Good morning to all from Washington, DC. Today OIG posts three reports. As always, you can use the links provided to go directly to the new material. Report Recap
ACF Strengthened its Oversight of Head Start Eligibility in Fiscal Year 2011 (OEI-05-11-00140)WHY WE DID THIS STUDYWe conducted this evaluation in response to a congressional request. In May 2010, a Government Accountability Office official testified at a congressional hearing about potential eligibility fraud at eight Head Start grantees. At this same hearing, ACF committed to improving its oversight of eligibility. This study looked at changes to ACF's oversight of eligibility made between fiscal years (FY) 2010 and FY 2011. HOW WE DID THIS STUDYTo determine whether ACF made changes to its oversight of eligibility, we reviewed relevant documents and conducted structured interviews. We also reviewed data for Head Start grantees that received triennial reviews-the standardized, onsite reviews that ACF conducts for each grantee once every 3 years-between October 1, 2010, and June 30, 2011, to determine the number and percentage of sampled children with required eligibility information on file. Finally, we determined the extent to which ACF issued findings related to missing eligibility information. WHAT WE FOUNDACF strengthened its oversight of eligibility between FY 2010 and FY 2011. Specifically, ACF altered its FY 2011 triennial reviews to determine whether grantees kept on file the source documents proving children's eligibility. Further, ACF began performing unannounced triennial reviews. In addition, ACF promulgated draft regulations that, once final, will require grantees to keep source documents on file. Finally, ACF developed an online complaint process for the Head Start program to capture complaints that could help the agency uncover problems with grantees. Our review of data collected during ACF's FY 2011 triennial reviews found that 79 percent of grantees kept required eligibility information for all sampled children. The remaining 21 percent of grantees missing eligibility information were usually missing it for few sampled children. ACF was not consistent in issuing findings to grantees missing eligibility information in FY 2011. In FY 2012, ACF has taken action to reduce this variation when issuing findings. This report does not contain recommendations. Medicare Compliance Review of Tampa General Hospital for Calendar Years 2008 Through 2010 (A-04-11-06138)Tampa General Hospital generally complied with Medicare billing requirements for selected inpatient and outpatient claims. Of 136 sampled claims, 35 had billing errors resulting in net overpayments totaling $83,000 for calendar years 2008 through 2010. Hawaii Claimed Unallowable Community Services Block Grant Costs for Administrative Expenditures Under the Recovery Act (A-09-12-01000)Under the American Recovery and Reinvestment Act of 2009 (Recovery Act), the Hawaii Department of Labor and Industrial Relations, Office of Community Services (State agency), was awarded $5 million in Community Services Block Grant (CSBG) funds for fiscal years 2009 and 2010. The State agency complied with Federal requirements when distributing the entirety of the $5 million in CSBG Recovery Act funds to four community action agencies (CAA). However, the State agency returned to the Federal Government only $973,000 of the $1.08 million of funds not spent by the CAAs. The State agency claimed the remaining $35,000 as administrative expenditures. These costs were unallowable under the CSBG Recovery Act award. AdminaStar Federal, Inc., Claimed Some Unallowable Supplemental Executive Retirement Plan Costs for Medicare Reimbursement for Fiscal Years 2004 Through 2006 (A-07-12-00387)AdminaStar Federal, Inc., a Centers for Medicare & Medicaid Services contractor, claimed $6,000 of unallowable supplemental executive retirement plan costs for Medicare reimbursement for fiscal years 2004 through 2006. Anthem Insurance Companies, Inc., administers Medicare Part A, Part B, and Durable Medical Equipment Regional Carrier operations under its subsidiaries, AdminaStar Federal, Inc., and Anthem Health Plans of Maine, Inc. CAPTURED: Godwin Chiedo NzeochaIn March 2010, Godwin Chiedo Nzeocha was indicted on charges of Health Care Fraud, Conspiracy, Mail Fraud, and Money Laundering. Investigators believe that Nzeocha and his co-conspirators received more than $27 million from Medicare after submitting false or fraudulent claims for health care services that were never provided. On June 27, 2012, the FBI extradited Nzeocha from Nigeria back into the United States. He was arrested upon his arrival into Houston, Texas. Advisory Opinion 12-08http://go.usa.gov/wCL (PDF) This advisory opinion concerns a proposal for an independent diagnostic testing facility to hire a doctor to read and interpret test results when that doctor is closely related to the owners of the independent diagnostic testing facility and is employed by a company that also employs other potential referral sources. One Corporate Integrity Agreement ClosedMay Recovery Act Oversight Monthly Report PostedFederal Enforcement ActionsJune 27, 2012; U.S. Attorney, Southern District of Florida June 25, 2012; U.S. Attorney; Southern District of Texas June 25, 2012; U.S. Attorney; Middle District of Louisiana 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 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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OIG Posts New Captured Fugitive, 4 Reports, 1 Advisory Opinion, 1 Closed CIA, May Recovery Oversight Report, and Enforcement Actions
