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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

Medicare Market Shares of Non-Mail Order Diabetes Test Strips From April Through June 2018

2019
OEI-04-18-00441
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

The Medicare Improvements for Patients and Providers Act of 2008 (MIPPA) prohibits CMS from awarding a Competitive Bidding Program contract to a supplier of diabetes test strips if the supplier's bid does not cover at least 50 percent, by volume, of the types of diabetes test strips provided to...

Summary Report for Fiscal Year 2016 OIG Penetration Testing of Four HHS Operating Division Networks

2019
A-18-18-08500
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

We conducted a series of OIG audits at four HHS Operating Divisions (OPDIVs) using network and web application penetration testing to determine how well HHS systems were protected when subject to cyberattacks.

Factsheet: Nevada's Oversight of Opioid Prescribing and Monitoring of Opioid Use

2019
A-09-18-01004
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

We reviewed the oversight of opioid prescribing and the monitoring of opioid use in Nevada. This factsheet shows Nevada's responses to our questionnaire covering five categories related to its approach to addressing the opioid epidemic: policies and procedures, data analytics, programs, outreach...

CDC Reimbursed Contractors for Some Unallowable World Trade Center Health Program Administrative Costs

2019
A-02-16-02012
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The World Trade Center Health Program (WTCHP) was established in January 2011 by the James Zadroga 9/11 Health and Compensation Act of 2010 (Zadroga Act). The WTCHP is administered by the Centers for Disease Control and Prevention (CDC). CDC incurred WTCHP administrative costs by contracting with...

Lincoln Hall Boys' Haven, an Administration for Children and Families Grantee, Did Not Always Comply With Applicable Federal and State Policies and Requirements

2019
A-02-16-02007
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Lincoln Hall Boys' Haven (Lincoln Hall), an Unaccompanied Alien Children (UAC) grantee located in Lincolndale, New York, did not meet or properly document that it met certain safety requirements for the care and release of children in its custody. Further, it could not identify actual expenditures...

Opportunities Exist for the National Institutes of Health To Strengthen Controls in Place To Permit and Monitor Access to Its Sensitive Data

2019
A-18-18-09350
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

As part of the Department of Health and Human Services (HHS), the National Institutes of Health (NIH) is the largest public funder of biomedical research agency in the world, investing more than $30 billion in taxpayer dollars to achieve its mission. NIH's mission is to seek fundamental knowledge...

Factsheet: Utah's Oversight of Opioid Prescribing and Monitoring of Opioid Use

2019
A-07-18-05115
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

We reviewed the oversight of opioid prescribing and the monitoring of opioid use in the State of Utah. This factsheet shows the State of Utah's responses to our questionnaire covering five categories related to its approach to addressing the opioid epidemic: policies and procedures, data analytics...

Factsheet: Tennessee's Oversight of Opioid Prescribing and Monitoring of Opioid Use

2019
A-04-18-00124
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

We reviewed the oversight of opioid prescribing and the monitoring of opioid use in Tennessee. This factsheet shows Tennessee's responses to our questionnaire covering five categories related to its approach to addressing the opioid epidemic: policies and procedures, data analytics, programs...

Medicare Compliance Review of Community Hospital

2019
A-05-17-00026
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Community Hospital (The Hospital), located in Munster, Indiana, complied with Medicare billing requirements for 84 of the 170 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 86 claims, all of which were...

Separated Children Placed in Office of Refugee Resettlement Care

2019
OEI-BL-18-00511
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

In the Spring of 2018, the Department of Justice and Department of Homeland Security (DHS) implemented a "zero-tolerance policy" for certain immigration offenses. As a result, DHS separated large numbers of alien families, with adults being held in Federal detention while their children were...

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