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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…

Catholic Medical Center Agrees to Pay $3.8 Million to Resolve Kickback-Related False Claims Act Allegations

Catholic Medical Center Agrees to Pay $3.8 Million to Resolve Kickback-Related False Claims Act Allegations
Article Type
Investigative Press Release
Publish Date

Catholic Medical Center Agrees to Pay $3.8 Million to Resolve Kickback-Related False Claims Act Allegations CONCORD – United States Attorney John J. Farley announced today that Catholic Medical Center (CMC) has agreed to pay $3.8 million to resolve allegations that it violated the civil False Claims,,,

Bay City Vascular Surgeon Pleads Guilty in Connection with Defrauding Medicare, Medicaid, And Blue Cross Blue Shield Of $19.5 Million

Bay City Vascular Surgeon Pleads Guilty in Connection with Defrauding Medicare, Medicaid, And Blue Cross Blue Shield Of $19.5 Million
Article Type
Investigative Press Release
Publish Date

Bay City Vascular Surgeon Pleads Guilty in Connection with Defrauding Medicare, Medicaid, And Blue Cross Blue Shield Of $19.5 Million BAY CITY - A vascular surgeon from Bay City, Michigan pleaded guilty today to participating in a scheme to defraud Medicare, Medicaid, and Blue Cross/Blue Shield out,,,

U.S. Department of Health and Human Services Met Many Requirements, but It Did Not Fully Comply With the Payment Integrity Information Act of 2019 and Applicable Improper Payment Guidance for Fiscal Year 2020

2021
A-17-21-52000
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The Office of Inspector General (OIG) must review the Department of Health and Human Services' (HHS's) compliance with the Payment Integrity Information Act of 2019 (PIIA, P.L. No. 116-117) and related applicable improper payment guidance. Ernst & Young (EY), LLP, under its contract with the HHS OIG...

Murrysville Doctor Sentenced for Illegal Drug Distribution and Health Care Fraud

Murrysville Doctor Sentenced for Illegal Drug Distribution and Health Care Fraud
Article Type
Investigative Press Release
Publish Date

Murrysville Doctor Sentenced for Illegal Drug Distribution and Health Care Fraud PITTSBURGH - A resident of Murrysville, Pennsylvania, was sentenced in federal court following his convictions for unlawful dispensing and distributing Schedule II controlled substances and health care fraud, United,,,

Georgia nurse practitioner convicted of health care fraud in complex telemedicine fraud scheme

Georgia nurse practitioner convicted of health care fraud in complex telemedicine fraud scheme
Article Type
Investigative Press Release
Publish Date

Georgia nurse practitioner convicted of health care fraud in complex telemedicine fraud scheme AUGUSTA, GA: A Rockdale County, Ga., nurse practitioner faces substantial time in federal prison after a jury found her guilty of health care fraud, aggravated identity theft, and other counts in a,,,

U.S. Attorney Announces $12.9 Million Settlement With The Door For Submitting Fraudulent Cost Reports

U.S. Attorney Announces $12.9 Million Settlement With The Door For Submitting Fraudulent Cost Reports
Article Type
Investigative Press Release
Publish Date

U.S. Attorney Announces $12.9 Million Settlement With The Door For Submitting Fraudulent Cost Reports Damian Williams, the United States Attorney for the Southern District of New York, and Scott J. Lampert, Special Agent in Charge of the U.S. Department of Health and Human Services Office of,,,

North Carolina Psychologist Sentenced for Medicaid Fraud Scheme Involving Minors

North Carolina Psychologist Sentenced for Medicaid Fraud Scheme Involving Minors
Article Type
Investigative Press Release
Publish Date

North Carolina Psychologist Sentenced for Medicaid Fraud Scheme Involving Minors RICHMOND, Va. – A Durham, North Carolina, clinical psychologist was sentenced today to 52 months in prison for defrauding Virginia Medicaid of at least $544,067.69 by creating false diagnoses and medical records for,,,

Cardinal Health Agrees to Pay More than $13 Million to Resolve Allegations that it Paid Kickbacks to Physicians

Cardinal Health Agrees to Pay More than $13 Million to Resolve Allegations that it Paid Kickbacks to Physicians
Article Type
Investigative Press Release
Publish Date

Cardinal Health Agrees to Pay More than $13 Million to Resolve Allegations that it Paid Kickbacks to Physicians BOSTON – Ohio-based pharmaceutical distributor, Cardinal Health, Inc., has agreed to pay $13,125,000 to resolve allegations that it violated the False Claims Act by paying “upfront,,,

Novus Hospice CEO Sentenced to 13+ Years for Healthcare Fraud

Novus Hospice CEO Sentenced to 13+ Years for Healthcare Fraud
Article Type
Investigative Press Release
Publish Date

Novus Hospice CEO Sentenced to 13+ Years for Healthcare Fraud The CEO of a local hospice agency has been sentenced to 13 years and 3 months in federal prison for defrauding Medicare and Medicaid, announced U.S. Attorney for the Northern District of Texas Chad E. Meacham. Bradley J. Harris, the 39,,,

U.S. Attorney’s Office Files Suit Against Philadelphia Pharmacy and Pharmacist for Illegally Dispensing Opioids and for Health Care Fraud

U.S. Attorney’s Office Files Suit Against Philadelphia Pharmacy and Pharmacist for Illegally Dispensing Opioids and for Health Care Fraud
Article Type
Investigative Press Release
Publish Date

U.S. Attorney’s Office Files Suit Against Philadelphia Pharmacy and Pharmacist for Illegally Dispensing Opioids and for Health Care Fraud PHILADELPHIA – United States Attorney Jennifer Arbittier Williams announced that the United States filed a civil lawsuit against Philadelphia-based pharmacy,,,

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