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Centers for Medicare & Medicaid Services Fail to Implement OIG Recommendations

Posted on March25, 2015
The U.S. Department of Health and Human Services Office of Inspector General released a report finding the Centers for Medicare & Medicaid Services (CMS) neglected to implement 25 sets of "significant recommendations" from the OIG. The estimated financial impact on taxpayers and beneficiaries is $24 billion. The recommended actions "would likely improve quality and patient safety, program integrity, financial and grants management, and contractor management" according to the report. Some of the recommendations that have not been implemented date back…
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DOE OIG Reports $21M Conference Spending

Posted on February20, 2015
The Department of Energy Office of Inspector General released a report citing extravagant spending by the department over the course of 16 months. An investigation of 300 Department of Energy conferences held from April 2013 to September 2014 turned up many social events that should not have taken place. According to the report, these events included "casino night, Super Bowl party, golf tournament, banquet on a dinner cruise boat, dinner at the NASCAR Hall of Fame, and a tour and…
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DHS OIG Releases Report on FEMA Response to Hurricanes

Posted on January05, 2015
The Department of Homeland Security's OIG released a report stating that the federal government overpaid for disaster recovery after hurricanes in Florida by potentially $177.2 million. The audit tracked payments made following seven hurricanes in Florida from 2004-2005. The OIG found that the Florida department of FEMA that handled the disaster claims "did an inadequate job reviewing insurance plans, providing funds for damages that insurance should have covered." The audit also concluded that the Florida Recovery Office knew that private…
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Invest in your Investigations of Fraud, Waste & Abuse

Posted on March21, 2013
WingSwept is now scheduling onsite Case Management demonstrations to manage and track fraud, waste and abuse in the Inspectors General community. Please visit the registration page on the secure website at http://oigcasemanagement.com/demo_registration.php. WingSwept is now reserving blocks of time for in-person demonstrations of the Case Management & Tracking System taking place on April 10, 2013 in Washington, DC. Please fill out the form below to find out more information or to schedule a demonstration. April 10, 2013 L'Enfant Plaza Hotel 480…
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AIDS Healthcare Foundation Blasts The Global Fund for “Hatchet Job” In Firing Inspector General

Posted on November16, 2012
AIDS Healthcare Foundation (AHF) criticized the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), on the news that the Fund has fired John Parsons, the Funds Inspector General. Parsons, a 35-year veteran in auditing global health and other programs, had found numerous instances of fraud and abuse in the Fund’s grants to countries. The Global Fund is an international organization set up to provide funding to poorer countries that do not have the financial or political ability to combat…
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Pennsylvania Office of Inspector General Joins Partnership to Fight Fraud and Corruption

Posted on October31, 2012
Pennsylvania's Office of Inspector General partnered today with the Federal Bureau of Investigation, the U.S. Attorney's Office and the Philadelphia Police Department on a new campaign aimed at ending fraud and corruption. The campaign, which will run about five months and focus on Philadelphia County, will target fraud and corruption in federal, state and local government agencies. "Pennsylvania's Office of Inspector General is pleased to join forces with these nationally recognized organizations in an effort to end fraud,'' Kenya Mann…
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Review heightens concerns over Medicare billing at nursing homes

Posted on March29, 2010
This Washington Post article reads, "More than a decade ago, Congress set out to squeeze the fraud out of Medicare billing at nursing homes, requiring more precise justifications for costs. It created new 'ultra-high' billing categories intended to be used for only 5 percent of the patients needing highly specialized care and rehabilitation." But, over the years the nursing homes have been flooded with patients put in this category and facilities have been billing for more services than are being…
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Understand the OIG Compliance Program Guidance

Posted on March25, 2010
The Compliance Program Guidance was issued to assist physicians in developing compliance programs for their practices and prevent fraud and abuse against government health care programs.  According to this article, fraud and abuse can include: Billing for services, procedures and/or supplies that were not provided. Misrepresentation of what was provided; when it was provided; the condition or diagnosis; the charges involved; and/or the identity of the provider recipient. Providing unnecessary services or ordering unnecessary tests. Unbundling of claims: billing separately for…
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