Department of Health & Human Services OIG

Sea View Health Care Services, Inc., (the Agency) (located in Charlotte Amalie, on the island of St. Thomas, U.S. Virgin Islands) did not comply with Medicare billing requirements for 95 of the 166 starts-of-care (122 of the 253 home health claims) reviewed. On the basis of our sample results, we...

Wesley Medical Center (the Hospital) (operating in Wichita, Kansas) complied with Medicare billing requirements for 208 of the 246 inpatient and outpatient claims we reviewed. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 38 claims, resulting in...

The National Institutes of Health awarded $299,000 to Columbia University (Columbia) to replace research resources lost or damaged by Hurricane Sandy. Columbia claimed allowable Hurricane Sandy Disaster Relief Act costs for the period January 31, 2014, through February 28, 2015. Accordingly, this...

The Administration for Children and Families awarded $235.4 million in Disaster Relief Act funding to New York State for Social Services Block Grant (SSBG) activities, including social, health, and mental health services for individuals and for the repair, renovation, and rebuilding of health care...

CIGNA Government Services, LLC, a subsidiary of CIGNA Corporation, claimed unallowable postretirement benefit costs of $281,000 for Medicare reimbursement for fiscal years 2004 through 2012.

The New York State Department of Health used the correct Federal medical assistance percentages when processing Medicaid claim adjustments for both public and private providers during the period October 2008 through June 2011. Accordingly, this report contains no recommendations.

More than half of the Medicaid payments that the State agency made to providers for full vials of Herceptin were incorrect. Of the 381 line items reviewed, 203 (53 percent) were incorrect and included overpayments of about $1 million ($710,000 Federal share), or almost a third of total dollars...

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...

From October 1, 2011, through September 30, 2012, the California Department of Health Care Services claimed at least $516,000 in unallowable enhanced Federal reimbursement for Medicaid family planning drugs provided in Los Angeles County that did not comply with certain Federal requirements.

Lafayette General Medical Center (the Hospital) (operating in Louisiana) complied with Medicare billing requirements for 34 of the 103 inpatient claims and all 31 outpatient claims. However, the Hospital did not fully comply with Medicare billing requirements for the remaining 69 inpatient claims...