Department of Health & Human Services

Source Id

395

Medicare Improperly Paid Hospitals an Estimated $79 Million for Enrollees Who Had Received Mechanical Ventilation

08/09/2024

2024

A-09-22-03002

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Improperly Paid Hospitals an Estimated $79 Million for Enrollees Who Had Received Mechanical Ventilation

Medicare Improperly Paid Acute-Care Hospitals an Estimated $190 Million Over 5 Years for Outpatient Services Provided to Hospice Enrollees

11/12/2024

2025

A-09-23-03024

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Improperly Paid Acute-Care Hospitals an Estimated $190 Million Over 5 Years for Outpatient Services Provided to Hospice Enrollees

Medicare Home Health Agency Provider Compliance Audit: Bridge Home Health

12/19/2024

2025

A-05-23-00017

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Home Health Agency Provider Compliance Audit: Bridge Home Health

Medicare Could Save Billions With Comparable Access for Enrollees if Critical Access Hospital Payments for Swing-Bed Services Were Similar to Those of the Fee-for-Service Prospective Payment System

12/31/2024

2025

A-05-21-00018

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Could Save Billions With Comparable Access for Enrollees if Critical Access Hospital Payments for Swing-Bed Services Were Similar to Those of the Fee-for-Service Prospective Payment System

Medicare and Medicaid Enrollees in Many High-Need Areas May Lack Access to Medications for Opioid Use Disorder

09/18/2024

2024

OEI-BL-23-00160

Inspection / Evaluation

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare and Medicaid Enrollees in Many High-Need Areas May Lack Access to Medications for Opioid Use Disorder

Medicare Advantage: Questionable Use of Health Risk Assessments Continues To Drive Up Payments to Plans by Billions

10/21/2024

2025

OEI-03-23-00380

Inspection / Evaluation

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Advantage: Questionable Use of Health Risk Assessments Continues To Drive Up Payments to Plans by Billions

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Triple-S Advantage, Inc., (Contract H5774) Submitted to CMS

12/19/2024

2025

A-04-21-07095

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Triple-S Advantage, Inc., (Contract H5774) Submitted to CMS

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Humana Health Plan, Inc., (Contract H2649) Submitted to CMS

09/23/2024

2024

A-02-22-01001

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Humana Health Plan, Inc., (Contract H2649) Submitted to CMS

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That HealthAssurance Pennsylvania, Inc (Contract H5522) Submitted to CMS

09/23/2024

2024

A-05-22-00020

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Advantage Compliance Audit of Specific Diagnosis Codes That HealthAssurance Pennsylvania, Inc (Contract H5522) Submitted to CMS

Medicare Advantage Compliance Audit of Selected Diagnosis Codes That Blue Care Network of Michigan (Contract H5883) Submitted to CMS

12/20/2024

2025

A-06-20-02000

Audit

Department of Health & Human Services OIG

Department of Health & Human Services

Read more about Medicare Advantage Compliance Audit of Selected Diagnosis Codes That Blue Care Network of Michigan (Contract H5883) Submitted to CMS

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