Tag Archives: OIG
Exclusion From Federal Health Care Programs: New Guidance From The United States HHS OIG
The United States Department of Health and Human Services Office of the Inspector General (OIG) has issued a Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs (“the Bulletin”). The Bulletin replaces the previous … Continue reading
OIG: PODs “Inherently Suspect”
On Tuesday, the federal Office of the Inspector General (“OIG”) issued a Special Fraud Alert (“Fraud Alert”) detailing the OIG’s concerns with Physician-Owned Entities. Specifically, the alert dealt with physician-owned distributorships, or PODs. PODs are typically entities that make money … Continue reading
New York State Allegedly Overbilled $15 Billion for State-Operated Facilities for Developmentally Disabled
On May 17, 2012, the U.S. Department of Health and Human Services, Office of Inspector General (OIG) released a report that found Medicaid overpayments to New York State-operated developmental centers. The OIG concluded that, in 2009, State-operated facilities for the developmentally disabled … Continue reading
OIG finds DOH should refund nearly $8 million to federal government
In a recent audit of the New York State Department of Health (DOH), the Office of the Inspector General of the United States Department of Health and Human Services (OIG) found that several New York City area providers billed Medicaid … Continue reading
Analysis on GAO Report: $102 Million Spent on Auditing Fees to Identify Less Than $20 Million in Overpayments
The Federal Government Accountability Office (GAO) has determined that a program to fight fraud in the Medicaid health system for the poor has cost the federal taxpayers at least $102 million in auditing fees since 2008 while finding less than … Continue reading
United States HHS OIG Reviewing Self Disclosure Protocol for Federal Health Care Programs
The federal government’s Office of the Inspector General (“OIG”), part of the United States Department of Health and Human Services, is considering revising its self-disclosure protocol to provide additional guidance to federal health care program providers. The OIG is soliciting … Continue reading
OIG Releases Report on Medicaid Rates for New York State-Operated Developmental Centers
The Office of Inspector General (“OIG”) released a report yesterday based on its review of the reimbursement rates for New York State-operated developmental centers. The report found that the Medicaid daily rate for state-operated developmental centers was inflated, and that … Continue reading
OMIG 2012-2013 Work Plan: A Brief Overview
“Fighting Fraud. Improving Integrity and Quality. Saving Taxpayer Dollars.” This phrase appears on each page of the newly released New York State Office of the Medicaid Inspector General (OMIG) State Fiscal Year 2012-2013 Work Plan. On the Executive Summary page, … Continue reading
OIG Releases Advisory Opinion on Physician Investments in Pathology Laboratory Management Services Company
The U.S. Department of Health and Human Services, Office of Inspector General (OIG) recently issued an Advisory Opinion (AO 11-15) on a proposed arrangement relating to a physician investment in a pathology laboratory management services company.
HHS OIG Finds Potential Anti-Kickback Violations in Online Referral Service
In an advisory opinion dated May 13, 2011, the Department of Health and Human Services, Office of the Inspector General (“OIG”) warned the operator of an online referral system that charging health care providers a fee to list their services … Continue reading
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