

Ehsan Rana Added to Most Wanted Fugitives List

Updated Corporate Integrity Agreement List: One CIA Added

07-03-2012

ARRESTED: Jockey Owes Tens of Thousands in Child Support

Medicare Could Be Paying Twice for Prescription Drugs for Beneficiaries in Hospice (A-06-10-00059)

Updated Corporate Integrity Agreement List: Two CIAs Closed

07-02-2012

Historic $3 Billion Settlement Reached With GlaxoSmithKline

Podcast: OIG Monthly Update

Updated Corporate Integrity Agreement List: Five CIAs Added, One Modified

June

06-29-2012

CAPTURED: Godwin Chiedo Nzeocha | OIG Most Wanted Fugitives

May Recovery Act Oversight Monthly Report Posted

Updated Corporate Integrity Agreement List - One CIA Closed

Advisory Opinion 12-08
(concerning a proposal for an independent diagnostic testing facility to hire a doctor to read and interpret test results when that doctor is closely related to the owners of the independent diagnostic testing facility and is employed by a company that also employs other potential referral sources.)

ACF Strengthened its Oversight of Head Start Eligibility in Fiscal Year 2011 (OEI-05-11-00140)

Medicare Compliance Review of Tampa General Hospital for Calendar Years 2008 Through 2010 (A-04-11-06138)

AdminaStar Federal, Inc., Claimed Some Unallowable Supplemental Executive Retirement Plan Costs for Medicare Reimbursement for Fiscal Years 2004 Through 2006 (A-07-12-00387)

Hawaii Claimed Unallowable Community Services Block Grant Costs for Administrative Expenditures Under the Recovery Act (A-09-12-01000)

06-27-2012

Podcast: Quality of Care Oversight in Medicaid Waiver Programs

06-25-2012

New York State Medicaid Fraud Control Unit: 2011 Onsite Review (OEI-02-11-00440)

Pennsylvania Did Not Refund the Full Federal Share of Recouped Excess Capitation Payments From the Medicaid Behavioral HealthChoices Program (A-03-10-00204)

Montana Did Not Properly Pay Medicare Part B Deductibles and Coinsurance for Outpatient Services (A-07-11-03172)

06-22-2012

Updated Corporate Integrity Agreement List - Two CIAs Closed

Performance Data for the Senior Medicare Patrol Projects: June 2012 Performance Report (OEI-02-12-00190)

Oversight of Quality of Care in Medicaid Home and Community Based Services Waiver Programs (OEI-02-08-00170)

Use of Electronic Health Record Systems in 2011 Among Medicare Physicians Providing Evaluation and Management Services (OEI-04-10-00184)

06-21-2012

CAPTURED: Irina Shelikhova | OIG Most Wanted Fugitives

Bay Area Sleep Associates, LLC (d/b/a SomnoMedics) Added to Corporate Integrity Agreements List

North Carolina Incorrectly Claimed Enhanced Federal Reimbursement for Some Medicaid Waiver Services That Were Not Family Planning (A-04-10-01091)

West Virginia Complied With Certain Federal Requirements for Most of the Personal Care Services Claimed for Its Aged and Disabled Waiver Program (A-03-11-00205)

06-20-2012

Solicitation of Information and Recommendations for Revising OIG's Provider Self-Disclosure Protocol

Advisory Opinion 12-07
(Concerning an exclusive arrangement between a county and an emergency medical services company whereby the company provides emergency ambulance services to county residents.)

06-19-2012

Steven Spillers, M.D. Added to Corporate Integrity Agreements List

North Carolina Incorrectly Claimed Enhanced Federal Reimbursement for Some Medicaid Services That Were Not Family Planning (A-04-10-01089)

Review of New Mexico Medicaid Personal Care Services Provided by Clovis Homecare, Inc. (A-06-09-00117)

The University of Utah Claimed Allowable Costs Under American Recovery and Reinvestment Act of 2009 Grant Numbers 1RC2LM010798-01 and 5RC2LM010798-02 (A-07-11-06025)

Pos-T-Vac Medical Did Not Meet Medicare Documentation Requirements for Over Half of Sampled Claims for Male Vacuum Erection Systems (A-07-11-05016)

First A.M.E. Child Development Center's Head Start Program Governance Was Not Fully in Accordance With Federal Requirements (A-09-11-01003)

Review of Louisiana Medicaid Personal Care Services Provided by American Pride Caregivers, LLC (A-06-09-00107)

06-18-2012

Updated Civil Monetary Penalties:

Medicare Compliance Review of New York Downtown Hospital for the Period July 1, 2008, Through December 31, 2010 (A-02-11-01022)

Medicare Compliance Review of the University of Colorado Hospital for Calendar Years 2008 and 2009 (A-07-11-05009)

