Oig.hhs.gov

Office of Inspector General Government …

HHS-OIG is the largest inspector general's office in the Federal Government, with more than 1,600 employees dedicated to government oversight, combating fraud, waste and abuse and to improving the efficiency of HHS programs. A majority of the OIG's resources goes toward the oversight of Medicare and Medicaid.

Actived: Just Now

URL: https://oig.hhs.gov/

Compliance Office of Inspector General Government …

WebThis online training series includes web-based trainings, job aids, and videos for grantees and health care providers who serve AI/AN communities to learn more about …

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Consumer Fraud in the Health Insurance Marketplace

WebDon't be a Victim of Consumer Fraud in the Health Care Marketplace. Beware of people asking for money to enroll you in Marketplace or "Obamacare" insurance. Legitimate …

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Fraud Alert: COVID-19 Scams

WebScammers are using social media to perpetrate COVID-19-related scams. In one major scheme, fraudsters hack social media accounts and send direct messages …

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Telehealth HHS-OIG

WebGenerally, telehealth is the remote or virtual delivery of health care services. Patients can receive a wide range of telehealth services, including check-ins with their …

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Adverse Events HHS-OIG

WebKey Terms. Patient Harm - Harm to a patient as a result of medical care or in a health care setting, including the failure to provide needed care. Patient harm refers …

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Managed Care HHS-OIG

WebThe HHS-OIG Strategic Plan for Oversight of Managed Care for Medicare and Medicaid has three goals: Promote data accuracy and encourage data-driven decisions. …

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Nursing Homes HHS-OIG

WebDecades of OIG work on nursing homes has uncovered widespread challenges in providing safe, high-quality care. Our audits, evaluations, and …

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U.S. Department of Health and Human Services …

Webthe first year of the pandemic. However, beneficiaries’ use of telehealth for behavioral health services stands out. Beneficiaries used telehealth for a larger share of their behavioral …

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General Compliance Program Guidance Office of Inspector …

WebThe General Compliance Program Guidance (GCPG) is a reference guide for the health care compliance community and other health care stakeholders.

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Report Healthcare Fraud

WebComplaint Who to Contact; Issues about Medicare policy, coverage, billing claims or appeals . Lost or stolen Medicare card. Medicare.gov 1-800-MEDICARE

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GENERAL COMPLIANCE PROGRAM GUIDANCE (COVER TITLE …

WebThe GCPG is a reference guide for the health care compliance community and other health care stakeholders. The GCPG provides information about relevant Federal

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Submit a Hotline Complaint Office of Inspector General

WebSubmit a Hotline Complaint. OIG Hotline Operations accepts tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement in the U.S. …

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Information Blocking HHS-OIG

WebOn June 27, 2023, HHS-OIG posted its final rule implementing information blocking penalties . The final rule establishes the statutory penalties created by the 21st Century …

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Compliance Guidance Office of Inspector General Government

WebCompliance Guidance. OIG has developed a series of voluntary compliance program guidance documents (CPGs) directed at various segments of the health care industry, …

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Fraud & Abuse Laws

WebFraud & Abuse Laws. The five most important Federal fraud and abuse laws that apply to physicians are the False Claims Act (FCA), the Anti-Kickback Statute (AKS), the …

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Missouri Claimed Federal Reimbursement for $3.4 Million in …

WebReport in rief Date: August 2021 Report No. A-07-20-04117 Why OIG Did This Audit The Medicaid “health home” option allows States to create programs that

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Medicare Advantage Compliance Audit of Specific Diagnosis …

WebTitle: Medicare Advantage Compliance Audit of Specific Diagnosis Codes that Peoples Health Network (Contract H1961) Submitted to CMS, A-06-18-05002

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Exclusions FAQs Office of Inspector General Government …

WebThe scope of an exclusion under section 1128 of the Act is from all Federal health care programs, as defined in 42 CFR 1001.2. Federal health care programs …

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Home Health Agencies Failed to Report to Report Over Half …

WebWe recommend that CMS (1) take steps to ensure the completeness and accuracy of the HHA-reported OASIS data used to calculate the falls with major injury quality measure; …

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Patient Dumping After COBRA: Assessing the Incidence and …

WebRECOMMENDATIONS Reportg of suspected cases of patient dumping should be made a condition of parcipation in the Medcare progrm or par of a hospita' s provider agrement in …

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Medicare Home Health Agency Provider Compliance Audit: …

WebTitle: Medicare Home Health Agency Provider Compliance Audit: Tender Touch Health Care Services, A-04-18-07077 Author: HHS Office of Inspector General, Office of Audit …

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Sleep Health Center Billed Medicare for Some Unallowable …

WebEXECUTIVE SUMMARY Sleep Health Center received at least $486,932 over 3 years for some polysomnography services that were not allowable in accordance with Medicare …

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Medicare Home Health Agency Provider Compliance Audit: …

WebTitle: Medicare Home Health Agency Provider Compliance Audit: Southeastern Home Health Services, A-03-17-00004 Author: HHS Office of Inspector General, Office of Audit …

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DEPARTMENT OF HEALTH & HUMAN SERVICES OFFICE OF …

WebGenerations Family Health Center, Inc. (Generations), is a private, not-for-profit, regional Federally Qualified Health Center that has served eastern Connecticut since 1984.

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DEPARTMENT OF HEALTH & HUMAN SERVICES Office of …

WebFloor, Corning Tower Albany, NY 12237 . Dear Dr. Daines: Enclosed is the U.S. Department of Health & Human Services (HHS), Office of Inspector

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