Department of Health & Human Services OIG

Overdose deaths are at epidemic levels and the opioid crisis is now considered a public health emergency. In 2016, there were more than 42,000 opioid-related overdose deaths in the United States-115 deaths per day. Nearly 7,000 of these deaths occurred in five States in the Appalachian region...

United Government Services, LLC, properly updated the Medicare segment pension assets from January 1, 2010, to January 1, 2015.

Although Northwestern claimed allowable expenditures on subawards it awarded and received, it did not always perform required subaward risk assessments. For 24 of the 30 grants to subrecipients, Northwestern did not perform a risk assessment on 1 or more of the subrecipients. The 30 grants had...

New York may have improperly claimed reimbursement for 7,650 dental services totaling $1.3 million ($670,000 Federal share). Of these, 712 claims, totaling $66,000 ($34,000 Federal share), were for Medicaid fee-for-service dental services and 6,938 claims, totaling $1.3 million ($635,000 Federal...

The steps the Centers for Medicare & Medicaid Services (CMS) has taken to address terminated drug utilization in Medicare Part D were not entirely effective and, as a result, CMS continued to accept some prescription drug event (PDE) data for terminated drugs in calendar years (CYs) 2014 and 2015...

Corporación Salud Asegurada por Nuestra Organización Solidaria, Inc. (SANOS), a Health Resources and Services Administration (HRSA) grantee located in Caguas, Puerto Rico, generally complied with applicable Federal requirements and grant terms related to its Community Health Center Program grants...

The Office of Inspector General is required to report to Congress the results of annual independent evaluations of the information security programs of Medicare administrative contractors (MACs). The Centers for Medicare & Medicaid Services (CMS) contracted with PricewaterhouseCoopers (PwC) to...

For our audit period (January 1, 2015, through December 31, 2017), Medicare should not have paid suppliers for any of the $34 million for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) that were provided during inpatient stays. In addition, beneficiaries were held...

In a series of reports from 2008 to 2016, OIG found that adverse events and temporary harm events are common, endanger patient health, and are costly to the Medicare program. In a 2010 study, OIG found that 27 percent of hospitalized Medicare beneficiaries experienced such events, costing Medicare...

Inadequate oversight at both the Centers for Medicare & Medicaid Services (CMS) and the State Medicaid agency (State agency) level created vulnerabilities in State agencies' use of random moment timestudies (RMTS) as a basis to allocate and claim Federal Medicaid reimbursement for costs associated...