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HHS OIG: A Good Investment

HHS OIG: A Good Investment

November 30, 2018

In 2018, for every one dollar we spent fighting healthcare fraud, we returned four dollars to the federal government. Our 1600+ employees oversee more than $1 trillion dollars spent for the health and well-being of Americans.

Protecting against cybersecurity threats

Eye on Oversight: Cybersecurity

October 9, 2018

OIG recognizes Protecting HHS Data, Systems, and Beneficiaries from Cybersecurity Threats as a top management and performance challenge facing HHS. In partnering with various HHS agencies to address this challenge, OIG has formed a multidisciplinary Cybersecurity Team composed of auditors, evaluators, investigators and attorneys focused on combatting cybersecurity threats within HHS and the healthcare industry.

A satellite photo of a hurricane

Eye on Oversight: Emergency Response

September 25, 2018

HHS OIG is one of many agencies the Federal Emergency Management Agency (FEMA) calls upon to respond to major disasters. As part of the Government's coordinated emergency response efforts, a team of OIG's special agents may deploy to provide leadership, equipment, expertise, security, and other support.

Vulnerabilities in Hospice Care

Eye on Oversight: Hospice

July 31, 2018

Hospices can provide much-needed pain relief and support to terminally ill patients, to give services and comfort to people at the end of life. However, the HHS OIG is releasing a hospice portfolio that summarizes the agency's work, which found significant problems with quality of care issues and improper billing in the Medicare hospice program.

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Eye on Oversight: Corporate Integrity Agreements

May 25, 2018

A provider who allegedly commits federal health care fraud may face exclusion, meaning they could be banned from billing federal health care programs. Instead, the provider can choose to settle the case and may need to enter into a Corporate Integrity Agreement, or CIA, with the HHS-OIG.

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Daniel R. Levinson's Keynote Address at the 2018 HCCA Compliance Institute

May 8, 2018

Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services gives the keynote address at the 22nd Annual HCCA Compliance Institute on Monday, April 16, 2018.

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Eye on Oversight: Small Business Innovation Research (SBIR) Fraud

March 21, 2018

The Small Business Innovation Research (SBIR) program provides seed money to domestic start-ups, and small businesses so they can develop new and advanced technologies across a wide array of industries. OIG has found instances of fraud and waste in HHS's SBIR program. In this Eye on Oversight, Operations Officer Francis Montoya describes two fraud cases involving millions in SBIR grant funds being diverted for personal use.

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Eye on Oversight: Group Homes

January 17, 2018

Every year, developmentally disabled Americans living in group homes have severe injuries and medical conditions that require trips to emergency rooms. OIG found that states failed to report up to 99 percent of these critical incidents to investigators, as required. OIG and its government partners put together a report to provide tools for states to drive better health and safety outcomes for group home residents.

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Eye on Oversight: 2017 Year in Review

December 20, 2017

This month's Eye on Oversight recaps OIG's work in 2017, including topics like reaching a $155 million civil settlement with an electronic health records vendor, releasing a data brief on opioids in Medicare Part D highlighting concerns about extreme use and questionable prescribing, and the largest healthcare fraud takedown in history.

A photo of a person thumbing through documents

Eye on Oversight: Grant Management

November 16, 2017

HHS is the largest grant-making organization in the federal government. OIG oversees the administration of HHS grants, a key element to ensuring that grantees expend federal funds properly and efficiently. OIG takes a multidisciplinary approach to grants management oversight. We have auditors, evaluators, investigators, data analysts, and lawyers who analyze grant programs to identify vulnerabilities and offer practical solutions to improving programs. The findings from our audits and evaluations contribute to comprehensive reports which include recommendations that drive positive change.

A photo a person using a calculator looking over spreadsheets

Eye on Oversight: The Importance of OIG Audits

August 7, 2017

This month's Eye on Oversight focuses on the importance of OIG's audit work. Deputy IG of Audit Services Gloria Jarmon leads the largest civilian audit force in the federal government. Jarmon highlights the impact of OIG's audits, including the potential to save lives and protect critical HHS programs.

