Oig.hhs.gov

Office Of Investigations - U.S. Department Of Health And

The Office of Investigations (OI) conducts criminal, civil and administrative investigations of fraud and misconduct related to HHS programs, operations and beneficiaries. State-of-the-art tools and technology assist OIG investigators around the country and help OI meet its goal of becoming the world's premier health care law enforcement agency.

Actived: Sunday Jun 20, 2021

Detail: https://oig.hhs.gov/about-oig/office-investigations/

Compliance Resource Portal - U.S. Department of Health and ...

Posted: (0 seconds ago) OIG welcomes ideas for new compliance resources that would be helpful to the health care community and that are consistent with OIG's mission, in any format. The receipt of a suggestion does not obligate OIG to take action, including responding to the suggestion, making suggestions public, or …

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Fraud - U.S. Department of Health and Human Services

Posted: (0 seconds ago) HHS is the largest grant-making organization in the federal government, and its funding of health and human services programs touches the lives of almost all Americans. Fraud or misconduct related to the receipt or expenditure of HHS grants should be reported to our Hotline.

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J - U.S. Department of Health and Human Services

Posted: (0 seconds ago) Job Opportunities and Basic Skills (JOBS) JOBS Monitoring and Technical Assistance: States' and ACF Regional Offices' Perspectives (OEI-07-92-00381;4/94); Participants Rate the JOBS Program 1994 (OEI-06-93-00560; 3/95); Participants Rate the JOBS Program (OEI-06-90-00150; 9/93); JOBS Program Monitoring and Technical Assistance (OEI-07-92-00380; 8/93); Using Community Resources for …

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Internship Opportunities - U.S. Department of Health and ...

Posted: (0 seconds ago) The Health Care Fraud and Abuse Legal Internship Program provides law students with the opportunity to work with attorneys in the Office of Counsel to the Inspector General (OCIG). OCIG offers substantive legal work that gives interns experience in health law and health care fraud and abuse and an opportunity to demonstrate their writing ...

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Careers - U.S. Department of Health and Human Services

Posted: (0 seconds ago) HHS OIG is ranked one of the top places to work in the Federal Government. We are the #1 Best Place to Work within the Department Health and Human Services and 20th among Agency Subcomponents throughout the Federal government in the Partnership for Public Service's "Best Places to Work in the Federal Government" 2019 ratings.We have approximately 1,600 professionals with expertise in audits ...

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Healthcare Compliance | Office of Inspector General | U.S ...

Posted: (0 seconds ago) To help healthcare providers such as hospitals and physicians comply with relevant Federal health care laws and regulations, OIG creates compliance resources, which are often tailored to particular providers. OIG's compliance documents include special fraud alerts, advisory bulletins, podcasts, videos, brochures, and papers providing guidance ...

Physician Job Description

Office of Inspector General - U.S. Department of Health ...

Posted: (0 seconds ago) HHS-OIG is the largest inspector general's office in the Federal Government, with more than 1,600 employees dedicated to government oversight, combating fraud, waste and abuse and to improving the efficiency of HHS programs. A majority of the OIG's resources goes toward the …

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Exclusions - U.S. Department of Health and Human Services

Posted: (0 seconds ago) This webpage provides information about OIG's exclusion authority and activities. OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. Those that are excluded can receive no payment from Federal healthcare programs ...

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Enforcement Actions - U.S. Department of Health and Human ...

Posted: (0 seconds ago) Wrongful billing results in $2.6M settlement and 10-year exclusion from federal health care programs. June 8, 2021. Criminal and Civil Actions; Court Orders Toledo Pharmacy and Two Pharmacists to Stop Dispensing Dangerous Doses and Combinations of Opioids and Other Controlled Substances.

Pharmacy Job Description

Recovery Act Oversight - U.S. Department of Health and ...

Posted: (0 seconds ago) HHS is responsible for an estimated $137 billion that has been made available through the Recovery Act in order to produce more jobs, expand health care and the health care workforce, provide an advance payment on health reform priorities in health information technology (Health IT), prevention, and Comparative Effectiveness Research, expand ...

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Indian Health and Human Services | Reports & Publications ...

Posted: (0 seconds ago) Feb 18, 2021  · The Indian Health Service (IHS), which has a budget of approximately $6 billion, provides or funds a wide range of clinical, public health, and community services to approximately 2.2 million AI/ANs who are members of the 567 federally recognized Tribes located in 35 states. IHS and tribally-run facilities generally also serve as Medicare and Medicaid providers for eligible AI/ANs.

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Medicare Fraud Strike Force - U.S. Department of Health ...

Posted: (0 seconds ago) Strike Force teams have shut down health care fraud schemes around the country, arrested more than a thousand criminals, and recovered millions of taxpayer dollars. Map of Strike Force Locations. Latest Strike Force Enforcement Actions. Florida Doctor Charged in Massive $681 Million Substance Abuse Treatment Fraud Scheme.

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Office of Counsel Attorney Positions | Office of Inspector ...

