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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 Housing and Urban Development
Boulder County, CO, Generally Approved Its Grants and Procured Consultants in Accordance With Applicable Federal Requirements
The U.S. Department of Housing and Urban Development (HUD), Office of Inspector General audited Boulder County because it is a significant recipient of the State of Colorado’s more than $320 million Community Development Block Grant Disaster Recovery grant, having received grants of more than $6 million. Our audit objective was to determine whether Boulder approved its grants and procured consultants in accordance with applicable Federal requirements.Boulder County generally approved its grants and procured consultants in accordance with applicable Federal requirements. The CDBG-funded projects reviewed were generally eligible, and consultants were properly procured. This report contains no recommendations.
Audit of the Office on Violence Against Women Tribal Government and Rural Domestic Violence Grants Awarded to the Ponca Tribe of Nebraska, Niobrara, Nebraska
A Management Advisory Recommending the Strengthening of the FTC Ethics Program by Extending Mandatory Annual Ethics Training to Employees at or Below the GS-13 Grade Level Who Occupy High Risk Positions.
Sleep Health Center (Sleep Health), based in Fort Myers, Florida, billed Medicare claims for polysomnography services that did not always comply with Medicare billing requirements. Of the 100 randomly selected beneficiaries that we reviewed, Sleep Health billed Medicare claims for polysomnography services that met Medicare billing requirements for 36 beneficiaries with 137 corresponding lines of service. However, Sleep Health billed Medicare claims for the remaining 64 beneficiaries with 149 corresponding lines of service that did not meet Medicare requirements, resulting in overpayments totaling $49,000. These errors occurred primarily because Sleep Health did not have adequate controls to ensure that it properly documented polysomnography services billed to Medicare. On the basis of our sample results, we estimated that Sleep Health received overpayments of at least $487,000 for the audit period.
The Centers for Medicare & Medicaid Services (CMS) had policies and procedures to ensure that payments were not made for Medicare services rendered to unlawfully present beneficiaries in accordance with Federal requirements, but it did not always follow those policies and procedures. When CMS's data systems indicated that at the time a claim was processed the beneficiary was unlawfully present, CMS had policies and procedures to prevent payment for Medicare services, and CMS followed those procedures.
