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Source Id
395

Performance Data for the Senior Medicare Patrol Projects: June 2016 Performance Report

2016
OEI-02-16-00190
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

This memorandum report presents performance data for the Senior Medicare Patrol (SMP) projects, which receive grants from ACL to recruit and train retired professionals and other senior citizens to recognize and report instances or patterns of health care fraud. OIG has collected these performance...

Massachusetts State Medicaid Fraud Control Unit: 2015 Onsite Review

2016
OEI-07-15-00390
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

The Office of Inspector General (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...

Indian Health Service Hospitals: More Monitoring Needed to Ensure Quality Care

2017
OEI-06-14-00010
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

We conducted this study and its companion, Indian Health Service Hospitals: Longstanding Challenges Warrant Focused Attention to Support Quality Care (OEI 06 14 00011), in response to concerns about the care provided in IHS hospitals. Reports of inadequate health care services for American Indians...

Escalating Medicare Billing for Ventilators Raises Concerns

2016
OEI-12-15-00370
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

CMS has expressed concerns about the recent substantial increase in Medicare billing for noninvasive pressure support ventilators. Ventilator technology has evolved so that it is possible for a single device to treat numerous conditions by operating in several different modes-i.e., basic continuous...

State Efforts to Exclude 340B Drugs from Medicaid Managed Care Rebates

2016
OEI-05-14-00430
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

Manufacturer rebates for drugs paid through Medicaid managed care organizations (MCOs) are an increasingly important source of savings for both States and the Federal government. However, "duplicate discounts," which occur when manufacturers pay Medicaid rebates on drugs sold at the already...

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