Posted: (0 seconds ago) The Office of Inspector General (OIG) supports the mission of the Department of Health & Human Services (HHS) in protecting the health of Americans and providing essential human services. OIG's 1,600 dedicated professionals promote the economy, efficiency, and effectiveness of HHS programs such as Medicare, Medicaid, and Head Start.

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2020 National Health Care Fraud Takedown | Office of ...

Posted: (0 seconds ago) Mar 04, 2021  · The Department of Health and Human Services Office of Inspector General, along with our state and federal law enforcement partners, participated in a health care fraud takedown in September 2020. More than 345 defendants in 51 judicial districts were charged with participating in health care fraud schemes involving more than $6 billion in ...

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The Impact of Health Risk Assessments on Risk-Adjusted ...

Posted: (0 seconds ago) The Impact of Health Risk Assessments on Risk-Adjusted Payments in Medicare Advantage. Under Medicare Part C, the CMS makes advanced monthly payments to Medicare Advantage (MA) organizations for each beneficiary enrolled. CMS risk-adjusts these payments based on beneficiaries' demographic information and clinical diagnoses from the prior year ...

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Office of Evaluation and Inspections | Office of Inspector ...

Posted: (0 seconds ago) The Office of Evaluation and Inspections (OEI) conducts national evaluations of HHS programs from a broad, issue-based perspective. The evaluations offer practical recommendations to improve the efficiency and effectiveness of HHS programs, with a focus on preventing fraud, waste, and abuse.

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Work Plan - U.S. Department of Health and Human Services

Posted: (0 seconds ago) Federal health care benefits are generally allowable when provided to a beneficiary who is a U.S. citizen, U.S. national, or qualified alien. Generally, a qualified alien is ineligible for full-scope Medicaid services before 5 years have passed from the date he or she enters the United States with qualifying status (5-year bar). Medicaid ...

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Podcasts - U.S. Department of Health and Human Services

Posted: (0 seconds ago) You know, healthcare, in the United States, is -- as you know -- huge. It's the largest service industry in the United States. If the entire economy of the country is something like $15 trillion, health care alone accounts for somewhere between two and a half and $3 trillion. We operate in a vast -- …

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About OIG - U.S. Department of Health and Human Services

Posted: (0 seconds ago) Since its 1976 establishment, the Office of Inspector General (OIG) has been at the forefront of the Nation's efforts to fight waste, fraud and abuse in Medicare, Medicaid and more than 100 other Department of Health & Human Services (HHS) programs. HHS OIG is the largest inspector general's office in the Federal Government, with approximately 1,600 dedicated to combating fraud, waste and abuse and to improving the efficiency of HHS programs. A majority of OIG's resources goes toward the …

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Background Information | Exclusions | Office of Inspector ...

Posted: (0 seconds ago) OIG has the authority to exclude individuals and entities from Federally funded health care programs pursuant to section 1128 of the Social Security Act (Act) (and from Medicare and State health care programs under section 1156 of the Act) and maintains a list of all currently excluded individuals and entities called the List of Excluded Individuals/Entities (LEIE).

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Check Your Eligibility - U.S. Department of Health and ...

Posted: (0 seconds ago) HHS-OIG processes only those whistleblower complaints that fall within its jurisdiction and meet certain requirements. Protected whistleblowers are those who have exposed fraud, waste, abuse, mismanagement or unlawful activity within a HHS agency, contractor, subcontractor, grantee or subgrantee organization, and the law prohibits employers from taking retaliatory actions against them.

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2015 Health Care Compliance Association Compliance ...

Posted: (0 seconds ago) Apr 20, 2015  · The healthcare professions themselves face important challenges in order to make this coordinated more accountable healthcare system of the future work. Just this week, as many of you know, congress passed and the President signed the Medicare Access and Children's Health Insurance Program Reauthorization Act of 2015.

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Podcasts - U.S. Department of Health and Human Services

Posted: (0 seconds ago) Transcript for audio podcast: 2013 Health Care Compliance Association Compliance Institute Keynote Address. From the Office of Inspector General of Department of Health and Human Services. Thank you, Shawn. And thank you for those warm applause, and thank you HCCA for …

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Six Home Healthcare Workers and Patients Charged with ...

  St. Louis, MO

Posted: (0 seconds ago) Six Home Healthcare Workers and Patients Charged with Billing Medicaid while Working other Jobs, Going on a Cruise, and Gambling. St. Louis, MO - Six area home health care workers and patients were charged with making false statements to Medicaid regarding home healthcare services that were neither received nor provided.

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Home Healthcare Worker Pleads Guilty to Billing Medicaid ...

  St. Louis, MO

Posted: (0 seconds ago) St. Louis, MO - Demagio Smith, 28, of St. Louis, Missouri, pled guilty to conspiracy to make false statements to Medicaid. In his plea agreement, Smith admitted that he repeatedly submitted false time sheets to Medicaid that suggested that he was working as a home health care aide during 2013-17, and was taking care of two women inside their homes.

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