OIG Finds That Many Medicare Beneficiaries With Opioid Use Disorder Did Not Receive Treatment
Opioid-related overdose deaths in the United States reached an all-time high in 2020. The COVID-19 pandemic has had a negative…
OIG Reports That $4 Billion Dollars Could Be Saved Based Upon Its Findings and Recommendations
The Department of Health and Human Services Office of the Inspector General (OIG) issued the Fall 2021 Semiannual Report to Congress…
Opportunities for Oversight of Telehealth for Behavioral Health Services
States are not analyzing how telehealth affects behavioral health services nor monitoring for fraud, waste, and abuse. The results of…
CMS Has Insufficient Authority to Ensure Hospitals Are Prepared for Emerging Infectious Diseases
The Department of Health and Human Services Office of the Inspector General (OIG) conducted an audit to determine whether the Centers…
CMS Lacks Consistent Oversight of Networked Device Cybersecurity in Hospitals
The OIG recommends that CMS address cybersecurity of networked medical devices in its quality oversight of hospitals. Networked medical devices…
Millions of Dollars in Overpayments Identified for ESRD Monthly Capitation Payments
CMS claims processing controls were inadequate. An audit conducted by the Department of Health and Human Services Office of the…
OIG Issues Semiannual Report
Key Points: $566.46 million in expected recoveries from audit results. $1.37 billion in expected investigative recoveries. 221 criminal actions. 272…
OIG Report Highlights Hospital Strains Caused by the Pandemic
The Department of Health and Human Services Office of Inspector General (OIG) recently conducted a “pulse survey,” consisting of brief…
OIG Reviews Find Improper Documentation for Telemedicine Services
Key Points: The OIG is auditing state compliance with federal and state telemedicine requirements. An audit of South Carolina’s telemedicine…
HHS OIG Speaks Out on Telehealth Fraud
Christi A. Grimm, the Principal Deputy Inspector General of the Department of Health and Human Services (HHS), issued a statement regarding telehealth…
Nursing Home Compliance with Facility-Initiated Discharge Requirements
Compliance officers of skilled nursing facilities should include review of this compliance issue in their 2021 workplans. The Department of…
OIG Releases Final Rule on New and Amended Anti-Kickback Safe Harbors and CMP Exception
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently published a final rule to modify…