Oig.hhs.gov View all Health

Centers for Medicare and Medicaid Services (CMS) Office

Details: Medicare Home Health Agency Provider Compliance Audit: Condado Home Care Program, Inc. A-02-17-01022 08-06-2020 Desoto Home Health Care, Inc.: Audit of Medicare Payments for Orthotic Braces A-09-19-03021 08-05-2020

› Verified Just Now

› Url: https://www.oig.hhs.gov/reports-and-publications/oas/cms.asp Go Now

• Get more: Federal inspector general complaintGo Now

Department of Health and Human Services

Details: health and welfare of beneficiaries served by those programs. This statutory mission is carried out through a nationwide network of audits, investigations, and inspections conducted by the following operating components: Office of Audit Services.

› Verified 6 days ago

› Url: https://www.oig.hhs.gov/oas/reports/region4/41806221.pdf Go Now

• Get more: Oig hhs gov exclusions searchGo Now

Department of Health and Human Services

Details: Health centers are community-based public and private nonprofit health care organizations that deliver care to the Nation’s most vulnerable individuals and families. Health centers that were receiving grant funding under section 330 of the Public Health Service Act (42 U.S.C. § 254b) were eligible for AIMS supplemental grant funding. 3

› Verified 2 days ago

› Url: https://oig.hhs.gov/oas/reports/region2/21902001.pdf Go Now

• Get more: Oig websiteGo Now

Audit of Health Resources and Services Administration's

Details: Audit of Health Resources and Services Administration's COVID-19 Uninsured Program. To address the COVID-19 pandemic, the Families First Coronavirus Response Act (FFCRA) and the Paycheck Protection Program and Health Care Enhancement Act (PPP) together appropriated $2 billion to reimburse providers for costs associated with conducting COVID-19 testing and …

› Verified 8 days ago

› Url: https://www.oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000524.asp Go Now

• Get more: Oig fraud hotlineGo Now

Principal Deputy Inspector General Christi A. Grimm …

Details: Health care providers that info block are subject to appropriate disincentives that will be established in future r egulatory action by HHS. Implementing Value-Based Care: Value-based models often raise program integrity risks that differ from those in traditional, fee-for-service models. Effective program integrity

› Verified 8 days ago

› Url: https://oig.hhs.gov/documents/speeches/314/hcca-04292021-handout.pdf Go Now

• Get more: Oig office of healthcare inspectionsGo Now

Medicare Advantage Compliance Audit of Specific …

Details: For this audit, we reviewed one MA organization, UPMC Health Plan, Inc. (UPMC), and focused on 10 groups of high-risk diagnosis codes. Our objective was to determine whether selected diagnosis codes that UPMC submitted to CMS for use in CMS's risk adjustment program complied with Federal requirements. How OIG Did This Audit

› Verified 2 days ago

› Url: https://oig.hhs.gov/oas/reports/region7/71901188.asp Go Now

• Get more: Oig fraud and abuse guidelinesGo Now

DEPARTMENT OF HEALTH & HUMAN SERVICES …

Details: health and welfare of beneficiaries served by those programs. This statutory mission is carried out through a nationwide network of audits, investigations, and inspections conducted by the following operating components: Office of Audit Services.

› Verified 2 days ago

› Url: https://oig.hhs.gov/oas/reports/region2/20701051.pdf Go Now

• Get more: Hhs oig field office locationsGo Now

University of Medicine and Dentistry of New Jersey

Details: Department of Health and Human Services (HHS) to promote compliance with the . Medicare, Medicaid, and all other Federal health care programs (as defined in 42 U.S.C. § 1320a-7b(t)) (Federal health care program requirements). Contemporaneously with this CIA, UMDNJ is entering into a Settlement Agreement with the United States.

