Archive for June 2020
OIG Work Plan Updates Target COVID-19 Related Fraud
The U.S. Department of Health and Human Services Office of the Inspector General (HHS-OIG) recently released an ambitious update to its Work Plan that includes 16 areas of interest for the government watchdog. The Work Plan is updated monthly and outlines the various projects the OIG intends to focus on in the coming months. The…
Read MoreFailure to Abide by Corporate Integrity Agreement Can Trigger Additional Woes
On June 1, the Departmental Appeals Board (DAB) voted to uphold an order issued by the Department of Health and Human Services Office of the Inspector General (HHS-OIG) against a group of Tennessee-based home health companies to pay $1,322,500 in stipulated penalties for breaches of their Corporate Integrity Agreement (CIA). OIG negotiates Corporate Integrity Agreements…
Read MoreFlorida Men Charged in $54M Pharmacy Fraud Case
Four Florida pharmacy owners were recently indicted for their alleged participation in a $54 million compound pharmacy kickback scheme. The indictment, announced on June 5, alleges that the men owned and operated Florida Pharmacy Solutions Inc. in Zephyrhills, Fla., “for the purpose of targeting TRICARE beneficiaries and causing the submission to TRICARE of claims for…
Read MoreOIG Details Anti-fraud Efforts, Recoveries in Report to Congress
The U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) recently reported that its investigative work is expected to lead to the recovery of $1.51 billion and 443 criminal actions for the period between October 1, 2019 and March 31, 2020. That is down from $2.3 billion during the same period…
Read MoreOIG Work Plan Update Adds Audits of CARES Act Provider Relief Funds
In its May update of its Work Plan, the Department of Health and Human Services Office of the Inspector General (HHS OIG) announced it will examine the effectiveness of HHS controls over the awarding and disbursement of $50 billion in Provider Relief Fund (PRF) payments to hospitals and other providers. The funding was included in…
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