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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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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
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.
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.
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.
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.
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.
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.
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.
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"
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.
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.
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.
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"
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
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.
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.
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.
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"
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.
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.
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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