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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

Watertown Medical Practice to Pay $850,000 to Resolve False Claims Act Allegations

Watertown Medical Practice to Pay $850,000 to Resolve False Claims Act Allegations
Article Type
Investigative Press Release
Publish Date

Watertown Medical Practice to Pay $850,000 to Resolve False Claims Act Allegations ALBANY, NEW YORK – North Country Neurology, P.C., a physician-owned medical practice located in Watertown, New York, has agreed to pay $850,000 for what it admitted was “improper” and “reckless” billing to the federal,,,

Woman Admits Committing Health Care Fraud While Awaiting Sentencing in Another Health Care Fraud Case

Woman Admits Committing Health Care Fraud While Awaiting Sentencing in Another Health Care Fraud Case
Article Type
Investigative Press Release
Publish Date

Woman Admits Committing Health Care Fraud While Awaiting Sentencing in Another Health Care Fraud Case Vanessa Roberts Avery, United States Attorney for the District of Connecticut, today announced that on July 29, 2022, NICOLE STEINER, formerly known as Nicole Balkas, 32, formerly of Stratford and,,,

Pharmacy owner and accountant indicted again in $150M scam

Pharmacy owner and accountant indicted again in $150M scam
Article Type
Investigative Press Release
Publish Date

Pharmacy owner and accountant indicted again in $150M scam HOUSTON – Two Houston area men face new charges in nationwide pharmacy health care fraud scheme that that targeted elderly citizens, announced U.S. Attorney Jennifer B. Lowery. Mohamed Mokbel, 57, and Fathy Elsafty, 63, both of Houston, are,,,

Two Men Indicted in Separate Bankruptcy Fraud Schemes

Two Men Indicted in Separate Bankruptcy Fraud Schemes
Article Type
Investigative Press Release
Publish Date

Two Men Indicted in Separate Bankruptcy Fraud Schemes SAN JUAN, Puerto Rico – Jorge Droz Yapur and Yamil Fonseca Salgado were indicted by a federal Grand Jury in relation to separate bankruptcy fraud schemes, announced W. Stephen Muldrow, U.S. Attorney for the District of Puerto Rico. Jorge Droz,,,

Montgomery County Skilled Nursing Facility to Pay More than $819,000 to Resolve False Claims Act Liability Arising from Billing of Rehabilitation Therapy

Montgomery County Skilled Nursing Facility to Pay More than $819,000 to Resolve False Claims Act Liability Arising from Billing of Rehabilitation Therapy
Article Type
Investigative Press Release
Publish Date

Montgomery County Skilled Nursing Facility to Pay More than $819,000 to Resolve False Claims Act Liability Arising from Billing of Rehabilitation Therapy PHILADELPHIA – United States Attorney Jacqueline C. Romero announced that Old Man’s Home of Philadelphia d/b/a Saunders House will pay $819,640 to,,,

Florida Businessman Charged with Conspiracy Involving Approximately $25 Million in Fraudulent Medicare Claims for Genetic Testing Submitted by Lawrence County Medical Facility

Florida Businessman Charged with Conspiracy Involving Approximately $25 Million in Fraudulent Medicare Claims for Genetic Testing Submitted by Lawrence County Medical Facility
Article Type
Investigative Press Release
Publish Date

Florida Businessman Charged with Conspiracy Involving Approximately $25 Million in Fraudulent Medicare Claims for Genetic Testing Submitted by Lawrence County Medical Facility PITTSBURGH, Pa. – A resident of Fort Lauderdale, Florida, was charged in federal court with one count of conspiracy related,,,

DJ Drugs & Surgicals Inc. Agrees to Pay $115,000 to Resolve Allegations of Prior Authorization Fraud

DJ Drugs & Surgicals Inc. Agrees to Pay $115,000 to Resolve Allegations of Prior Authorization Fraud
Article Type
Investigative Press Release
Publish Date

DJ Drugs & Surgicals Inc. Agrees to Pay $115,000 to Resolve Allegations of Prior Authorization Fraud BOSTON – A New York-based specialty pharmacy, DJ Drugs & Surgicals Inc., has agreed to resolve allegations that it altered patient medical records and submitted the altered medical records to,,,

Georgia Man Sentenced to 130 Months in Prison for his Role in Oxycodone Prescription Scheme

Georgia Man Sentenced to 130 Months in Prison for his Role in Oxycodone Prescription Scheme
Article Type
Investigative Press Release
Publish Date

Georgia Man Sentenced to 130 Months in Prison for his Role in Oxycodone Prescription Scheme Montgomery, Alabama – On Tuesday, July 26, 2022, Maurice Daughtry, 38, of Marietta, Georgia, was sentenced to 130 months in prison for his role as one of the organizers of a conspiracy to illegally distribute,,,

Idaho Man Sentenced for Misusing National Health Service Corps Loan Repayment Funds

Idaho Man Sentenced for Misusing National Health Service Corps Loan Repayment Funds
Article Type
Investigative Press Release
Publish Date

Idaho Man Sentenced for Misusing National Health Service Corps Loan Repayment Funds POCATELLO – Steven L. Young, an Idaho man already incarcerated in Utah on unrelated charges, was ordered to repay $63,192.96 and sentenced to 15 months (which he has already served), and three years of supervised,,,

Dental Provider Agrees To Settle Allegations Of Improper Billing Of TennCare

Dental Provider Agrees To Settle Allegations Of Improper Billing Of TennCare
Article Type
Investigative Press Release
Publish Date

Dental Provider Agrees To Settle Allegations Of Improper Billing Of TennCare KNOXVILLE, Tenn. – The United States Attorney’s Office announced today that Dr. Don Flanagan, D.D.S., and his affiliated companies, Dental Center, Inc. and Dental Center, P.C. d/b/a Cloudland Dental (“Cloudland Dental”),,,

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