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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…

Podiatrist Pleas Guilty in Sex for Drugs Diversion Scheme

Podiatrist Pleas Guilty in Sex for Drugs Diversion Scheme
Article Type
Investigative Press Release
Publish Date

Podiatrist Pleas Guilty in Sex for Drugs Diversion Scheme DETROIT - A local podiatrist entered a guilty plea today to a two count Information charging unlawfully distribution of controlled substances for his involvement in a sex-for-drugs diversion scheme, announced United States Attorney Dawn N,,,

Mahoning County Physician Pleads Guilty to Illegally Prescribing Controlled Substances and Causing the Deaths of Two Patients

Mahoning County Physician Pleads Guilty to Illegally Prescribing Controlled Substances and Causing the Deaths of Two Patients
Article Type
Investigative Press Release
Publish Date

Mahoning County Physician Pleads Guilty to Illegally Prescribing Controlled Substances and Causing the Deaths of Two Patients U.S. Attorney Bridget M. Brennan announced that Martin Escobar, 58, of Youngstown, Ohio, pleaded guilty in federal court today to illegally distributing controlled substances,,,

Former Tennessee Clinic Owner Sentenced To 168 Months for Opioid Distribution

Former Tennessee Clinic Owner Sentenced To 168 Months for Opioid Distribution
Article Type
Investigative Press Release
Publish Date

Former Tennessee Clinic Owner Sentenced To 168 Months for Opioid Distribution CHATTANOOGA, Tenn. On January 21, 2022, Mark Daniel Allen, 64, of Venice, Florida, was sentenced to 168 months in prison and $700 in special assessments, followed by three years of supervised released, by the Honorable,,,

Pharmacy Owner Sentenced for Role in $9 Million Scheme to Bill Insurance for Medications Not Dispensed

Pharmacy Owner Sentenced for Role in $9 Million Scheme to Bill Insurance for Medications Not Dispensed
Article Type
Investigative Press Release
Publish Date

Pharmacy Owner Sentenced for Role in $9 Million Scheme to Bill Insurance for Medications Not Dispensed DETROIT - A licensed pharmacist from Dearborn Heights was sentenced to 77 months for his role in a scheme to defraud health care insurers by submitting claims for pharmaceuticals that were not,,,

Judge sentences Cape Girardeau, Missouri woman for Medicare and Medicaid fraud

Judge sentences Cape Girardeau, Missouri woman for Medicare and Medicaid fraud
Article Type
Investigative Press Release
Publish Date

Judge sentences Cape Girardeau, Missouri woman for Medicare and Medicaid fraud ST. LOUIS – Brandy McKay, 42, of Cape Girardeau, Missouri appeared before United States District Court Judge Stephen R. Clark on January 18, 2022. McKay previously pleaded guilty and was sentenced to 3 years imprisonment,,,

New unit formed to combat health care fraud in West Virginia

New unit formed to combat health care fraud in West Virginia
Article Type
Investigative Press Release
Publish Date

New unit formed to combat health care fraud in West Virginia WHEELING, WEST VIRGINIA – A new initiative to combat health care fraud in West Virginia was launched today in Wheeling, according to United States Attorney William Ihlenfeld. State and federal agencies gathered at the U.S. Attorney’s,,,

Medicare Beneficiaries Hospitalized With COVID-19 Experienced a Wide Range of Serious, Complex Conditions

2021
OEI-02-20-00410
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

Coronavirus disease 2019 (COVID-19) has affected millions of Americans, resulting in more than 600,000 deaths. Medicare beneficiaries have been particularly affected and remain vulnerable to new variants and additional surges of the virus. Clinicians and researchers are still working to fully...

CMS's COVID-19 Data Included Required Information From the Vast Majority of Nursing Homes, but CMS Could Take Actions To Improve Completeness and Accuracy of the Data

2021
A-09-20-02005
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
Pandemic

The United States currently faces a nationwide public health emergency because of the COVID-19 pandemic. Federal regulations, effective May 8, 2020, required nursing homes to report COVID-19 information, such as the number of confirmed COVID-19 cases among residents, at least weekly to the Centers...

Six of Eight Home Health Agency Providers Had Infection Control Policies and Procedures That Complied With CMS Requirements and Followed CMS COVID-19 Guidance To Safeguard Medicare Beneficiaries, Caregivers, and Staff During the COVID-19 Pandemic

2021
A-01-20-00508
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
Pandemic
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