› Verified 6 days ago

› Url: https://oig.hhs.gov/fraud/cia/agreements/university_of_medicine_and_dentistry_of_nj_09252009.pdf Go Now

› Get more:  Health LifeGo Now

Passaic County Man Convicted Of Health Care Fraud And

Details: Passaic County Man Convicted Of Health Care Fraud And Other Charges For Operating Ambulance Company Despite Ban. NEWARK, N.J. - A Passaic County, New Jersey, man was convicted in federal court today of illegally operating a Clifton, New Jersey, ambulance company despite having been banned from participating in federal health care programs due to a prior …

› Verified Just Now

› Url: https://oig.hhs.gov/fraud/enforcement/passaic-county-man-convicted-of-health-care-fraud-and-other-charges-for-operating-ambulance-company-despite-ban/ Go Now

› Get more:  Health LifeGo Now

Clifton, New Jersey, Ambulance Provider Charged In 17

Details: Clifton, New Jersey, Ambulance Provider Charged In 17-Count Indictment With Health Care Fraud. NEWARK, N.J. - A Passaic County, New Jersey, man was charged today with operating a lucrative ambulance company that received funds from Medicare and Medicaid, despite being barred from doing such business because of a prior health care fraud conviction, U.S. …

› Verified Just Now

› Url: https://oig.hhs.gov/fraud/enforcement/clifton-new-jersey-ambulance-provider-charged-in-17-count-indictment-with-health-care-fraud/ Go Now

› Get more:  Health LifeGo Now

Department of Health and Human Services

Details: health status of each enrollee. Accordingly, MA organizations are paid more for providing benefits to enrollees with diagnoses associated with more intensive use of health care resources than to healthier enrollees who would be expected to require fewer health care resources. To determine the health status of enrollees, CMS relies on MA

› Verified 2 days ago

› Url: https://oig.hhs.gov/oas/reports/region7/71701173.pdf Go Now

› Get more:  Health LifeGo Now

Gainsharing Arrangements and CMPs for Hospital

Details: July 1999 . A. Introduction. The Office of Inspector General (OIG) was established at the Department of Health and Human Services by Congress in 1976 to identify and eliminate fraud, abuse and waste in the Department's programs and to promote efficiency and economy in departmental operations.

› Verified 1 days ago

› Url: https://oig.hhs.gov/documents/special-advisory-bulletins/895/gainsh.htm Go Now

› Get more:  Health LifeGo Now

Availability of Behavioral Health in Medicare Fee-For

Details: Availability of Behavioral Health in Medicare Fee-For-Service, Medicare Advantage, and Medicaid Managed Care. More than half of all Americans will be diagnosed with a behavioral health condition in their lifetime, estimates indicate, and many experts say that the need for behavioral health services has grown dramatically during the COVID-19 pandemic.

› Verified 4 days ago

› Url: https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000644.asp Go Now

› Get more:  Health LifeGo Now

Corporate Responsibility and Health Care Quality

Details: Health Lawyers Association (AHLA), the leading health law educational organization.1 It seeks to assist direc-tors of health care organizations in carrying out their important oversight responsibilities in the current challeng-ing health care environment. Improving the knowledge base and effectiveness of those serving on health care organi-

› Verified 3 days ago

› Url: https://oig.hhs.gov/documents/compliance-guidance/813/CorporateResponsibilityFinal_9-4-07.pdf Go Now

› Get more:  Health LifeGo Now

HHS-OIG Fugitives Office of Inspector General

Details: OIG maintains a list of fugitives wanted for health care fraud, abuse or child support obligations. Tips from the public often help us capture these individuals and bring them to justice. If you have any information regarding these fugitives please file a report.

