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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…

Independent Attestation Review: National Institutes of Health Fiscal Year 2017 Detailed Accounting Submissions and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions

2018
A-03-18-00352
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

This report provides the results of our review of the National Institutes of Health (NIH) detailed accounting submissions, which include the tables of Fiscal Year 2017 Actual Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2017. We also reviewed...

Independent Attestation Review: Substance Abuse and Mental Health Services Administration Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions

2018
A-03-18-00353
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

This report provides the results of our review of the Substance Abuse and Mental Health Services Administration (SAMHSA) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2017...

Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions

2018
A-03-18-00354
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

This report provides the results of our review of the Health Resources and Services Administration (HRSA) detailed accounting submission, which includes the Table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2017. We also...

Medicare Compliance Review of Carolinas Medical Center

2018
A-04-16-04049
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Carolinas Medical Center (the Hospital), located in Charlotte, North Carolina, complied with Medicare billing requirements for 157 of the 240 inpatient claims that we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 83 claims, resulting in net...

North Carolina Did Not Always Verify Correction of Deficiencies Identified During Surveys of Nursing Homes Participating in Medicare and Medicaid

2018
A-04-17-02500
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

The State survey agency did not always verify the correction of nursing home deficiencies identified during surveys in 2015 in accordance with Federal requirements.

Independent Attestation Review: Centers for Disease Control and Prevention Fiscal Year 2017 Detailed Accounting Submission and Performance Summary Report for National Drug Control Activities and Accompanying Required Assertions

2018
A-03-18-00355
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

This report provides the results of our review of the Centers for Disease Control and Prevention (CDC) detailed accounting submission, which includes the table of Drug Control Obligations, related disclosures, and management's assertions for the fiscal year ended September 30, 2017. We also reviewed...

Medicare Advantage Encounter Data Show Promise for Program Oversight, But Improvements Are Needed

2018
OEI-03-15-00060
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services

For the Medicare Advantage (MA) program, CMS contracts with private insurance companies, known as MA organizations (MAOs), to provide Medicare coverage for 18.6 million beneficiaries. In fiscal year 2016, MA expenses reached $200 billion. In 2012, CMS began collecting detailed information from MAOs...

Wisconsin Physicians Service Insurance Corporation Did Not Claim Some Allowable Medicare Pension Costs

2018
A-07-17-00519
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Wisconsin Physicians Service Insurance Corporation did not claim $1.0 million of allowable fiscal intermediary and carrier contract Medicare pension costs on its Final Administrative Cost Proposals for fiscal years 2008 through 2013.

Wisconsin Physicians Service Insurance Corporation Understated Its Medicare Segment Pension Assets for Its Employees' Pension Plan

2018
A-07-17-00516
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Wisconsin Physicians Service Insurance Corporation, understated its Medicare segment pension assets as of December 31, 2012, by $242,000.

Wisconsin Physicians Service Insurance Corporation Understated Its Allocable Pension Costs

2018
A-07-17-00520
Audit
Department of Health & Human Services OIG
Department of Health & Human Services

Wisconsin Physicians Service Insurance Corporation understated the Medicare segment allocable pension costs by $1.5 million and understated the Other segment allocable pension costs used to calculate its indirect cost rates by $7.2 million for calendar years 2008 through 2013.

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