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Website
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
Whistleblower Protection Page
2023
A-07-20-01202
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
HRSA Made COVID-19 Uninsured Program Payments to Providers on Behalf of Individuals Who Had Health Insurance Coverage and for Services Unrelated to COVID-19
2023
A-02-21-01013
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
Pandemic
High Rates of Prior Authorization Denials by Some Plans and Limited State Oversight Raise Concerns About Access to Care in Medicaid Managed Care
2023
OEI-09-19-00350
Inspection / Evaluation
Department of Health & Human Services OIG
Department of Health & Human Services
Noridian Healthcare Solutions, LLC, Made $8.8 Million in Improper Capitation Payments to Physicians and Qualified Nonphysician Practitioners in Jurisdiction E for Certain Services Related to End-Stage Renal Disease
2023
A-09-21-03016
Audit
Department of Health & Human Services OIG
Department of Health & Human Services
Toxicology Lab Owner Pleads Guilty to Health Care Fraud and Tax Evasion; Lab Officer Pleads Guilty to Health Care Fraud
Article Type
Investigative Press Release
Publish Date
New Hampshire Doctor Indicted for Unlawfully Distributing Opioids and Benzodiazepines
Article Type
Investigative Press Release
Publish Date
Former Missouri Doctor Sentenced to 22 Months in Prison for Defrauding Medicare, Medicaid
Article Type
Investigative Press Release
Publish Date
Pharmacist convicted for conspiring to unlawfully dispense over 100,000 opioid pills
Article Type
Investigative Press Release
Publish Date
U.S. Attorney Announces Charges Against Five Individuals For Over $20 Million Health Care Fraud, Money Laundering, And Kickbacks Scheme
Article Type
Investigative Press Release
Publish Date
KC Daycare Owner Pleads Guilty to $772,000 Fraud Scheme
Article Type
Investigative Press Release
Publish Date