› Verified 9 days ago

› Url: https://oig.hhs.gov/fraud/fugitives/?type=health-care-fraud Go Now

› Get more:  Health LifeGo Now

Home-Health Aide Arrested for Medicaid Fraud Office of

Details: Home-Health Aide Arrested for Medicaid Fraud. TALLAHASSEE, Fla.—Attorney General Ashley Moody’s Medicaid Fraud Control Unit, with the assistance of the Fort Pierce Police Department, today arrested a St. Lucie County home …

› Verified 3 days ago

› Url: https://oig.hhs.gov/fraud/enforcement/home-health-aide-arrested-for-medicaid-fraud/ Go Now

› Get more:  Health LifeGo Now

Policies and Guidance HHS-OIG's Oversight of COVID-19

Details: Policies & Guidance Print This. Given the challenges of this pandemic, we are coordinating closely with HHS, Centers for Medicare and Medicaid Services, and our law enforcement partners to support the health care system's response to COVID-19.. We issue policy statements notifying health care providers that OIG will not impose administrative sanctions under the Federal anti …

› Verified 4 days ago

› Url: https://oig.hhs.gov/coronavirus/policies.asp Go Now

› Get more:  Health LifeGo Now

Telehealth Services in Select Federal Health Care Programs

Details: It will provide policymakers and stakeholders with foundational information about the nature of telehealth across select Federal health care programs and related program integrity risks in order to inform the use of telehealth in the future. Announced or Revised. Agency. Title. Component. Report Number (s) Expected Issue Date (FY) December 2021.

› Verified 8 days ago

› Url: https://www.oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000637.asp Go Now

› Get more:  Health LifeGo Now

Saber Healthcare Holdings, LLC et al. Corporate Integrity

Details: health care programs (as defined in 42 U.S.C. § 1320a-7b(f)) (Federal health care program requirements). Contemporaneously with this CIA, Saber is entering into a Settlement Agreement with the United States. SHH is a holding company, which directly or …

› Verified 3 days ago

› Url: https://www.oig.hhs.gov/fraud/cia/agreements/Saber_Healthcare_Holdings_LLC_et_al_03312020.pdf Go Now

› Get more:  Health LifeGo Now

HEALTH CARE COMPLIANCE PROGRAM TIPS

Details: HEALTH CARE COMPLIANCE PROGRAM TIPS The Seven Fundamental Elements of an Effective Compliance Program 1. Implementing written policies, procedures and standards of conduct. 2. Designating a compliance officer and compliance committee. 3. Conducting effective training and education. 4. Developing effective lines of communication. 5.

› Verified 7 days ago

› Url: https://oig.hhs.gov/documents/provider-compliance-training/945/Compliance101tips508.pdf Go Now

› Get more:  Health LifeGo Now

Indian Health and Human Services Reports & Publications

Details: The Indian Health Service (IHS), which has a budget of approximately $6 billion, provides or funds a wide range of clinical, public health, and community services to approximately 2.2 million AI/ANs who are members of the 567 federally recognized Tribes located in 35 states. IHS and tribally-run facilities generally also serve as Medicare and Medicaid providers for …

› Verified Just Now

› Url: https://oig.hhs.gov/reports-and-publications/featured-topics/ihs/enforcement.asp Go Now

› Get more:  Health LifeGo Now

Reports HHS-OIG's Oversight of COVID-19 Response and

Details: Indian Health Service Use of Critical Care Response Teams Has Helped To Meet Facility Needs During the COVID-19 Pandemic (OEI-06-20-00700) September 21, 2021 : Assess Indian Health Service (IHS) use of Critical Care Response Teams (CCRTs) to support IHS and Tribal health care facilities during the COVID-19 pandemic.

› Verified 7 days ago

› Url: https://www.oig.hhs.gov/coronavirus/reports.asp Go Now

› Get more:  Health LifeGo Now

Federal Anti-kickback Statute

Details: OIG may exclude violators of the kickback statute from participating in Federal health care programs under our exclusion authorities. Lastly, kickbacks can lead to penalties under the Civil Monetary Penalties Law. Under the law, OIG may subject party, through administrative proceedings, to a $50,000 civil monetary penalty per violation and an

› Verified 2 days ago

› Url: https://oig.hhs.gov/newsroom/oig-podcasts/federal-anti-kickback-statute/ Go Now

› Get more:  Health LifeGo Now

Indian Health Service Use of Critical Care Response Teams

Details: Indian Health Service Use of Critical Care Response Teams Has Helped To Meet Facility Needs During the COVID-19 Pandemic. Suzanne Murrin Deputy Inspector General for Evaluation and Inspections September 2021, OEI-06-20-00700 U.S. Department of Health and Human Services Office of Inspector General

