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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…

St. Charles Woman Sentenced to Nearly 5 Years in Prison For $2.5 Million Missouri Medicaid Fraud

St. Charles Woman Sentenced to Nearly 5 Years in Prison For $2.5 Million Missouri Medicaid Fraud
Article Type
Investigative Press Release
Publish Date

St. Charles Woman Sentenced to Nearly 5 Years in Prison For $2.5 Million Missouri Medicaid Fraud ST. LOUIS – U.S. District Judge Stephen R. Clark on Tuesday sentenced a woman from St. Charles to four years and nine months in prison for her role in a $2.5 million fraud involving Missouri’s Medicaid,,,

Florida Man Pleads Guilty to $8.3 Million Pharmacy Fraud Scheme

Florida Man Pleads Guilty to $8.3 Million Pharmacy Fraud Scheme
Article Type
Investigative Press Release
Publish Date

Florida Man Pleads Guilty to $8.3 Million Pharmacy Fraud Scheme WASHINGTON – A Florida man pleaded guilty today to conspiring to commit health care fraud in an $8.3 million scheme where pharmacy owners paid kickbacks and bribes to telemarketers and telemedicine providers to secure orders for,,,

Massachusetts Company Enters Settlement Agreement to Resolve Claims of Medicaid Over-Billing

Massachusetts Company Enters Settlement Agreement to Resolve Claims of Medicaid Over-Billing
Article Type
Investigative Press Release
Publish Date

Massachusetts Company Enters Settlement Agreement to Resolve Claims of Medicaid Over-Billing NEWARK, N.J. – A Boston, Massachusetts, company entered into a settlement agreement with the United States to resolve allegations that it caused improper claims for payment to be made to the U.S. Department,,,

Former Executive Director of Mississippi Department of Human Services Pleads Guilty for Conspiring to Defraud the State of Mississippi

Former Executive Director of Mississippi Department of Human Services Pleads Guilty for Conspiring to Defraud the State of Mississippi
Article Type
Investigative Press Release
Publish Date

Former Executive Director of Mississippi Department of Human Services Pleads Guilty for Conspiring to Defraud the State of Mississippi Jackson, Miss. – A former Mississippi Department of Human Services (MDHS) official pleaded guilty today for conspiring to defraud the State of Mississippi of,,,

Physician Pleads Guilty to Making False Statements for More Than 2,000 Medicare, Medicaid Patients

Physician Pleads Guilty to Making False Statements for More Than 2,000 Medicare, Medicaid Patients
Article Type
Investigative Press Release
Publish Date

Physician Pleads Guilty to Making False Statements for More Than 2,000 Medicare, Medicaid Patients KANSAS CITY, Mo. – A former Joplin, Mo., physician pleaded guilty in federal court today to falsely certifying that products and tests were medically necessary for more than 2,000 Medicare and Medicaid,,,

Vice President of Raleigh Healthcare Company Pleads Guilty to Making and Using Fake Physician Orders in Medicare Audit

Vice President of Raleigh Healthcare Company Pleads Guilty to Making and Using Fake Physician Orders in Medicare Audit
Article Type
Investigative Press Release
Publish Date

Vice President of Raleigh Healthcare Company Pleads Guilty to Making and Using Fake Physician Orders in Medicare Audit RALEIGH, N.C. – Kala Sloan, 28, pleaded guilty today to falsifying physician orders on behalf of a company that billed Medicare for millions of dollars. According to the criminal,,,

Former Tribal IT Director Sentenced in Federal Court for Roles in Bribery Scheme

Former Tribal IT Director Sentenced in Federal Court for Roles in Bribery Scheme
Article Type
Investigative Press Release
Publish Date

Former Tribal IT Director Sentenced in Federal Court for Roles in Bribery Scheme United States Attorney Alison J. Ramsdell announced that a Florida man convicted of Bribery Concerning Programs Receiving Federal Funds, was sentenced on September 12, 2022, by U.S. District Judge Charles B. Kornmann,,,

Citizen of Jamaica Sentenced to Prison for Defrauding Medicaid

Citizen of Jamaica Sentenced to Prison for Defrauding Medicaid
Article Type
Investigative Press Release
Publish Date

Citizen of Jamaica Sentenced to Prison for Defrauding Medicaid Vanessa Roberts Avery, United States Attorney for the District of Connecticut, announced that MARVEL JOHNSON, 50, a citizen of Jamaica residing in Derby, was sentenced today by U.S. District Judge Jeffrey A. Meyer in New Haven to 12,,,

New York-Presbyterian/Queens Hospital Settles Allegations of Federal Health Care Fraud for Over $2.5 Million

New York-Presbyterian/Queens Hospital Settles Allegations of Federal Health Care Fraud for Over $2.5 Million
Article Type
Investigative Press Release
Publish Date

New York-Presbyterian/Queens Hospital Settles Allegations of Federal Health Care Fraud for Over $2.5 Million Breon Peace, United States Attorney for the Eastern District of New York, announced today a settlement agreement with New York-Presbyterian/Queens Hospital. The settlement agreement, which,,,

Nixa Physician Sentenced after Taking Bribes from Drug Manufacturer

Nixa Physician Sentenced after Taking Bribes from Drug Manufacturer
Article Type
Investigative Press Release
Publish Date

Nixa Physician Sentenced after Taking Bribes from Drug Manufacturer SPRINGFIELD, Mo. – A Nixa, Mo., physician was sentenced in federal court today after taking bribes from a drug manufacturer in exchange for prescribing its fentanyl drug to his patients so often that he ranked highest in the state,,,

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