Good morning to all from Washington, DC. Today OIG posts five reports. As always, you can use the links provided to go directly to the new material. Cenla Community Action Committee's Financial Management Practices and Systems Did Not Always Meet Federal Requirements (A-06-11-00032)Cenla Community Action Committee, Inc. (Cenla), a nonprofit agency that operates Head Start and Early Head Start programs at locations in Rapides Parish, Louisiana, did not always meet Federal requirements in its financial management practices and systems. Specifically, Cenla claimed consultant costs without an adequate contractual agreement, did not ensure that joint costs were allocated properly among various programs administered by Cenla, had not tagged equipment for identification and inventory purposes, did not accurately record equipment in the inventory log, did not conduct physical inventories every 2 years and completed inventories without adequate segregation of duties, did not follow written procurement procedures, claimed unallowable and excessive volunteer services as non-Federal share, secured loans using Head Start-purchased real property as collateral without proper approval, did not comply with its credit card policy, and did not adequately safeguard and manage checks. Wyoming Incorrectly Claimed Enhanced Reimbursement for Medicaid Family Planning Sterilization Costs (A-07-11-01100)The Wyoming Department of Health (State agency) did not always claim costs for Medicaid family planning inpatient sterilization procedures for calendar years 2006 through 2010 pursuant to Federal and State requirements. The State agency claimed 308 of the 1,638 family planning sterilization procedure claims using the correct rates of Federal reimbursement. However, the remaining 1,330 claims (4 claims contained multiple errors) were claimed at incorrect rates of Federal reimbursement or were unallowable, resulting in unallowable Federal reimbursement totaling $1.3 million. These errors occurred because the State agency's controls were not adequate to ensure that it claimed costs pursuant to Federal and State requirements over the course of the audit period. We recommended that the State agency:
The State agency concurred with all of our recommendations. The Medicare Contractor's Payments to Maryland Providers in Jurisdiction 12 for Full Vials of Herceptin Were Sometimes Incorrect (A-03-12-00014)Some payments for one or more full vials of Herceptin that the Medicare contractors made to Maryland providers in Jurisdiction 12 were incorrect. Of the 1,113 selected line items, 319 were incorrect and included overpayments totaling $352,000 that the providers had not identified or refunded by the beginning of our audits. These overpayments occurred because providers billed for incorrect units of service for 307 line items, billed for units of services for 11 line items for which they did not provide supporting documentation, and reported the incorrect billed charges on 1 line item. The Medicare contractors' systems did not have edits in place to prevent or detect the incorrect billing. Massachusetts Medicaid Payments to Calvin Coolidge Nursing and Rehabilitation Center for Northampton Did Not Always Comply With Federal and State Requirements (A-01-12-00012)The Massachusetts Executive Office of Health and Human Services, Office of Medicaid (State agency), generally made Medicaid payments in accordance with Federal and State requirements to Calvin Coolidge Nursing and Rehabilitation Center for Northampton (Calvin Coolidge). However, the State agency did not always adjust its Medicaid per diem payments to Calvin Coolidge by the amount of beneficiaries' cost-of-care contributions from resources, such as Social Security and pensions. As a result, the State agency overstated its Federal claim by a total of $26,000 ($15,000 Federal share). We attributed the incorrect Medicaid payments to clerical and billing errors. Rhode Island Hospice General Inpatient Claims and Payments Did Not Always Meet Federal and State Requirements (A-01-12-00002)The Rhode Island Executive Office of Health and Human Services, Office of Medicaid (State agency), did not always make Medicaid payments for hospice general inpatient care services in accordance with Federal and State requirements. As a result, the State agency overstated its claim for hospice general inpatient hospice services by approximately $45,000 ($27,000 Federal share). That's all we have for today. If we can be of any further assistance, please send an Email to public.affairs@oig.hhs.gov I hope your week went well and you are able to enjoy the upcoming weekend. Dee Ellison - Office of External Affairs OIG’s privacy policy can be found at http://oig.hhs.gov/notices/privacy-notice.asp
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