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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…

Although the Bemidji Area Office Had Adequate Procedures to Disburse Indian Health Service Funds, It Needs to Strengthen Its Procedures for Monitoring the Use of the Funds

2021
A-05-18-00019
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

In recent years, Congress has expressed concerns about the Indian Health Service’s (IHS’s) administrative and financial management of program funds for health services to American Indians and Alaska Natives. Before we could address Congress’ broader concerns, we needed to assess how the 12 IHS Area...

Although CDC Implemented Corrective Actions To Improve Oversight of the President’s Emergency Plan for AIDS Relief Recipients, Some Internal Control Weaknesses Remained

2021
A-04-18-01010
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The U.S. Congress authorized the President's Emergency Plan for AIDS Relief (PEPFAR) to receive $48 billion in funding for the 5-year period beginning October 1, 2008, to assist foreign countries in combating HIV/AIDS, tuberculosis, and malaria. Congress authorized additional funds to be...

Maryland Woman Pleads Guilty to Defrauding Medicaid

Maryland Woman Pleads Guilty to Defrauding Medicaid
Article Type
Investigative Press Release
Publish Date

Maryland Woman Pleads Guilty to Defrauding Medicaid WASHINGTON – Mahsa Azimirad, 41, of Rockville, Maryland, pled guilty on May 24, 2021, to a federal charge of health care fraud stemming from a scheme where she was paid over $813,000 by defrauding the District of Columbia’s Medicaid program. The,,,

Four Charged in Conspiracy that Billed More Than $20 Million in False Claims to Medicare

Four Charged in Conspiracy that Billed More Than $20 Million in False Claims to Medicare
Article Type
Investigative Press Release
Publish Date

Four Charged in Conspiracy that Billed More Than $20 Million in False Claims to Medicare Acting U.S. Attorney Bridget M. Brennan announced that a federal grand jury returned a twenty-four-count indictment charging four individuals for their roles in health care fraud conspiracy that billed more than,,,

Eleven Additional Defendants Charged in Medicaid Fraud Scheme

Eleven Additional Defendants Charged in Medicaid Fraud Scheme
Article Type
Investigative Press Release
Publish Date

Eleven Additional Defendants Charged in Medicaid Fraud Scheme Acting U.S. Attorney Bridget M. Brennan announced that eleven additional defendants were charged in a 77-count superseding indictment for their roles in a scheme to defraud Medicaid through fraudulent billing practices. Ten Defendants,,,

El Paso Doctor Indicted for Distributing Controlled Substances and Health Care Fraud Resulting in Five Deaths

El Paso Doctor Indicted for Distributing Controlled Substances and Health Care Fraud Resulting in Five Deaths
Article Type
Investigative Press Release
Publish Date

El Paso Doctor Indicted for Distributing Controlled Substances and Health Care Fraud Resulting in Five Deaths EL PASO – Today federal authorities arrested 60-year-old Dr. Brian James August of El Paso for allegedly committing health care fraud and distributing controlled substances that resulted in,,,

Two Arkansas Physicians Sentenced to a Total of 150 Months in Federal Prison for Prescription Fraud

Two Arkansas Physicians Sentenced to a Total of 150 Months in Federal Prison for Prescription Fraud
Article Type
Investigative Press Release
Publish Date

Two Arkansas Physicians Sentenced to a Total of 150 Months in Federal Prison for Prescription Fraud FORT SMITH – Fort Smith physician and Rogers physician were sentenced today on one count each of Distribution of a Controlled Substance without an Effective Prescription. The Honorable Judge P. K,,,

Insurance Broker Sentenced for $3.8 Million Fraud Scheme

Insurance Broker Sentenced for $3.8 Million Fraud Scheme
Article Type
Investigative Press Release
Publish Date

Insurance Broker Sentenced for $3.8 Million Fraud Scheme WASHINGTON – A licensed insurance broker and the owner of Benefits Consulting Associates LLC was sentenced to 70 months in prison Wednesday for his role in a scheme to defraud CareFirst BlueCross BlueShield of more than $3.8 million. On Nov. 8,,,

Contracting Company Owner Pleads Guilty to Federal Offense and Another Business Partner Charged for Roles in Bribery Scheme

Contracting Company Owner Pleads Guilty to Federal Offense and Another Business Partner Charged for Roles in Bribery Scheme
Article Type
Investigative Press Release
Publish Date

Contracting Company Owner Pleads Guilty to Federal Offense and Another Business Partner Charged for Roles in Bribery Scheme Acting United States Attorney Dennis R. Holmes announced that a former contracting company owner pleaded guilty for his role in a bribery scheme. Kevin Michael Trio, age 58, of,,,

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