Department of Health & Human Services OIG

The Office of Inspector General (OIG) must review the Department of Health and Human Services (HHS) compliance with the Improper Payments Information Act of 2002 (IPIA; P.L. No. 107-300) as amended by the Improper Payments Elimination and Recovery Act of 2010 (P.L. No. 111-204) and the Improper...

CGS Administrators, LLC, did not claim $6,000 of allowable Medicare postretirement benefit costs that on its Incurred Cost Proposals for calendar years 2010 and 2011.

CGS Administrators, LLC, claimed $23,000 of unallowable Medicare pension costs on its Incurred Cost Proposals for calendar years 2010 and 2011.

CGS Administrators, LLC, claimed unallowable Medicare pension costs of $1,200 for Medicare reimbursement for fiscal years 2008 through 2011.

Medical Ambulance Services, Inc. (MAS), located in San Juan, Puerto Rico, claimed Medicare Part B reimbursement for ambulance services that did not comply with Federal and Commonwealth of Puerto Rico requirements. Of the 100 claims in our random sample, 5 complied with Federal and Commonwealth...

Before the start of our audit, the Iowa Department of Human Services, Iowa Medicaid Enterprise (State agency), did not invoice rebate-eligible physician-administered drugs dispensed to enrollees of Medicaid managed-care organizations (MCOs) in the State. Specifically, the State agency did not...

A Missouri physical therapy practice (the Therapy Practice) claimed Medicare reimbursement for some outpatient physical therapy services that did not meet Medicare reimbursement requirements. Of the 100 beneficiary days in our random sample, the Therapy Practice properly claimed Medicare...

CGS Administrators, LLC (CGS), understated the Medicare segment pension assets by $311,000 as of May 31, 2011. In addition, CGS understated Medicare's share of the Medicare segment excess pension assets by $309,000 as of May 31, 2011, as a result of the Medicare segment closing.

CGS Administrators, LLC (CGS), overstated the Medicare segment pension assets by $1.3 million as of May 31, 2011. In addition, CGS understated Medicare's share of the Medicare segment excess pension liabilities by $748,000 as of May 31, 2011, as a result of the Medicare segment closing.

Economic Opportunity Commission of Nassau County, Inc. (EOC), an Administration for Children and Families (ACF) grantee, claimed approximately $600,000 in unallowable Hurricane Sandy Disaster Relief Act funds.