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Brought to you by the Council of the Inspectors General on Integrity and Efficiency
Our objective was to review the accuracy and completeness of the Commission’s reporting, as well as agency performance in reducing and recapturing improper payments, if applicable. Overall, we found that the Denali Commission met the applicable OMB criteria for compliance with IPIA, as amended, for FY 2016.
Medicare Part B provides for the coverage of outpatient therapy services, including occupational, physical, and speech therapy. Previous OIG reports identified unallowable claims for these services. Fox Rehabilitation (Fox), headquartered in New Jersey, was among the largest providers of outpatient therapy services in the country. Our objective was to determine whether claims for outpatient therapy services provided in New Jersey and submitted for Medicare reimbursement by Fox complied with Medicare requirements.
Accredo Health Group, Inc. (which is located in Memphis, Tennessee, and has pharmacies across the United States) complied with Medicare requirements when billing for inhalation drugs. Specifically, all 100 claim lines in our sample complied with the requirements. Consequently, this report has no recommendations.
The objective was the review the accuracy and completeness of the Commission/s reporting, as well as agency performance in reducing and recapturing improper payments, if applicable. Overall it was found that the Denali Commission met the applicable OMB criteria for compliance with IPIA, as amended, for FY 2016.
The Office of the Inspector General conducted a review of Talent Acquisition and Diversity (TAD) to identify strengths and risks that could impact TAD's organizational effectiveness. Our evaluation identified strengths within TAD related to (1) organizational alignment, (2) collaboration, (3) support from TAD management, and (4) department morale and ethics. However, we also identified potential risks that could negatively affect the achievement of the mission. These risks include (1) the potential for increased noncompliance risk due to (a) the use of social media in the recruitment process and (b) no documentation requirements for hiring interns, (2) talent acquisition process inefficiencies, and (3) the potential for ineffective inclusion metrics and programs.
