OIG Reports Not Having Enough Agents To Take On All Fraud Cases
Key Points: The HHS Inspector General’s April 2023 testimony before Congress reported that although the OIG is addressing cases of…
OIG Advisory Opinion Regarding Prepaid Gift Cards to Patients – No. 23-03
The OIG Advisory Opinion 23-03 regarded a “proposal to provide a prepaid card, such as a Visa or Mastercard gift…
OIG Reported Significant Improper Denials Of Prior Authorization Requests
Join us for an upcoming Webinar! You can register here for a free CEU credited webinar, “Building Blocks for Effective…
Engaging Excluded Individual For Work Not Paid By Federal Healthcare Programs Would Not Be Grounds For Sanctioning
The Department of Health and Human Services Office of Inspector General (OIG) issued a new Advisory Opinion 22-11 in response…
What Compliance Officers Should Do When DOJ or OIG Enforcement Is Imminent
What Organizations Should ExpectWhat Steps to Take Before Settlement When organizations become aware they are the subject of an impending…
OIG Finds That Many Medicare Beneficiaries With Opioid Use Disorder Did Not Receive Treatment
Opioid-related overdose deaths in the United States reached an all-time high in 2020. The COVID-19 pandemic has had a negative…
OIG Reports That $4 Billion Dollars Could Be Saved Based Upon Its Findings and Recommendations
The Department of Health and Human Services Office of the Inspector General (OIG) issued the Fall 2021 Semiannual Report to Congress…
Opportunities for Oversight of Telehealth for Behavioral Health Services
States are not analyzing how telehealth affects behavioral health services nor monitoring for fraud, waste, and abuse. The results of…
CMS Has Insufficient Authority to Ensure Hospitals Are Prepared for Emerging Infectious Diseases
The Department of Health and Human Services Office of the Inspector General (OIG) conducted an audit to determine whether the Centers…
CMS Lacks Consistent Oversight of Networked Device Cybersecurity in Hospitals
The OIG recommends that CMS address cybersecurity of networked medical devices in its quality oversight of hospitals. Networked medical devices…
Millions of Dollars in Overpayments Identified for ESRD Monthly Capitation Payments
CMS claims processing controls were inadequate. An audit conducted by the Department of Health and Human Services Office of the…
OIG Issues Semiannual Report
Key Points: $566.46 million in expected recoveries from audit results. $1.37 billion in expected investigative recoveries. 221 criminal actions. 272…