Department of Health & Human Services

Source Id

395

HRSA Made COVID-19 Uninsured Program Payments to Providers on Behalf of Individuals Who Had Health Insurance Coverage and for Services Unrelated to COVID-19

07/13/2023

2023

A-02-21-01013

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Pandemic

Read more about HRSA Made COVID-19 Uninsured Program Payments to Providers on Behalf of Individuals Who Had Health Insurance Coverage and for Services Unrelated to COVID-19

High Rates of Prior Authorization Denials by Some Plans and Limited State Oversight Raise Concerns About Access to Care in Medicaid Managed Care

07/17/2023

2023

OEI-09-19-00350

Inspection / Evaluation

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about High Rates of Prior Authorization Denials by Some Plans and Limited State Oversight Raise Concerns About Access to Care in Medicaid Managed Care

Noridian Healthcare Solutions, LLC, Made $8.8 Million in Improper Capitation Payments to Physicians and Qualified Nonphysician Practitioners in Jurisdiction E for Certain Services Related to End-Stage Renal Disease

06/27/2023

2023

A-09-21-03016

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Noridian Healthcare Solutions, LLC, Made $8.8 Million in Improper Capitation Payments to Physicians and Qualified Nonphysician Practitioners in Jurisdiction E for Certain Services Related to End-Stage Renal Disease

CMS's Oversight of Medicare Payments for the Highest Paid Molecular Pathology Genetic Test Was Not Adequate To Reduce the Risk of up to $888 Million in Improper Payments

06/21/2023

2023

A-09-22-03010

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about CMS's Oversight of Medicare Payments for the Highest Paid Molecular Pathology Genetic Test Was Not Adequate To Reduce the Risk of up to $888 Million in Improper Payments

Florida Did Not Ensure That Some Providers Complied With Requirements For Determining Eligibility For Its Projects for Assistance in Transition From Homelessness Program

05/26/2023

2023

A-02-21-02008

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Florida Did Not Ensure That Some Providers Complied With Requirements For Determining Eligibility For Its Projects for Assistance in Transition From Homelessness Program

Alaska Experienced Challenges in Meeting Federal and State Foster Care Program Requirements During the COVID-19 Pandemic

06/02/2023

2023

A-06-21-07006

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Pandemic

Read more about Alaska Experienced Challenges in Meeting Federal and State Foster Care Program Requirements During the COVID-19 Pandemic

NIH Should Improve Its Management of Contracts for the Acquisition of Information Technology

06/05/2023

2023

A-18-21-11500

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about NIH Should Improve Its Management of Contracts for the Acquisition of Information Technology

Saint Louis University's Management of NIH Grant Awards Did Not Comply With All Federal Requirements but Complied With Financial Conflict of Interest Requirements

06/01/2023

2023

A-07-20-05127

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Saint Louis University's Management of NIH Grant Awards Did Not Comply With All Federal Requirements but Complied With Financial Conflict of Interest Requirements

Maryland MMIS and E&E System Security Controls Were Partially Effective and Improvements Are Needed

05/25/2023

2023

A-18-21-09003

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Maryland MMIS and E&E System Security Controls Were Partially Effective and Improvements Are Needed

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Keystone Health Plan East, Inc. (H3952) Submitted to CMS

05/31/2023

2023

A-03-20-00001

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Keystone Health Plan East, Inc. (H3952) Submitted to CMS

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