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Source Id
395

The Centers for Medicare & Medicaid Services Had Not Recovered More Than a Billion Dollars in Medicaid Overpayments Identified by OIG Audits

2019
A-05-17-00013
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

In a previous review, OIG determined that CMS had recovered the majority of Medicaid overpayments that we had identified in audit reports issued during Federal fiscal years (FYs) 2000 through 2009. However, millions of dollars remained uncollected at the time we issued our report. We performed the...

Summary of Security Vulnerabilities Identified at Two Arizona Managed Care Organizations and Inconsistent Treatment of Medicaid Data Security at the State Agency and Managed Care Organizations

2019
A-18-17-09302
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The HHS OIG's reviews of information system general controls at two Medicaid managed care organizations (MCOs) in Arizona identified numerous security vulnerabilities. The Arizona Health Care Cost Containment System administers Arizona's Medicaid program and is the State agency responsible for...

Significant Vulnerabilities Exist in the Hospital Wage Index System for Medicare Payments

2019
A-01-17-00500
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

We observed significant vulnerabilities in the wage index system while conducting 41 reviews of hospitals' wage data, with reports issued from 2004 through 2017. CMS uses area wage indexes to adjust hospital payments annually to reflect local labor prices. CMS calculates each area's wage index based...

The Tornillo Influx Care Facility: Concerns About Staff Background Checks and Number of Clinicians on Staff

2019
A-12-19-20000
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The memorandum was issued in response to two significant vulnerabilities identified by OIG during a site visit to the influx care facility in Tornillo, Texas (Tornillo), a grantee of the Unaccompanied Alien Children (UAC) Program operated by the Office of Refugee Resettlement (ORR). Specifically...

The Centers for Disease Control and Prevention Has Controls and Strategies To Mitigate Hurricane Preparedness and Response Risk

2019
A-04-18-02014
Disaster Recovery Report
Department of Health & Human Services OIG
Department of Health & Human Services

Our objectives were to identify CDC’s potential risks for preparing for and responding to hurricanes and other natural disasters and to determine whether CDC has designed and implemented controls and strategies to mitigate these potential risks.

National Government Services, Inc., Did Not Claim Some Allowable Medicare Postretirement Benefit Costs

2019
A-07-18-00552
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

National Government Services, Inc., did not claim $1.1 million of allowable Medicare postretirement benefit costs on its Final Administrative Cost Proposals for fiscal years 2010 through 2013.

Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Second Quarter of 2018

2019
OEI-03-19-00020
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

When Congress established average sales price (ASP) as the basis for Medicare Part B drug reimbursement, it also provided a mechanism for monitoring market prices and limiting potentially excessive payment amounts. The Social Security Act (the Act) mandates that OIG compare ASPs with average...

The Food and Drug Administration's Policies and Procedures Should Better Address Postmarket Cybersecurity Risk to Medical Devices

2019
A-18-16-30530
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

We conducted this audit because OIG had identified ensuring the safety and effectiveness of medical devices and fostering a culture of cybersecurity as top management challenges for HHS. We also considered public and Congressional interest in medical device cybersecurity risks to patients and the...

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