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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…

Diagnostic testing company agrees to resolve claims for improperly billed testing

Diagnostic testing company agrees to resolve claims for improperly billed testing
Article Type
Investigative Press Release
Publish Date

Diagnostic testing company agrees to resolve claims for improperly billed testing DAYTON, Ohio – American Health Associates, Inc. (AHA) has agreed to pay the United States $142,718 to resolve False Claims Act allegations that they knowingly caused the submission of false claims to Medicare for,,,

3 Central Ohio health providers to pay more than $3 million for improper claims submitted to Medicare and Ohio Bureau of Workers’ Compensation

3 Central Ohio health providers to pay more than $3 million for improper claims submitted to Medicare and Ohio Bureau of Workers’ Compensation
Article Type
Investigative Press Release
Publish Date

3 Central Ohio health providers to pay more than $3 million for improper claims submitted to Medicare and Ohio Bureau of Workers’ Compensation COLUMBUS, Ohio – The United States and the Ohio Bureau of Workers’ Compensation have reached three related settlements totaling more than $3 million with,,,

Florida Man Sentenced in Multi-Million-Dollar Medicare Fraud Scheme

Florida Man Sentenced in Multi-Million-Dollar Medicare Fraud Scheme
Article Type
Investigative Press Release
Publish Date

Florida Man Sentenced in Multi-Million-Dollar Medicare Fraud Scheme BOSTON – A Florida man was sentenced yesterday for his role in a multi-million-dollar Medicare fraud scheme involving durable medical equipment. Nathan LaParl, 34, of Boca Raton, Fla., was sentenced by U.S. District Court Senior,,,

Two Women Sentenced in Multi-Million-Dollar Medicare Fraud Scheme

Two Women Sentenced in Multi-Million-Dollar Medicare Fraud Scheme
Article Type
Investigative Press Release
Publish Date

Two Women Sentenced in Multi-Million-Dollar Medicare Fraud Scheme BOSTON – A Colorado woman and a Houston woman were sentenced today in federal court in Boston for their roles in a multi-million-dollar Medicare fraud scheme. Jessica Jones, 32, of Lakewood Colo., and Elizabeth Putulin, 31, of Houston,,,

Brockton Urology Agrees to Pay $100,000 to Resolve Allegations that it Violated the False Claims Act

Brockton Urology Agrees to Pay $100,000 to Resolve Allegations that it Violated the False Claims Act
Article Type
Investigative Press Release
Publish Date

Brockton Urology Agrees to Pay $100,000 to Resolve Allegations that it Violated the False Claims Act BOSTON – The U.S. Attorney’s Office has reached a $100,000 settlement with Brockton Urology Clinic LLC (Brockton Urology), a physician practice located in North Easton, to resolve allegations that it,,,

Cumberland County Man Charged With Health Care Fraud, Money Laundering, And Theft Of Public Money

Cumberland County Man Charged With Health Care Fraud, Money Laundering, And Theft Of Public Money
Article Type
Investigative Press Release
Publish Date

Cumberland County Man Charged With Health Care Fraud, Money Laundering, And Theft Of Public Money HARRISBURG - The United States Attorney’s Office for the Middle District of Pennsylvania announced that Rodney L. Yentzer, age 52, of Cumberland County, Pennsylvania was charged in a criminal,,,

Richland Naturopath Agrees to Pay $70,096 for Improper Prescription of Controlled Substances

Richland Naturopath Agrees to Pay $70,096 for Improper Prescription of Controlled Substances
Article Type
Investigative Press Release
Publish Date

Richland Naturopath Agrees to Pay $70,096 for Improper Prescription of Controlled Substances Richland, Washington – Judith K. Caporiccio, N.D., a Richland-based naturopathic doctor, has agreed to pay $70,096 to resolve allegations under the Controlled Substances Act and the False Claims Act, which,,,

Florida’s NCH Healthcare System Agrees to Pay $5.5 Million to Settle Common Law Allegations for Impermissible Medicaid Donations

Florida’s NCH Healthcare System Agrees to Pay $5.5 Million to Settle Common Law Allegations for Impermissible Medicaid Donations
Article Type
Investigative Press Release
Publish Date

Florida’s NCH Healthcare System Agrees to Pay $5.5 Million to Settle Common Law Allegations for Impermissible Medicaid Donations WASHINGTON – NCH Healthcare System (NCH), which operates two hospitals in Collier County, Florida, has agreed to pay the United States $5.5 million to resolve allegations,,,

Florida-Based Consultant Resolves Litigation For Allegedly Causing False Diabetic Supply Claims To Medicare

Florida-Based Consultant Resolves Litigation For Allegedly Causing False Diabetic Supply Claims To Medicare
Article Type
Investigative Press Release
Publish Date

Florida-Based Consultant Resolves Litigation For Allegedly Causing False Diabetic Supply Claims To Medicare NASHVILLE – Medicare reimbursement consultant Ted Albin and his wholly-owned consulting and billing firm Grapevine Billing and Consulting Services Inc. (Grapevine), both based in Stuart,,,

Medicare Improperly Paid Physicians for Spinal Facet-Joint Denervation Sessions

2022
A-09-21-03002
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Facet-joint denervation is a procedure that physicians use to treat neck or back pain caused by arthritis in or injury to the facet joints in the spine. To address inappropriate billing for and overuse of spinal facet-joint denervation for pain management, the Medicare Administrative Contractors...

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