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Website
https://oig.hhs.gov/
Abbreviation
HHSOIG
Agencies
Department of Health & Human Services
Federal Agency
Yes
Location

United States

What to Report to the OIG Hotline
The U.S. Department of Health and Human Services (HHS) Office of Inspector General's (OIG) mission is to protect the integrity of HHS programs as well as the health and welfare of program beneficiaries. In doing so, we rely on complaints by HHS employees, contractors, subcontractors, grantees and subgrantees (i.e. whistleblowers) who report fraud, waste, abuse or mismanagement in HHS programs. We also review and investigate reports of whistleblower retaliation. If you would like more information on what kinds of complaints our OIG investigates, please visit our website at https://oig.hhs.gov/fraud/report-fraud/before-you-submit.asp. There you will find a list of things you should know before submitting a complaint to the OIG. If you would like more information on the types of whistleblowers protected by the OIG, please visit our whistleblower protection page at https://oig.hhs.gov/fraud/report-fraud/whistleblower.asp. If you are a whistleblower and wish to report fraud, waste, abuse or mismanagement in HHS programs, or you wish to report whistleblower retaliation, please visit our Hotline at https://oig.hhs.gov/fraud/report-fraud/index.asp.
What Not to Report to the OIG Hotline
  • Issues about Medicare policy, coverage, billing claims or appeals
  • Lost or stolen Medicare card
  • Allegations by HHS employees of discrimination on the basis of race, gender, ethnicity, religion or sexual preference
  • Allegations by employees or applicants concerning prohibited personnel practices; or Hatch Act violations
  • Appeals of administrative decisions made by HHS agencies, grantees or contractors, including Medicare payment decisions and contract or grant awards
  • Appeals of judicial decisions by federal or state courts involving HHS programs
  • Complaints of failure to safeguard medical information, i.e. HIPAA violations
  • Customer service complaints involving HHS employees, grantees or contractors
  • Allegations of identity theft unrelated to HHS programs
  • Disability fraud
  • SNAP/Food Stamp Fraud
  • Self-Disclosures
Hotline Page
https://oig.hhs.gov/fraud/report-fraud/index.asp
Whistleblower Protection Page
https://oig.hhs.gov/fraud/whistleblower/?utm_source=oig-home&utm_medium=oig-gfx…

Noridian Healthcare Solutions, LLC, Understated Its Medicare Segment Pension Assets and Understated Medicare’s Share of the Medicare Segment Excess Pension Assets as of December 31, 2016

2022
A-07-21-00603
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Ambulance Company Settles Allegations of Billing Medicare for Unnecessary, Non-Emergency Ambulance Transportation

Ambulance Company Settles Allegations of Billing Medicare for Unnecessary, Non-Emergency Ambulance Transportation
Article Type
Investigative Press Release
Publish Date

Ambulance Company Settles Allegations of Billing Medicare for Unnecessary, Non-Emergency Ambulance Transportation Fairview Heights, Ill. – HealthOne Critical Care Transport Service, Inc. d/b/a MedicOne Medical Response (“MedicOne”) of Marion, Illinois, has agreed to pay $302,124.37 in a civil,,,

Milwaukee Man Sentenced to Federal Prison for Conspiracy to Defraud Medicare and Medicaid.

Milwaukee Man Sentenced to Federal Prison for Conspiracy to Defraud Medicare and Medicaid.
Article Type
Investigative Press Release
Publish Date

Milwaukee Man Sentenced to Federal Prison for Conspiracy to Defraud Medicare and Medicaid. Gregory J. Haanstad, United States Attorney for the Eastern District of Wisconsin, announced that on November 18, 2022, David Guerrero, Jr., was sentenced to 32 months’ imprisonment for conspiracy to defraud,,,

Silver Spring Dentist Sentenced to More Than Two Years in Federal Prison for Scheme to Fraudulently Obtain Medicaid Funds by Recruiting Medicaid Beneficiaries Through the Payment of Kickbacks and Bribes

Silver Spring Dentist Sentenced to More Than Two Years in Federal Prison for Scheme to Fraudulently Obtain Medicaid Funds by Recruiting Medicaid Beneficiaries Through the Payment of Kickbacks and Bribes
Article Type
Investigative Press Release
Publish Date

Silver Spring Dentist Sentenced to More Than Two Years in Federal Prison for Scheme to Fraudulently Obtain Medicaid Funds by Recruiting Medicaid Beneficiaries Through the Payment of Kickbacks and Bribes Greenbelt, Maryland – U.S. District Judge Theodore D. Chuang today sentenced Edward T. Buford III,,,

Two Doctors and the Operators of Three Pain Clinics Charged with $2.6 Million Illegal Opioid Distribution Conspiracy

Two Doctors and the Operators of Three Pain Clinics Charged with $2.6 Million Illegal Opioid Distribution Conspiracy
Article Type
Investigative Press Release
Publish Date

Two Doctors and the Operators of Three Pain Clinics Charged with $2.6 Million Illegal Opioid Distribution Conspiracy DETROIT – Six individuals, including two doctors and the operators of three pain clinics, were charged with conspiring to illegally distribute over 500,000 opioid pills worth over $2,,,

O’FALLON, IL, MAN SENTENCED TO TEN YEARS IN FEDERAL PRISON

O’FALLON, IL, MAN SENTENCED TO TEN YEARS IN FEDERAL PRISON
Article Type
Investigative Press Release
Publish Date

O’FALLON, IL, MAN SENTENCED TO TEN YEARS IN FEDERAL PRISON EAST ST. LOUIS, Ill. – Yesterday afternoon, in federal court in East St. Louis, IL, Emmitt T. Tiner, 55, of O’Fallon, Illinois, was sentenced to ten years in federal prison. On July 7, 2022, Tiner pled guilty to wire fraud, extortion,,,

Polk County Doctor Pleads Guilty To Receiving Kickbacks

Polk County Doctor Pleads Guilty To Receiving Kickbacks
Article Type
Investigative Press Release
Publish Date

Polk County Doctor Pleads Guilty To Receiving Kickbacks Tampa, Florida –United States Attorney Roger B. Handberg announces that Dr. Sean Patrick O’Rourke (56, Lakeland) has pleaded guilty to soliciting and receiving remuneration (kickbacks and bribes) in return for ordering medical services and,,,

Miami Man Indicted for Laundering Millions in Health Care Fraud Proceeds

Miami Man Indicted for Laundering Millions in Health Care Fraud Proceeds
Article Type
Investigative Press Release
Publish Date

Miami Man Indicted for Laundering Millions in Health Care Fraud Proceeds MIAMI – A federal magistrate judge has unsealed an indictment charging Miami resident Julio Arsenio Rodriguez, 61, with running a money laundering operation involving millions of Medicare and Medicaid health care fraud proceeds,,,

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