› Verified 5 days ago

› Url: https://www.oig.hhs.gov/oei/reports/OEI-06-20-00700.pdf Go Now

› Get more:  Health LifeGo Now

An Open Letter to Health Care Providers

Details: An Open Letter to Health Care Providers. November 20, 2001 . In the three months since I was sworn in as Inspector General of the Department of Health and Human Services (HHS), I have seen firsthand the importance of the work done by the Office of Inspector General (OIG) in ensuring the integrity of our Federal health care programs.

› Verified 7 days ago

› Url: https://oig.hhs.gov/documents/open-letters/828/openletter111901.htm Go Now

› Get more:  Health LifeGo Now

Share this Summary

Details: Audit of CARES Act Provider Relief Funds—Payments to Health Care Providers That Applied for General Distribution Under Phases 1, 2, and 3. The Provider Relief Fund (PRF), a $178 billion program, provides relief funds to hospitals and other health care providers for health-care-related expenses or lost revenue attributable to COVID-19 and to ensure that uninsured Americans …

› Verified 8 days ago

› Url: https://www.oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000587.asp Go Now

› Get more:  Health LifeGo Now

Annual Report of the Departments of Healthand Human

Details: created the Health Care Fraud and Abuse Control Program, a far-reaching program to combat fraud and abuse in health care, including both public and private health plans. As was the case before HIPAA, amounts paid to Medicare in restitution or for compensatory damages must be deposited in the Medicare Trust Funds. The Act requires that an amount

› Verified 4 days ago

› Url: https://www.oig.hhs.gov/publications/docs/hcfac/FY2020-hcfac.pdf Go Now

› Get more:  Health LifeGo Now

Department of Health and Human Services

Details: health and welfare of beneficiaries served by those programs. This statutory mission is carried out through a nationwide network of audits, investigations, and inspections conducted by the following operating components: Office of Audit Services

› Verified 2 days ago

› Url: https://oig.hhs.gov/oas/reports/region1/11800500.pdf Go Now

› Get more:  Health LifeGo Now

Medicare Advantage Compliance Audit of Specific Diagnosis

Details: For this audit, we reviewed one MA organization, Healthfirst Health Plan, Inc. (Healthfirst), and focused on seven groups of high-risk diagnosis codes. Our objective was to determine whether selected diagnosis codes that Healthfirst submitted to CMS for use in CMS's risk adjustment program complied with Federal requirements.

› Verified 2 days ago

› Url: https://oig.hhs.gov/oas/reports/region2/21801029.asp Go Now

› Get more:  Health LifeGo Now

Medicare Hospital Provider Compliance Audit: St. Joseph's

Details: The Hospital complied with Medicare billing requirements for 94 of the 100 inpatient and outpatient claims we audited. However, the Hospital did not fully comply with Medicare billing requirements for the remaining six claims, resulting in overpayments of $68,897 for the audit period. Specifically, five inpatient claims and one outpatient claim had billing errors.

› Verified 2 days ago

› Url: https://oig.hhs.gov/oas/reports/region2/22001004.asp Go Now

› Get more:  Health LifeGo Now

Alert: Improper Arrangements and Conduct Involving Home

Details: health services are vulnerable to fraud, waste, and abuse. The Federal government is stepping up its enforcement efforts in this area. In the past year, the Federal government has obtained criminal convictions and reached civil settlements with several home health agencies (HHAs),

› Verified 7 days ago

› Url: https://oig.hhs.gov/documents/other-guidance/899/HHA__Alert2016.pdf Go Now

› Get more:  Health LifeGo Now

COMPARISON OF THE ANTI-KICKBACK STATUTE AND STARK …

Details: for designated health services to an entity with which the physician (or immediate family member) has a Prohibits the designated health services entity from submitting claims to Medicare for those services resulting from a prohibited referral

