Good morning to all from Washington, DC. Today OIG posts three reports and provides news about enforcement actions. As always, you can use the links provided to go directly to the new material. ------------------------------------------------------------------------------ Ashtabula County Ohio Medical Center Incorrectly Billed Medicare for Leuprolide Acetate Implants (A-03-12-00010) http://go.usa.gov/79D Ashtabula County Medical Center (the Medical Center) incorrectly billed Medicare for all of the 14 line items billed for leuprolide acetate implants, rather than leuprolide acetate injections. The Medical Center billed Medicare using an incorrect Healthcare Common Procedure Coding System code and incorrect units of service. As a result, the Medical Center was overpaid a total of $258,000. ------------------------------------------------------------------------------ Recovery Act Costs Claimed by Health Services, Inc., in Alabama Were Generally Allowable (A-04-11-03541) http://go.usa.gov/79W Health Services, Inc.’s, claimed costs generally were allowable under the terms of the grants and applicable Federal regulations. The Health Resources and Services Administration awarded the grantee $14.3 million under the American Recovery and Reinvestment Act of 2009. ------------------------------------------------------------------------------ William Smith, Sr., Tri-County Child Development Council, Inc.’s, Financial Management Practices and Systems in Texas Did Not Always Meet Federal Requirements (A-06-11-00036) http://go.usa.gov/79Z The William Smith, Sr., Tri-County Child Development Council, Inc. (Council), a nonprofit agency that operates Head Start and Early Head Start programs in several Texas counties, did not always meet Federal requirements in its financial management practices and systems. Specifically, the Council claimed $27,000 in unsupported consultant services costs; misclassified Recovery Act, nontravel, and administrative costs in its accounting system; did not have adequate physical controls and did not adequately segregate duties in its accounting department; did not adequately segregate its procurement duties; and claimed $32,000 in unallowable in-kind non-Federal share. ------------------------------------------------------------------------------ August 16, 2012; U.S. Attorney; District of Idaho Caldwell Optometrist Pleads Guilty to Defrauding Health Care Benefit Programs as Parties Agree to $1 Million in Restitution http://go.usa.gov/yWn ------------------------------------------------------------------------------ August 16, 2012; U.S. Attorney; Western District of Missouri Psychologist Pleads Guilty To $1 Million Health Care Fraud http://go.usa.gov/yWn ------------------------------------------------------------------------------ August 15, 2012; U.S. Attorney; Northern District of Texas Amarillo Orthodontist Indicted in State and Federal Probe of $2 Million Medicaid Fraud Scheme http://go.usa.gov/yWn ------------------------------------------------------------------------------ State Enforcement Actions Updated http://go.usa.gov/pqp ------------------------------------------------------------------------------ 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 you have had a good week and are able to enjoy the upcoming weekend. Marc Wolfson – Office of External Affairs OIG’s privacy policy can be found at http://oig.hhs.gov/notices/privacy-notice.asp
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OIG Posts 3 Reports and News about Enforcement Actions - 8/17