06-15-2012

Medicare Contractors Lacked Controls To Prevent Millions in Improper Payments for High Utilization Claims for Home Blood-Glucose Test Strips and Lancets (A-09-11-02027)

Updated Corporate Integrity Agreement List - One CIA Closed

06-14-2012

Testimony of Ann Maxwell, Regional Inspector General for Evaluation and Inspections, before the U.S. Senate Committee on Homeland Security and Governmental Affairs Subcommittee on Federal Financial Management, Government Information, Federal Services, and International Security on Saving Taxpayer Dollars by Curbing Waste and Fraud in Medicaid

CAPTURED: Miguel Cabello | OIG Most Wanted Fugitives

06-13-2012

Coverage and Payment for Genetic Laboratory Tests (OEI-07-11-00011)

06-12-2012

Allowability of Recovery Act Costs Claimed by Primary Health Care, Inc., for the Period March 27, 2009, Through March 26, 2011 (A-07-11-05020)

Allowability of Recovery Act Costs Claimed by Primary Health Care, Inc., for the Period December 9, 2009, Through August 15, 2011 (A-07-11-05018)

06-11-2012

Bethany Lutheran Home, Inc. Added to Corporate Integrity Agreements List

06-08-2012

Testimony of Robert A. Vito, Regional Inspector General for Evaluation and Inspections, before the Subcommittee on Oversight and Investigations of the House Committee on Energy and Commerce on Medicare Contractors' Efforts to Fight Fraud - Moving Beyond "Pay and Chase."

April Recovery Act Oversight Monthly Report Posted

Part D Plans Generally Include Drugs Commonly Used by Dual Eligibles: 2012 (OEI-05-12-00060)

Medicare Continues To Pay Twice for Nonphysician Outpatient Services Provided Shortly Before or During and Inpatient Stay (A-01-10-00508)

WellPoint, Inc. Did Not Always Calculate Enrollees' True-Out-Of-Pocket Costs in Accordance With Federal Requirements (A-05-11-00018)

06-07-2012

Testimony of Ann Maxwell, Regional Inspector General for Evaluation and Inspections, before the Subcommittee on Government Organization, Efficiency and Financial Management of the House Committee on Oversight and Government Reform on assessing Medicare and Medicaid program integrity

LEIE Database Updated with May 2012 Exclusions and Reinstatements

06-06-2012

Podcast: Vulnerabilities in Vaccine Management

Vaccines for Children Program: Vulnerabilities in Vaccine Management (OEI-04-10-00430)

06-05-2012

Scientific Disagreements Regarding Medical Device Regulatory Decisions (OEI-01-10-00470)

Risk Adjustment Data Validation of Payments Made to PacifiCare of Texas for Calendar Year 2007 (Contract Number H4590) (A-06-09-00012)

06-04-2012

Updated Corporate Integrity Agreement List - Multiple CIAs closed

06-01-2012

Revision of Performance Standards for State Medicaid Fraud Control Units

Advisory Opinion 12-06
(concerning two proposals by an anesthesia services provider to enter into contracts with physician-owned professional corporations or limited liability companies to provide anesthesia services.)