› Verified 3 days ago

› Url: https://oig.hhs.gov/documents/provider-compliance-training/939/StarkandAKSChartHandout508.pdf Go Now

› Get more:  Health LifeGo Now

Louisiana Department of Health, State Agency Compliance

Details: United States Department of Health and Human Services (HHS) to promote compliance with the statutes, regulations, and written directives of Medicare, Medicaid, and all other Federal health care programs (as defined in 42 U.S.C. § 1320a-7b(f)) (Federal health care program requirements). Contemporaneously with this Agreement, LDH is entering into a

› Verified 4 days ago

› Url: https://oig.hhs.gov/fraud/cia/agreements/Louisiana_Department_of_Health_11042019.pdf Go Now

› Get more:  Health LifeGo Now

Spotlight On Head Start Health and Safety

Details: The American Recovery and Reinvestment Act of 2009, known as the Recovery Act, entrusted more than $150 billion to the Department of Health and Human Services (HHS) to improve access to health and social services; invest in the future of health care reform through advances in health information technology, prevention, and scientific research

› Verified 7 days ago

› Url: https://oig.hhs.gov/newsroom/spotlight/2011/headstart.asp Go Now

› Get more:  Health LifeGo Now

Medicare and State Health Care Programs: Fraud and Abuse

Details: Health care providers who routinely waive beneficiary copayments in accordance with this safe harbor regulation, and do not make case-by-case indigence determinations or otherwise prove uncollectability under 42 CFR 413.80, cannot deduct expenses as bad debt.

› Verified 5 days ago

› Url: https://oig.hhs.gov/documents/compliance/857/072991.htm Go Now

› Get more:  Health LifeGo Now

Audit of HHS Sole Source Contracts Awarded for COVID-19

Details: The Health and Human Services Acquisition Regulation establishes uniform HHS acquisition policies and procedures that implement and supplement FAR. The contracts that HHS awarded to contractors were sole source contracts totaling approximately $1 billion for COVID-19 testing. We will review the awarding and management of contracts for COVID-19

› Verified 8 days ago

› Url: https://www.oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000559.asp Go Now

› Get more:  Health LifeGo Now

IHI Guidance Document

Details: improvement of health care throughout the world. IHI helps accelerate change by cultivating promising concepts for improving patient care and turning those ideas into action. Thousands of health care providers participate in IHI’s groundbreaking work. We have developed IHI's Innovation Series white papers as one means for advancing our mission.

› Verified 2 days ago

› Url: https://oig.hhs.gov/documents/toolkits/933/IHI_Guidance_Document_-_Hospital_Trigger_Tool.pdf Go Now

› Get more:  Health LifeGo Now

Medicare Advantage Compliance Audit of Specific Diagnosis

Details: For this audit, we reviewed one MA organization, Coventry Health Care of Missouri, Inc. (Coventry), and focused on six groups of high-risk diagnosis codes. Our objective was to determine whether selected diagnosis codes that Coventry submitted to CMS for use in CMS's risk adjustment program complied with Federal requirements. How OIG Did This Audit

› Verified 2 days ago

› Url: https://oig.hhs.gov/oas/reports/region7/71701173.asp Go Now

› Get more:  Health LifeGo Now

Management Issue 9: Integrity and Security of Health

Details: Why This Is a Challenge. As health care providers modernize their medical recordkeeping and billing systems, the adoption of electronic health records (EHR) and other innovations offer opportunities for improved patient care and more efficient practice management.

› Verified 9 days ago

› Url: http://www.oig.hhs.gov/reports-and-publications/top-challenges/2012/issue09.asp Go Now

› Get more:  Health LifeGo Now

Department of Health and Human Services Office of

Details: AN OPEN LETTER TO HEALTH CARE PROVIDERS. This is an invitation to the nation's health care providers to join me in a national campaign to eliminate fraud and abuse from Medicare, Medicaid and the more than 200 other Federal health and human development programs that serve some of our most vulnerable citizens.

