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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…

Southeast Missouri healthcare system agrees to pay $1,624,957.67 to resolve allegations that physician wrote invalid prescriptions

Southeast Missouri healthcare system agrees to pay $1,624,957.67 to resolve allegations that physician wrote invalid prescriptions
Article Type
Investigative Press Release
Publish Date

Southeast Missouri healthcare system agrees to pay $1,624,957.67 to resolve allegations that physician wrote invalid prescriptions The United States has reached a civil settlement with Saint Francis Medical Center (Saint Francis) resolving the Government’s claims under the Controlled Substances Act,,,

Former Madison County Pharmacy Owner Sentenced for Health Card Fraud

Former Madison County Pharmacy Owner Sentenced for Health Card Fraud
Article Type
Investigative Press Release
Publish Date

Former Madison County Pharmacy Owner Sentenced for Health Card Fraud SYRACUSE, NEW YORK - Jennifer Caloia, age 57, a licensed pharmacist who owned and operated Dougherty Pharmacy in Morrisville, New York, from 1998 to 2015, was sentenced today in federal court in Utica to serve a two-year term of,,,

SOUTH DAKOTA WOMAN SENTENCED FOR HEALTH CARE FRAUD AND IDENTITY THEFT

SOUTH DAKOTA WOMAN SENTENCED FOR HEALTH CARE FRAUD AND IDENTITY THEFT
Article Type
Investigative Press Release
Publish Date

SOUTH DAKOTA WOMAN SENTENCED FOR HEALTH CARE FRAUD AND IDENTITY THEFT Acting United States Attorney Bob Murray announced today that HOLLI TELFORD LUNDAHL, age 64, of Oelrichs, South Dakota, was sentenced by U.S. District Court Judge Nancy Freudenthal on August 27, 2021 to 27 months imprisonment,,,

Sisseton Woman Sentenced for Theft From an Indian Tribal Organization

Sisseton Woman Sentenced for Theft From an Indian Tribal Organization
Article Type
Investigative Press Release
Publish Date

Sisseton Woman Sentenced for Theft From an Indian Tribal Organization Acting United States Attorney Dennis R. Holmes announced that a Sisseton, South Dakota, woman convicted of Theft from an Indian Tribal Organization was sentenced on August 30, 2021, by U.S. District Judge Charles B. Kornmann,,,

Sutter Health and Affiliates to Pay $90 Million to Settle False Claims Act Allegations of Mischarging the Medicare Advantage Program

Sutter Health and Affiliates to Pay $90 Million to Settle False Claims Act Allegations of Mischarging the Medicare Advantage Program
Article Type
Investigative Press Release
Publish Date

Sutter Health and Affiliates to Pay $90 Million to Settle False Claims Act Allegations of Mischarging the Medicare Advantage Program SAN FRANCISCO- Sutter Health, a California-based health care services provider, and several affiliated entities including Sutter Bay Medical Foundation (dba Palo Alto,,,

Grand jury indicts doctor for illegally prescribing controlled substances and other charges

Grand jury indicts doctor for illegally prescribing controlled substances and other charges
Article Type
Investigative Press Release
Publish Date

Grand jury indicts doctor for illegally prescribing controlled substances and other charges ST. LOUIS – On August 18, 2021, a federal grand jury issued a thirteen-count indictment against Matthew Steven Miller, D.O. charging Dr. Miller with illegally prescribing controlled substances and other,,,

Grand jury indicts individual for health-care fraud and drug offenses

Grand jury indicts individual for health-care fraud and drug offenses
Article Type
Investigative Press Release
Publish Date

Grand jury indicts individual for health-care fraud and drug offenses ST. LOUIS – On August 18, 2021, a federal grand jury issued a twenty-five count indictment against Katie Diana Rooney charging Rooney with health-care fraud and controlled substance offenses. At the time Rooney allegedly committed,,,

Nevada Medical Practice Agrees to Pay $1 Million to Resolve Allegations of False Medicare Reimbursement Claims

Nevada Medical Practice Agrees to Pay $1 Million to Resolve Allegations of False Medicare Reimbursement Claims
Article Type
Investigative Press Release
Publish Date

Nevada Medical Practice Agrees to Pay $1 Million to Resolve Allegations of False Medicare Reimbursement Claims BOSTON – Nevada Advanced Pain Specialists (NAPS), a Reno-based medical practice, has agreed to resolve allegations that it submitted false claims for payment to Medicare for medically,,,

Federal and State Authorities Reach Settlement with Blessing Hospital Over Medicare and Medicaid Fraud Claims

Federal and State Authorities Reach Settlement with Blessing Hospital Over Medicare and Medicaid Fraud Claims
Article Type
Investigative Press Release
Publish Date

Federal and State Authorities Reach Settlement with Blessing Hospital Over Medicare and Medicaid Fraud Claims SPRINGFIELD, Ill. – Blessing Hospital in Quincy, Illinois, has agreed to pay approximately $2.82 million to resolve allegations that it violated the False Claims Act by submitting claims for,,,

Nurse Practitioner Charged in Alleged $2.3 Million Health Care Fraud Scheme

Nurse Practitioner Charged in Alleged $2.3 Million Health Care Fraud Scheme
Article Type
Investigative Press Release
Publish Date

Nurse Practitioner Charged in Alleged $2.3 Million Health Care Fraud Scheme PROVIDENCE, R.I. – A registered nurse and nurse practitioner who allegedly billed and received more than $2.3 million dollars from commercial health insurers and Medicaid for services he falsely claimed to have performed on,,,

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