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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
Department of Health & Human Services
Hospitals Did Not Always Comply With Medicare Requirements for Reporting Cochlear Devices Replaced Without Cost
Federal regulations require a payment reduction in the outpatient prospective payment system for the replacement of an implanted device if (1) the device is replaced without cost to the provider or the beneficiary, (2) the provider receives full credit for the cost of the replaced device, or (3) the provider receives partial credit equal to or greater than 50 percent of the cost of the replacement device (42 CFR § 419.45(a)).
CNCS management reported that it discovered anomalies with the National Service Participants (NSP) accounts in the National Service Trust (NST) database in which AmeriCorps members had been enrolled in Teach for America (TFA) Idaho and Chicago AmeriCorps programs between Grant Years (GY) 2013 - 2017 under multiple NSP accounts with different Social Security Numbers.
A hotline complainant reported that members serving with the St. Bernard Project (SBP), Wall Township, NJ, were unsupervised, falsely reporting service hours, and working in unsafe working conditions.
The New York State Department of Health (State agency) did not always follow Federal requirements in allocating costs to its establishment grants for implementing a health insurance marketplace.
