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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Federal Reports
Report Date
Agency Reviewed / Investigated
Report Title
Type
Location
Federal Housing Finance Agency
FHFA Failed to Consistently Deliver Timely Reports of Examination to the Enterprise Boards and Obtain Written Responses from the Boards Regarding Remediation of Supervisory Concerns Identified in those Reports (REACTED)
FHFA’s Failure to Consistently Identify Specific Deficiencies and Their Root Causes in Its Reports of Examination Constrains the Ability of the Enterprise Boards to Exercise Effective Oversight of Management’s Remediation of Supervisory Concerns (REDACTED
FHFA’s Inconsistent Practices in Assessing Enterprise Remediation of Serious Deficiencies and Weaknesses in its Tracking Systems Limit the Effectiveness of FHFA’s Supervision of the Enterprises
Excellent Home Care Services, LLC (the Agency) (located in Brooklyn, New York), did not comply with Medicare billing requirements for 156 of the 555 home health claims we reviewed. As a result, the Agency received net overpayments of $498,000 for calendar years 2011 and 2012. Specifically, the Agency incorrectly billed Medicare for some beneficiaries who were not homebound, some beneficiaries who did not require skilled services, and some services for which the documentation from the certifying physician was missing or insufficient to support the services. These errors occurred primarily because the Agency did not have adequate controls to prevent the incorrect billing of Medicare claims within selected risk areas.
First Coast Service Options, Inc., a Medicare contractor, did not claim $740,000 of allowable Supplemental Executive Retirement Plan costs for fiscal years 2006 through 2009.
The Massachusetts Executive Office of Health and Human Services, Office of Medicaid (State agency), did not comply with Federal waiver and State requirements for critical incidents involving developmentally disabled Medicaid beneficiaries. Specifically, the State agency did not ensure that (1) group homes reported all critical incidents to the Department of Developmental Services (DDS), (2) DDS obtained and analyzed data on all critical incidents, (3) appropriate action steps were identified in all incident reports that could prevent similar critical incidents, and (4) DDS always reported all reasonable suspicions of abuse or neglect to the Disabled Persons Protection Commission (DPPC).
