OIG

OIG Releases 2014 Top Management and Performance Challenges

by Ryan Mcaskill

OIG released its annual analysis of the top current and future challenges facing the Department of Health and Human Services. Every year, the Office of Inspector General (OIG) prepares a summary of the...

Palmetto Received $14K in Unallowable Medicare SERP III Costs

by Ryan Mcaskill

Palmetto Government Benefits Administrator unintentionally misfiled SERP III costs during the fiscal years 2010 and 2011. Recently, the Department of Health and Human Services (HHS) Office of Inspector...

Human Error Causes $319K in Medicare Overpayment to Hospital

by Ryan Mcaskill

Medicare noncompliance caused Queen’s Medical Center to receive $319,000 in overpayments during a three year audit period. Recently, the Department of Health and Human Services (HHS) Office of...

Medicare Part D Payments Made to Deceased Beneficiaries

by Ryan Mcaskill

An OIG report found that Medicare Part D paid HIV drugs for over 150 deceased beneficiaries in 2012. The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released a...

OIG Releases 2015 Work Plan for CMS Investigative Initiatives

by Ryan Mcaskill

The fiscal year of 2015 will include audits, evaluations and other legal investigative members of HHS agencies. The U.S. Department of Health and Human Services (HHS) Office of Inspector General has...

Hospice Improperly Claimed $447K in Medicare Reimbursement

by Ryan Mcaskill

The office of inspector general (OIG) of the Department of Health and Human Services released the results of a study of Medicare reimbursement claims by The Community Hospice, Inc. The organization...

Colo. Agency Claims $4.1M Unallowable Medicaid Payments

by Elizabeth Snell

A Colorado state agency claimed just over $4 million in unallowable Medicaid nursing facility supplemental payments for state fiscal years (FY) 2010 and 2011, according to a recent Office of the...

OIG: Mass. Agency Used Incorrect Medicaid Claim Adjustments

by Elizabeth Snell

The Massachusetts Executive Office of Health and Human Services, Office of Medicaid overpaid approximately $106 million from October 2008 through December 2010, according to the Office of the...

OIG: States need stronger standards in Medicaid managed care

by Elizabeth Snell

With the Affordable Care Act (ACA), states have the option to expand Medicaid eligibility. However, even those that have not expanded eligibility have still seen increases in enrollment. But a report...

Safeguards possibly ineffective on some copayment coupons

by Elizabeth Snell

Pharmaceutical manufacturers’ current safeguards may not prevent all copayment coupons from being used for drugs paid for by Part D, according to a recent Office of Inspector General (OIG)...

Ala. organization overdrew $15M in federal Medicaid funds

by Elizabeth Snell

From 2010 to 2012, the Alabama Medicaid Agency withdrew $14.8 million that exceeded net Medicaid expenditures, according to a recent Office of Inspector General (OIG) report. Specifically, the state...

Are Part B Rx drug rates higher than other gov’t programs?

by Elizabeth Snell

Medicare Part B lost millions of dollars in 2011 because certain fees were not aligned with the rates that Part D and state Medicaid programs paid, according to a recent Office of Inspector General...

CMS falls behind on regulating rural health clinics

by Elizabeth Snell

The Centers for Medicare & Medicaid Services (CMS) has not issued final regulations to a portion of Rural Health Clinics (RHCs) that would enable those facilities to be considered an essential...

Texas Workforce Commission claims $15 million in CCDF funds

by Elizabeth Snell

The Texas Workforce Commission did not comply with federal requirements for the use of approximately $15 million in the Child Care and Development Fund (CCDF) targeted funds for fiscal year 2010,...

OIG: La. overpaid $1.8 million in meaningful use incentives

by Elizabeth Snell

The Louisiana Department of Health & Hospitals was one of the first state organizations to pay EHR incentive payments. In fact, Louisiana made approximately $93 million in Medicaid EHR Incentive...