Department of Health & Human Services OIG

Minnesota did not comply with Federal waiver and State requirements in overseeing centers that serve vulnerable adults who receive services through the program. To protect the health and safety of vulnerable adults, Minnesota, as the licensing agency for centers, must ensure that centers follow...

Companion Data Services, LLC, did not claim $17,943 of allowable Medicare pension costs on its incurred cost proposals for calendar years 2008 through 2011.

Most Medicare claims that durable medical equipment suppliers submitted for replacement positive airway pressure (PAP) device supplies did not comply with Medicare requirements. Of the 110 claims in our sample that Medicare paid in 2014 and 2015, 24 complied with Medicare requirements; however, 86...

The President's Emergency Plan for AIDS Relief (PEPFAR) was authorized 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. Additional funds were authorized to be appropriated through 2018.

Provider-preventable conditions (PPCs) are certain reasonably preventable conditions caused by medical accidents or errors in a health care setting. Although Federal regulations and the Nevada State plan require Nevada to prohibit, for inpatient hospital services, payment for PPCs that are not...

We reviewed $141.6 million in increased payments made to 120 selected providers to determine whether the State agency made increased Medicaid payments appropriately. We determined that the 120 selected providers were eligible as primary care providers under Federal requirements. Therefore, the State...

This memorandum report presents performance data for the Senior Medicare Patrol (SMP) projects, which receive grants from ACL to recruit and train retired professionals and other senior citizens to recognize and report instances or patterns of health care fraud. OIG has collected these performance...

The Health Center Program provides Federal funds to support health centers' operations with the goal of ensuring access to primary health care services for medically underserved populations. HRSA is tasked with administering and overseeing the program, which serves 1 in 12 people in the United...

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 established the Competitive Bidding Program for durable medical equipment (DME). The program replaces a fee schedule with a competitive bidding process to set Medicare reimbursement amounts in certain areas. In a letter to...

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 established the Competitive Bidding Program for durable medical equipment (DME). The program replaces a fee schedule with a competitive bidding process to set Medicare reimbursement amounts in certain areas. In a letter to...