› Verified 7 days ago

› Url: https://oig.hhs.gov/documents/open-letters/830/ltrhcp.htm Go Now

› Get more:  Health LifeGo Now

42410 Federal Register / Vol. 63, No. 152 / Friday, August

Details: Home Health Agencies I. Introduction The Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) continues in its efforts to promote voluntarily developed and implemented compliance programs for the health care industry. The following compliance program guidance is intended to assist home health

› Verified 5 days ago

› Url: https://oig.hhs.gov/documents/compliance-guidance/807/cpghome.pdf Go Now

› Get more:  Health LifeGo Now

HHS -- MODEL COMPLIANCE PLAN FOR CLINICAL LABORATORIES

Details: Such payers often include health insurers, other health care providers, and physicians. The prices that laboratories charge, particularly to physicians and especially for profiles, raise compliance issues that should be addressed in a laboratory's written compliance policies.

› Verified 3 days ago

› Url: https://oig.hhs.gov/documents/compliance-guidance/965/cpcl.html Go Now

› Get more:  Health LifeGo Now

Health Care Fraud and Abuse Control Program Report

Details: Health Care Fraud and Abuse Control Program Report. Efforts to combat fraud were consolidated and strengthened under Public Law 104-191, the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The Act established a comprehensive program to combat fraud committed against all health plans, both public and private.

› Verified 9 days ago

› Url: http://oig.hhs.gov/reports-and-publications/hcfac/index.asp Go Now

› Get more:  Health LifeGo Now

Corporate Responsibility and Corporate Compliance: A

Details: Our complex health care system needs dedicated and knowledgeable directors at the helm of both for-profit and non-profit corporations. This educational resource, co­ sponsored by the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services and the American Health Lawyers Association, the leading

› Verified 1 days ago

› Url: https://oig.hhs.gov/documents/compliance-guidance/816/040203CorpRespRsceGuide.pdf Go Now

› Get more:  Health LifeGo Now

False Claims Act Office of Inspector General

Details: Health care providers need to understand the program rules and take proactive measures, such as conducting internal audits within their organizations, to ensure compliance. I should point out that even if a provider makes an innocent billing mistake, that provider still has a duty to repay the money to the government.

› Verified 9 days ago

› Url: https://oig.hhs.gov/newsroom/oig-podcasts/false-claims-act/ Go Now

› Get more:  Health LifeGo Now

North American Health Care, Inc. First Amendment

Details: DEPARTMENT OF HEALTH AND HUMAN SERVICES . AND . NORTH AMERICAN HEALTH CARE, INC. I. PREAMBLE North American Health Care, Inc. (NAHC) and the Office of Inspector General (OIG) of the United States Department of Health and Human Services (HHS) hereby enter into this First Amendment to the Corporate Integrity Agreement (CIA) that was

› Verified Just Now

› Url: https://oig.hhs.gov/fraud/cia/agreements/North_American_Health_Care_Inc_First_Amendment_05082020.pdf Go Now

› Get more:  Health LifeGo Now

Office of Inspector General, U.S. Department of Health and

Details: Federal Employee Health Benefits program Optional long term care insurance Optional life insurance. Region I - Boston, MA Region 4 - Atlanta, GA Atlanta Federal Office 61 Forsyth Street, SW, Suite 5T18 Atlanta, GA 30303-8909 (404) 562-7603 Geographic Jurisdiction;

› Verified 3 days ago

› Url: https://oig.hhs.gov/documents/root/199/OIBrochure.pdf Go Now

› Get more:  Health LifeGo Now

Top Categories

 › HIV

 › Arthritis

 › Menopause

 › Cold & Flu

 › CBD

 › Allergies

 › ADHD

 › COPD

 › Depression

Recently Searched

 › Bethlehem health bureau pa covid

 › Family health citronelle al

 › Healthcare for the homeless conference 2021

 › Kansas home health care

 › In10ct health runner manual

 › Emblem health urgent care locations

 › Mobile health unit for sale

 › Roblox set health script

 › Nys health dept jobs

 › Population health graduate programs

Related topics