A photo of nurses and a doctor looking at a computer

Eye on Oversight: Electronic Health Records

July 26, 2017

Accurate medical records, including electronic health records, or EHR, are the foundation of providing quality healthcare to patients. If an electronic health records company falsely represents that its software has functions that it actually lacks, patient safety could be at risk. Senior Counsel John O'Brien explains.

A photo of Daniel Levinson speaking

IG Levinson's Remarks at the 2017 Health Care Fraud Takedown Press Conference

July 21, 2017

Inspector General Daniel R. Levinson speaks at the July 13, 2017 press conference about the nationwide health care fraud takedown. More than 400 defendants in 41 federal districts were charged with participating in fraud schemes involving about $1.3 billion in false billings to Medicare and Medicaid. OIG worked with state and federal law enforcement partners to coordinate this takedown.

A photo of a man in a wheelchair looking out a large window

Eye on Oversight: Abuse in Nursing Homes

June 8, 2017

Millions of elderly Americans live in nursing facilities. OIG's oversight and enforcement work has revealed alarming problems. Problems range from overmedicating residents, or patient abuse or neglect. OIG is working to prevent patient harm through identifying program vulnerabilities, investigating wrongdoers, and taking legal action against providers

Gary Cantrell

Daniel R. Levinson Keynote Address at the 2017 HCCA Compliance Institute

April 28, 2017

Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services, gives the keynote address at the 21st annual HCCA Compliance Institute on March 27th, 2017.

Gary Cantrell

Bloomberg BNA Interviews OIG Deputy Inspector General for Investigations

March 29, 2017

OIG Deputy Inspector General for Investigations, Gary Cantrell, talks with Bloomberg BNA about how budget cuts lead to fewer health care fraud investigations.

A photo of a man looking over paperwork

Eye on Oversight: Medical Identity Theft

March 3, 2017

Medical identity theft, the fastest growing form of identity theft, occurs when someone's personal information, like their name, Social Security number, or Medicare number, is stolen. Criminals or fraudulent providers use those medical identities to get medical care, buy drugs, or submit false billings to Medicare or Medicaid under that stolen name.

Exclusions

Eye on Oversight: Exclusions

January 18, 2017

The HHS OIG has authority to exclude, or ban, individuals and entities from participation in Federal health care programs. Employers must check that they are not employing an excluded individual because they may face a financial penalty. This video also covers OIG's exclusions database, and possible reinstatement.

2016 Year in Review

Eye on Oversight:
2016 Year in Review

December 14, 2016

This month's Eye on Oversight recaps OIG's work in 2016, including topics like the launch of Healthcare.gov, child care safety lapses and the largest healthcare fraud takedown in history.

A photo of an empty hospital bed

Eye on Oversight:
Challenges in Indian Health Service Hospitals

November 15, 2016

This month's Eye on Oversight focuses on Indian Health Service (IHS) hospitals. IHS provides health care services for approximately 2.2 million American Indians and Alaska Natives. OIG examined 28 IHS-operated hospitals, to look at how it monitors quality oversight and ensures that facilities meet federal standards.

A photo of a younger woman comforting an elderly woman

Eye on Oversight:
Vulnerabilities in Personal Care Services

October 18, 2016

This month's Eye on Oversight highlights vulnerabilities in Medicaid's Personal Care Services (PCS) program. Investigations have revealed abuse and neglect by PCS attendants. OIG hopes that its recommendations to the Centers for Medicare and Medicaid Services will ensure that people in need of PCS services are not at risk of abuse or neglect.

