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OIG Makes $30.1 million Recommendation to CMS

Posted on April28, 2016
The Office of Inspector General has restated its recommendation to The Centers of Medicare & Medicaid Services (CMS) that they should match Medicaid reimbursement rates for HME to Medicare rates. Lowered reimbursement rates could result in approximately $30.1 million in potential savings for states and the federal government, according to the OIG. CMS concurred with the OIG’s recommendation. The agency says it has sought legislative authority to make the changes but additional congressional action is needed. Read More: HME News
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DHHS OIG: Banned Medicaid Providers Move to Other States to Stay in Business

Posted on August06, 2015
Medical providers banned from a Medicaid program in one state are able to participate in another state’s program, flouting regulations that are designed to stop such practices. A study by the U.S. Department of Health and Human Services Office of the Inspector General (OIG) found that about half of the states were unable to terminate improperly enrolled providers that were part of privately run Medicaid managed-care programs. The report from the federal auditor found that of the 1,539 healthcare providers…
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DHHS OIG Investigating Generic Drug Prices

Posted on April17, 2015
Members of Congress have requested the Office of Inspector General of the U.S. Department of Health and Human Services look into increases in generic drug prices on the Medicaid drug rebate program. As the cost of prescription drugs increases, brand-named medicine prices have been debated, but not lawmakers want the OIG to look into generic prices as well. Lawmakers are concerned that generic drug prices are increases faster than the inflation rate. In November 2014, data showed "prices for generics…
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Louisiana Department of Health and Hospitals to Hire an Inspector General

Posted on January23, 2013
The state Department of Health and Hospitals is getting ready to hire an internal inspector general to help it with Medicaid fraud prevention efforts. The legislative auditor issued a report finding improper payments and falsification of documents in several programs in which it did spot checks. It was the fifth finding of ineffective audit controls in the non-emergency medical transportation program. DHH Undersecretary Jerry Phillips tells The Advocate the internal inspector general's main role will be to assess risk and…
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A Controversial Tool In Medicaid Fraud Investigations

Posted on December18, 2012
When it comes to finding cost savings in the state’s unwieldy Medicaid program, the Health and Human Services Commission’s Office of Inspector General gets high marks. The division, charged with investigating fraud among health providers paid to treat poor children and the disabled, has dramatically increased both its caseload and the potential monetary returns associated with it over the last fiscal year, a spike that has won rave reviews from budget-weary state lawmakers and has cast Texas’ innovative enforcement team…
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U.S. Department of Health & Human Services OIG announces Outlook 2013 Webcast

Posted on October24, 2012
OIG will launch its OIG Outlook 2013 webcast on October 24 at 11:00 a.m. EST.  This is a free event. Hear OIG top executives discuss emerging trends in combating fraud, waste, and abuse in Federal health care programs, OIG's top priorities for 2013, and upcoming projects outlined in the newly released OIG Work Plan. Sign up is not necessary. Who Should Tune In?  Health care providers, compliance officers, health care lawyers, trade association staff, health care program grant recipients, local,…
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