May

05-31-2012: NEW: May 2012 OIG Update Podcast; Two Amendments Added to Corporate Integrity Agreements; Review of Medicaid Claims for Adult Mental Health Rehabilitation Services Made by Community Residence Providers in New Jersey (A-02-09-01028)
05-30-2012: Review of Virginia's Buy-In of Medicare Part B Premiums for Medicaid Beneficiaries from January 2008 Through December 2009 (A-03-10-00201); Medicare Overpaid Some Fiscal Year 2008 and 2009 Jurisdiction 13 Inpatient Rehabilitation Facility Claims That Did Not Comply With Transfer Regulations (A-04-11-00079); Hawaii Claimed Unallowable Medicaid Reimbursement for Nonemergency Medical Transportation Services Furnished by Taxi Providers (A-09-11-02047)
05-29-2012: Spring 2012 Semiannual Report to Congress
05-25-2012: Fletcher Allen Health Care Did Not Always Bill Correctly for Evaluation and Management Services Related to Eye Injection Procedures (A-01-11-00515); Results of Limited Scope Review at Childcare Learning Centers, Inc. (A-01-11-02506); Long Island Child and Family Development Services, Inc.'s Financial Management System Did Not Accurately Disclose Head Start Program Results (A-02-11-02007)
05-24-2012: Obstacles to Collection of Millions in Medicare Overpayments (A-04-10-03059); Most of Missouri's Medicaid Expenditures for the Quarter Ended March 31, 2009, Were Adequately Supported and Allowable (A-07-12-03174); Review of New Mexico Medicaid Personal Care Services Provided by Heritage Home Healthcare (A-06-09-00063)
05-23-2012: Updated Civil Monetary Penalties: False and Fraudulent Claims; Three Rivers Hospice, Inc. Added to Corporate Integrity Agreements List
05-22-2012: Watch, Listen to or Read Inspector General Daniel R. Levinson's 2012 HCCA Keynote Address; Medicare Compliance Review of South Miami Hospital for Calendar Years 2009 and 2010 (A-04-11-07023); Medicare Compliance Review of Regional Medical Center at Memphis for Calendar Years 2009 and 2010 (A-04-11-00082); Medicare Compliance Review of Piedmont Hospital for Calendar Years 2009 and 2010 (A-04-11-00081); Review of Power Mobility Devices Supplied by Marquis Mobility, Inc. (A-05-10-00042)
05-18-2012: Medicaid Rates for New York State-Operated Developmental Centers May Be Excessive (A-02-11-01029)
05-15-2012: Southern California Renal Disease Council, Inc., Claimed Unallowable and Unsupported Costs Under Medicare Contract Number HHSM-500-2006-018C (A-09-11-02044); The New York Hotel Trades Council and Hotel Association of New York City, Inc., Health Benefits Fund Reported Unallowable Costs on its Final 2009 Medicare Cost Report (A-02-11-01018)
05-14-2012: Medicare Compliance Review of Barnes Jewish Hospital for Calendar Years 2009 and 2010 (A-07-11-05014); Medicare Compliance Review of Indiana University Health for the Period October 2008 Through September 2010 (A-05-11-00069)
05-10-2012: Retail Pharmacies With Questionable Part D Billing (OEI-02-09-00600)
05-09-2012: LEIE Database Updated with April 2012 Exclusions and Reinstatements; Coding Trends of Medicare Evaluation and Management Services (OEI-04-10-00180); Musculoskeletal Global Surgery Fees Often Did Not Reflect the Number of Evaluation and Management Services Provided (A-05-09-00053); Cardiovascular Global Surgery Fees Often Did Not Reflect the Number of Evaluation and Management Services Provided (A-05-09-00054); Review of Medicare Payments Exceeding Charges for Outpatient Services Processed by Wisconsin Physicians Service Insurance Corporation but Transitioned to Highmark Medicare Services in Jurisdiction 12 for the Period January 1, 2006, Through June 30, 2009 (A-07-11-04184); Michigan Did Not Perform Eligibility Redeterminations at Least Every 12 Months for Wayne County Medicaid Beneficiaries (A-05-11-00045)
05-08-2012: Abbott Laboratories Added to Corporate Integrity Agreements List
05-07-2012: OIG Posts 4 Recently Captured Fugitives; February and March Recovery Act Oversight Monthly Reports Posted
05-04-2012: One Corporate Integrity Agreement Closed
05-03-2012: Review of Outpatient Brachytherapy Medicare Payments to Lakewood Ranch Medical Center (A-04-10-06131)
05-02-2012: OIG Monthly Update Podcasts: April 2012; BHC Sierra Vista Hospital, Inc. Added to Corporate Integrity Agreements List
05-01-2012: Earn Continuing Medical Education; Northwestern University Claimed Allowable Costs Under a Recovery Act Grant Audit (A-05-11-00106); Recovery Act Costs Claimed by Aunt Martha's Youth Service Center, Inc. Were Generally Allowable (A-05-11-00063); Review of Medicare Outpatient Billing for Selected Drugs at Community Hospital of San Bernardino (A-09-11-02069); Advisory Opinion 12-05
(concerning a rewards program under which consumers would earn gasoline discounts based on the amount spent on purchases in retail stores and pharmacies, including cost-sharing amounts paid in connection with items covered by Federal health care programs.)

April

04-30-2012

Advisory Opinion 12-04
(concerning certain aspects of an exclusive contract for emergency transport services between a municipality and an ambulance company that reimburses the municipality for dispatch services and for certain costs incurred when municipal firefighters drive transports.)

04-27-2012

Medicare Overpaid Some Fiscal Year 2008 and 2009 Jurisdiction 4 Inpatient Rehabilitation Facility Claims That Did Not Comply With Transfer Regulations Audit (A-04-11-00078)

Utah Did Not Always Correctly Claim Medicaid Costs for Selected High-Dollar Outpatient Claims Audit (A-07-11-04177)

Missouri Did Not Always Correctly Claim Medicaid Costs for Selected High-Dollar Outpatient Claims Audit (A-07-11-04180)

Review of Medicaid Payments for Services Under New Jersey's Section 1915(c) Community Care Waiver Program From January 1, 2005, Through December 31, 2007 Audit (A-02-10-01029)

Southern California Renal Disease Council, Inc., Claimed Unallowable and Unsupported Costs Under Medicare Contract Number 500-02-NW18CH Audit (A-09-11-02005)

Review of Selected Medicaid Home Health Services Claims Made by Jewish Home and Hospital Lifecare Community Services - Manhattan LTHHCP Audit (A-02-10-01002)

04-26-2012

Advisory Opinion 12-03
(concerning a proposal by a municipal fire department to share certain costs related to dispatch and other services with hospital-based ambulance providers that participate in the local 911 emergency dispatch system.)