Gloria Jarmon

OIG-HHS Testifies on OIG's Oversight of the Affordable Care Act

September 26, 2016

Gloria Jarmon, Deputy Inspector General for Audit Services, Office of Inspector General, U.S. Department of Health and Human Services, testifies before the House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations and Subcommittee on Health: "The Affordable Care Act on Shaky Ground: Outlook and Oversight"

A photo of doctors discussing a document

Eye on Oversight:
Provider Self-Disclosure Protocol

September 19, 2016

This month's Eye on Oversight focuses on OIG's Provider Self-Disclosure Protocol. If health care providers find evidence of potential fraud in Federal health care programs, they can voluntarily report it to the OIG. This video features the largest self-disclosure case in history.

Caryl Brzymialkiewicz

Bloomberg BNA Interviews OIG Assistant Inspector General and Chief Data Officer

June 28, 2016

OIG Assistant Inspector General and Chief Data Officer Caryl Brzymialkiewicz talks with Bloomberg BNA about the OIG's growing use of data collection analytics in investigations and audits.

A photo of a a nurse and two people discussing medication in a home setting

Eye on Oversight:
Home Health Fraud

June 20, 2016

Medicare's home health benefit provides care for patients who have an illness or injury. It's usually cheaper, and more convenient, than going to a hospital or skilled nursing facility. Although it's an important service, people are scamming the home health care program.

Ann Maxwell

HHS-OIG Testifies on Medicare and Medicaid: Combatting Improper Payments and Ineligible Providers

May 26, 2016

Ann Maxwell, Assistant Inspector General, Office of Inspector General, U.S. Department of Health and Human Services, testifies before the House Committee on Energy and Commerce: Subcommittee on Oversight and Investigations: "Medicare and Medicaid Program Integrity: Combatting Improper Payments and Ineligible Providers"

Joanne Chiedi

Bloomberg BNA Interviews OIG Principal Deputy Inspector General

May 26, 2016

OIG Principal Deputy Inspector General, Joanne Chiedi, talks about data analysis, budget resources and prescription drug abuse

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Daniel R. Levinson's Keynote Address at the 2016 HCCA Compliance Institute

May 16, 2016

Daniel R. Levinson, Inspector General, Office of Inspector General, U.S. Department of Health and Human Services, gives the keynote address at the 20th annual HCCA Compliance Institute on April 18th, 2016.

A photo of a person with their fingers crossed behind their back

Eye on Oversight:
Kickbacks to Physicians

May 11, 2016

Kickbacks in health care are a big problem. They can lead to higher costs for patients, unnecessary tests, and doctors making decisions based on making money, versus caring for patients.

A photo of a hand holding a pill

Eye on Oversight:
Dangerous Drugs – Opioids

April 11, 2016

The number of people in the U.S. who die from opioid overdoses is on the rise. These drugs include Vicodin, Percocet, and OxyContin. Medicare is paying for an increasing number of opioids, and other prescription drugs, that when used improperly, can have devastating effects.

Erin Bliss

HHS-OIG Testifies on HealthCare.gov:
A Review of Operations and Enrollment

March 23, 2016

Erin Bliss, Assistant Inspector General, Office of Inspector General, U.S. Department of Health and Human Services, testifies before the Senate Finance Committee: "HealthCare.gov: A Review of Operations and Enrollment"

Photos of child care safety concerns as addressed in the video

Eye on Oversight:
Child Care Safety Lapses

March 7, 2016

OIG found major health and safety violations at many state-licensed day care providers around the country. States should meet new legal requirements to fix these lapses.

A photo of John Hagg

HHS OIG testifies on the Federal Medical Assistance Percentage

February 18, 2016

John Hagg, Director of Medicaid Audits, Office of Audit Services, Office of Inspector General, U.S. Department of Health and Human Services, testifies before the House Committee on Energy and Commerce Subcommittee on Health. The hearing focused on Medicaid and CHIP's Federal Medical Assistance Percentage.

A photo money and pill bottles

Eye on Oversight: Medicare Part D Fraud

January 11, 2016

Fraud and abuse in Medicare Part D is going up. Part D helps millions of beneficiaries pay for prescription drugs, but billing schemes and drug diversion are causing major financial and social problems.

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