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Source Id
395

Michigan Did Not Always Comply With Federal and State Requirements for Claims Submitted for the Nonemergency Medical Transportation Brokerage Program

2018
A-05-16-00021
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Medicaid program pays for nonemergency medical transportation (NEMT) services that a State determines to be necessary for beneficiaries to obtain care. Prior OIG audit reports have consistently identified NEMT services as vulnerable to fraud, waste, and abuse.

The Food and Drug Administration Computed Prescription Drug User Fee Rates Accurately

2018
A-05-17-00040
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Prescription Drug User Fee Act (PDUFA) of 1992, P.L. No. 102-571, authorized the Food and Drug Administration (FDA) to collect prescription drug user fees from pharmaceutical and biotechnology companies seeking FDA approval of certain human drug and biological products to expedite the review of...

New York Claimed Federal Reimbursement for Consumer-Directed Personal Assistance Services That Did Not Meet Medicaid Requirements

2018
A-02-16-01026
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Previous OIG reviews have identified Medicaid personal care services in New York as vulnerable to waste, fraud, and abuse. Based on these results, we decided to review New York's consumer-directed personal assistance program (CDPAP) services, which include personal care, home health, and nursing...

The University of Alabama at Birmingham Overstated Chilled Water Costs in Its Facilities and Administrative Cost Proposal

2018
A-04-14-00095
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

In its fiscal year (FY) 2010 Facilities and Administrative (F&A) cost proposal, the University of Alabama at Birmingham (UAB) included $8.6 million in chilled water costs that were not in accordance with Federal requirements that costs must be reduced by applicable credits. As a result, UAB’s...

Wisconsin Physicians Service Insurance Corporation Understated Medicare Administrative Contract Allowable Pension Costs

2018
A-07-17-00530
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Wisconsin Physicians Service Insurance Corporation did not claim $1.5 million of allowable Medicare pension costs on its incurred cost proposals for calendar years 2008 through 2013.

Tennessee Medicaid Fraud Control Unit: 2017 Onsite Inspection

2018
OEI-12-17-00230
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

OIG administers the Medicaid Fraud Control Unit (MFCU or Unit) grant awards, annually recertifies the Units, and oversees the Units' performance in accordance with the requirements of the grant. As part of this oversight, OIG conducts periodic reviews of all Units and prepares public reports based...

Entities Generally Met Federal Select Agent Program Internal Inspection Requirements But CDC Could Do More To Improve Effectiveness

2018
OEI-04-15-00431
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

Select agents and toxins are potential bioweapons that can cause significant loss of life and economic damage. Incidents of mishandling select agents and toxins by some entities registered with the Federal Select Agents Program (FSAP) have raised questions about CDC's Division of Select Agents and...

Toolkit: Using Data Analysis To Calculate Opioid Levels and Identify Patients At Risk of Misuse or Overdose

2018
OEI-02-17-00560
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

This toolkit provides detailed steps for using prescription drug claims data to analyze patients' opioid levels and identify certain patients who are at risk of opioid misuse or overdose. It is based on the methodology that OIG has developed in our extensive work on opioids.This new OIG product...

Opioid Use in Medicare Part D Remains Concerning

2018
OEI-02-18-00220
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

The opioid crisis was recently declared a public health emergency. In 2016, more than 42,000 opioid-related overdose deaths occurred in the United States-115 deaths per day. This data brief is part of a larger strategy by OIG to fight the opioid crisis and protect beneficiaries from prescription...

Florence Crittenton Services of Orange County, Inc., Did Not Always Meet Applicable Safety Standards Related to Unaccompanied Alien Children

2018
A-09-16-01005
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Florence Crittenton Services of Orange County, Inc. (Crittenton), located in Fullerton, California, met most of the applicable safety standards for the care and release of children in its custody. However, Crittenton released some children to sponsors without conducting all required background...

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