Updated Civil Monetary Penalties:

04-24-2012

Testimony of Daniel R. Levinson, Inspector General, before the U.S. Senate Committee on Finance - "Anatomy of a Fraud Bust: From Investigation to Conviction"

Status of 244 Provider Audits Identified Using Review Medicaid Integrity Contractor Analysis (OEI-05-10-00201)

04-23-2012

Medicare Payments for Drugs Used To Treat Wet Age Related Macular Degeneration (OEI-03-10-00360)

Review of the Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program in the U.S. Virgin Islands for the Quarter Ended September 30, 2009 (A-02-11-01004)

St. Luke's Episcopal Church Home Care Program-Juana Diaz Properly Claimed Medicare Reimbursement for Home Health Services (A-02-11-01009)

University of Central Florida Claimed Allowable Costs Under a Recovery Act Grant (A-04-11-01006)

Illinois Did Not Report All Medicaid Overpayments In Accordance With Federal Requirements Audit (A-05-11-00044)

Postretirement Benefit Costs Claimed by Wisconsin Physicians Service Insurance Corporation for Fiscal Years 1999 Through 2001 Were Reasonable and Allowable (A-07-12-00388)

Most of Mutual of Omaha's Medicare Administrative Costs Reported for Fiscal Years 2007 and 2008 Were Allowable (A-07-11-03166)

04-20-2012

Centers for Disease Control and Prevention Did Not Meet Program Expansion Supplement Requirements for Awarding One Affordable Care Act Grant (A-04-11-01003)

Review of Medicare Outpatient Billing for Selected Drugs at O'Connor Hospital (A-09-12-02010)

Review of Medicare Outpatient Billing for Selected Drugs at University of Utah Hospitals and Clinics (A-09-12-02008)

Donor Network of Arizona Did Not Fully Comply With Medicare Requirements for Reporting Organ Statistics and Related Costs in Its Fiscal Year 2009 Medicare Cost Report (A-09-11-02035)

Medicare Compliance Review of Georgetown University Hospital for Calendar Years 2009 and 2010 (A-03-11-00010)

Claim Modifier Did Not Prevent Medicare From Paying Millions in Unallowable Claims for Selected Durable Medical Equipment (A-04-10-04004)

Arizona Improperly Claimed Federal Reimbursement for Medicare Part B Premiums Paid on Behalf of Medicaid Beneficiaries (A-09-11-02009)

04-18-2012

The Medicare-Medicaid (Medi-Medi) Data Match Program (OEI-09-08-00370)

Review of Colorado Direct Medical Service and Specialized Transportation Costs for the Medicaid School Health Services Program for State Fiscal Year 2008 (A-07-11-04185)

04-16-2012

Gaps Continue To Exist in Nursing Home Emergency Preparedness and Response During Disasters: 2007-2010 (OEI-06-09-00270)

Medicare Compliance Review of Bay Medical Center for Calendar Years 2009 and 2010 (A-04-11-08006)

Medicare Compliance Review of Kent County Hospital for Calendar Years 2009 and 2010 (A-01-11-00537)

Review of the Pension Costs Claimed by Group Health Incorporated for Plan Years 1999 Through 2006 (A-07-12-00380)

Review of Medicare Part B Pension Costs Claimed by Group Health Incorporated for Plan Years 1987 Through 2008 (A-07-12-00379)

Audit of Group Health Incorporated's Cash Balance Pension Plan Unfunded Pension Costs for Plan Years 2003 Through 2007 (A-07-12-00376)

Review of the Pension Segmentation Requirements for the Cash Balance Pension Plan at Group Health Incorporated for the Period of September 1, 2003, to January 1, 2009 (A-07-12-00374)

Review of the Pension Segmentation Requirements for the EmblemHealth Services Company, LLC, Employees' Retirement Plan at Group Health Incorporated for the Period of January 1, 2008, to January 1, 2009 (A-07-12-00378)

04-12-2012

LEIE Database Updated with March 2012 Exclusions and Reinstatements

04-11-2012

Calloway Laboratories, Inc. Added to Corporate Integrity Agreements List

Notice of Modification to Modified Advisory Opinion 08-17
(concerning Advisory Opinion No. 08-17, which was issued on 10-21-2008, as previously modified, regarding a nonprofit, tax-exempt, charitable organization's proposed arrangement to provide counseling from a law firm regarding financially needy patients' eligibility for federal and state funded benefits programs and, for patients who appear to be eligible, assistance from the law firm in applying for benefits.)

04-10-2012