Federal Reports

Claims for outpatient physical therapy services provided by a physical therapy practice (the practice), located in Yuba City, California, did not comply with Medicare requirements. Specifically, of the 100 beneficiary days in our random sample, the practice properly claimed Medicare reimbursement for 36 beneficiary days. However, the practice improperly claimed Medicare reimbursement for the remaining 64 beneficiary days, consisting of 62 beneficiary days that had therapy services that were not medically necessary and 2 beneficiary days that did not meet Medicare documentation requirements. On the basis of our sample results, we estimated that the practice received at least $583,000 in unallowable Medicare reimbursement for outpatient physical therapy services that did not comply with Medicare requirements.

ARC Semi-Annual report to Congress

This Semiannual Report to Congress summarizes the activities of our office for the 6-month period

This Semiannual Report to Congress summarizes the activities of our office for the 6-month period

The OIG updated the agency's top management challenges, issued a mandatory report to the Congress on the status of NEA’s implementation of the Cybersecurity Act of 2015, issued a report on our review of a Single Audit involving an NEA grantee, and collaborated with the NEA to establish a more collaborative and disciplined audit follow-up process to facilitate resolution of OIG recommendations. Finally, we referred two Freedom of Information Act requests to NEA for processing, evaluated seven hotline inquiries and took appropriate action to address the inquires, and completed a policy review as required by the IG Act. The annual financial statement and FISMA audits are in progress and will be completed by their respective deadlines.