Federal Reports

FTC OIG Management Advisory 20-07 Travel and Purchase cards

OIG reviewed RHS’ SFHGLP controls to determine whether it adequately ensured lenders’ and appraisers’ compliance with agency and USPAP requirements.

The purpose of this review was to identify and address factors that contributed to the Hawaii Medicaid Fraud Control Unit's (MFCU's or Unit's) low case outcomes during federal fiscal years (FYs) 2016-18 and to assess Unit operations. In 2015, OIG issued a report from its 2014 onsite review of the MFCU that raised concerns about the Unit's ability to carry out its statutory functions and meet program requirements. To address the deficiencies identified during OIG's previous onsite review, the MFCU developed and implemented a corrective action plan. Despite this effort, we found that the Hawaii MFCU's case outcomes were low during FYs 2016-18, compared to other similarly sized MFCUs.

A Technician in Los Angeles was terminated from employment on May 20, 2020, and a Customer Service Supervisor and an Operations Supervisor from Los Angeles were terminated from employment on June 23, 2020, following their administrative hearings. Our investigation found that the employees violated company policy by allowing a doctor to fraudulently bill the company’s group health plan on their behalf. The employees accepted monetary gifts from the doctor, while allowing her to fraudulently bill the company’s group health plan.