Department of Health & Human Services OIG

First Coast Service Options, Inc., understated the Medicare segment postretirement benefit costs by $50,000 and overstated the Other segment postretirement benefit costs used to calculate its indirect cost rates by $3.4 million for calendar years 2008 through 2012.

First Coast Service Options, Inc., did not claim $96,000 of allowable fiscal intermediary and carrier contract Medicare postretirement benefit costs on its Final Administrative Cost Proposals for fiscal years 2008 and 2009.

Palmetto Government Benefits Administrator, LLC, understated the Medicare segment pension costs used to calculate its indirect cost rates by $143,000 for calendar years 2006 through 2012.

First Coast Service Options, Inc., overstated the Medicare segment postretirement benefit assets as of January 1, 2013, by $5.0 million.

Some hospitals in Medicare Jurisdiction E did not always claim Medicare graduate medical education (GME) reimbursement for residents in accordance with Federal requirements. Specifically, we found that 65 hospitals claimed residents for the same period as more than 1 full-time equivalent (FTE) on...

Palmetto Government Benefits Administrator, LLC, did not claim allowable Medicare pension costs of $686,000 on its Final Administrative Cost Proposals for fiscal years 2005 through 2011.

Palmetto Government Benefits Administrator, LLC, understated its Medicare segment's pension assets as of January 1, 2013, by $1.0 million.

Medicare payments to New England providers were not always correct for nonphysician outpatient services provided within 3 days prior to the date of admission, on the date of admission, or during Inpatient Prospective Payment System stays. For 75 of the 129 services we sampled, Medicare paid...

Created in 1999, the Strategic National Stockpile (Stockpile) is a repository of vaccines, antibiotics, antidotes, antitoxins, medications, and supplies, in addition to certain controlled substances, meant to supplement and resupply State and local public health agencies in the event of a national...

With respect to Medicaid patient days, Wisconsin Physicians Service Insurance Corporation (WPS) did not properly settle for Federal fiscal years (FYs) 2010 through 2012 Medicare cost reports submitted by inpatient hospitals in Missouri (Missouri providers) for Medicare disproportionate share...