MediRegs Weekly Regulatory Highlights

Curated content to help make sure your organization remains compliant.

September 17 - September 23, 2022

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Weekly Highlights

The links below provide access to each title:

Final and Proposed Regulations

CMS Manual Transmittals and MLN Matters Articles

Court Cases and Administrative Actions

CMS - Quality, Safety, & Oversight - General Information (QSO Letters)

OIG Compliance Program Guidance

Final and Proposed Regulations

Veterans Affairs

Rule: Extension of Program of Comprehensive Assistance for Family Caregivers Eligibility for Legacy Participants and Legacy Applicants [57602-57609]

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CMS Manual Transmittals and MLN Matters Articles

New Articles this week

R11587NCD Revision to National Coverage Determination (NCD) 240.2 (Home Use of Oxygen) to Align to 1834(a)(5)(E) of the Social Security Act - 2022-09-08

R11601CP Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement - 2022-09-15

R11600CP Instructions for Retrieving the January 2023 Opioid Treatment Program (OTP) Payment Rates Through the CMS Mainframe Telecommunications System - 2022-09-15

R11599CP Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 29.0, Effective January 1, 2023 - 2022-09-15

R11596CP Annual Clotting Factor Furnishing Fee Update 2023 - 2022-09-13

R11594CP October 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS) - 2022-09-09

R11589CP Billing for Hospital Part B Inpatient Services - 2022-09-08

R11471CP Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 28.3, Effective October 1, 2022 - 2022-06-23

R11309CP Quarterly Update to the National Correct Coding Initiative [NCCI] Procedure-to-Procedure [PTP] Edits, Version 28.2, Effective July 1, 2022 - 2022-03-25

MM12885 - October 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS) (PDF) October 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS) - 2022-09-09

R11570SS (PDF) Pub 100-17 Medicare Business Partners Systems Security Manual Update - 2022-08-19

R11587NCD (PDF) Revision to National Coverage Determination (NCD) 240.2 (Home Use of Oxygen) to Align to 1834(a)(5)(E) of the Social Security Act - 2022-09-08

R11596CP (PDF) Annual Clotting Factor Furnishing Fee Update 2023 - 2022-09-13

R11599CP (PDF) Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 29.0, Effective January 1, 2023 - 2022-09-15

R11600CP (PDF) Instructions for Retrieving the January 2023 Opioid Treatment Program (OTP) Payment Rates Through the CMS Mainframe Telecommunications System - 2022-09-15

R11601CP (PDF) Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement - 2022-09-15

R11604CP (PDF) Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment - 2022-09-16

National Coverage Determinations

Home Use of Oxygen - 240.2 Version 2 (Effective: 09/27/2021; Last Updated: 09/14/2022)

Index of NCD Coding Guidelines (ICD-10)

R11583CP: Transmittal 11583: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2023 - Issued: 09/01/2022, Implementation: 01/03/2023

R11584OTN: Transmittal 11584: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2023 Update - Issued: 08/31/2022, Implementation: 09/06/2022

Court Cases and Administrative Actions

CMS - Provider Reimbursement Review Board Decisions

Jurisdictional Decisions for August 2022 (PDF)

PRRB 09/19/2022 22-D29 St. Anthony Hospital (PDF)

Court Cases - Federal Court of Appeals

09/02/2022 - Luis González-Cabán; Braulio González-Reyes; Jennifer González-Maldonado; Arlene González-Soto v. Jr Seafood Inc.; Packers Provisions of Puerto Rico Inc.; Puerto Rico Miscellaneous Insurance Guaranty Association, as Successor in Interest of Integrand Insurance Company; Cooperativa de Seguros Múltiples de Puerto Rico; Evaristo Rivera-Berrios, d/b/a El Nuevo Amanecer, Ramón Gutiérrez, d/b/a GB Trading - No. 19-1450 (PDF)

09/09/2022 - Hunter Doster, et al. v. Hon. Frank Kendall, in his Official Capacity as Secretary of the Air Force, et al. - No. 22-3702 (PDF)

09/08/2022 - Saint Anthony Hospital v. Theresa A. Eagleson, in her Official Capacity as Director of the Illinois Department of Healthcare and Family Services and Meridian Health Plan of Illinois, Inc., et al. - No. 21-2325 (PDF)

09/07/2022 - In Re: Joseph C. Sheehan, Joseph C. Sheehan v. Breccia Unlimited Company, et al. - Nos. 21-2946 & 21-2954 (PDF)

Court Cases - Federal District Court (by State)

09/08/2022 - Gilia Wilder, et al. v. Genie Healthcare, Inc., et al. - 7:21-cv-01480-LSC (PDF)

09/08/2022 - Hal Livingston v. Digirad Corporation - Case No. 2:18-cv-2058-CLM (PDF)

09/02/2022 - Kerry O’Connor v. Soul Surgery LLC, et al. - No. CV-22-00156-PHX-JJT (PDF)

09/01/2022 - United States of America v. Lonnie Joseph Parker - Case No. 4:19-cr-40018 (PDF)

09/09/2022 - Susan Smith v. Walgreens Boots Alliance, Inc., et al. - Case No. 20-cv-05451-CRB (PDF)

09/02/2022 - Stanford Health Care v. Hawaii Medical Service Association - Case No. 21-cv-06720-HSG (PDF)

08/30/2022 - United States of America v. California Stem Cell Treatment Center, Inc., et al. - Case No. EDCV 18-1005 JGB (KKx) (PDF)

09/01/2022 - Intercept Pharmaceuticals, Inc., and Intercept Pharma Europe Ltd. v. Apotex Inc., et al. - C.A. No. 20-1105-MN (PDF)

09/09/2022 - Julian Craig v. Not for Profit Hospital Corporation, et al. - Civil Action No. 18-347 (FYP) (PDF)

09/03/2022 - Center for Medical Progress v. United States Department of Health and Human Services - Civil Action No. 21-642 (BAH) (PDF)

09/12/2022 - United States of America ex rel. Clarissa Zafirov v. Florida Medical Associates LLC d/b/a VIPcare, Physician Partners, LLC, Anion Technologies, LLC, Freedom Health, Inc., and Optimum Healthcare, Inc. - Case No. 8:19-cv-1236-KKM-SPF (PDF)

08/31/2022 - Cichowski Family v. CVS Health Corporation, CVS Health Solutions, LLC, CVS Pharmacy, Inc., CVS RX Services, Inc. - Case No. 3:22-cv-599-TJC-PDB (PDF)

09/14/2022 - United States of America v. Robert A. Burkich, M.D. and Preventive Medicine Anti-Aging & Chelation, Inc. - Case No. 1:19-cv-3510-MLB (PDF)

09/12/2022 - Carleen M. McKnight, SSN: 360-66-1428 v. Kilolo Kijakazi, Acting Commissioner of Social Security - Case No. 20-cv-5971 (PDF)

09/09/2022 - United States of America v. James E Ranochak et al. - Case No. 2:17-CR-073 JD (PDF)

09/02/2022 - Dr. Tareq Kass-Hout v. Community Care Network Inc.; Munster Medical Research Foundation, Inc., d/b/a the Community Hospital; Aamir Badruddin; and Alan Kumar - Case No. 2:20-CV-441-JPK (PDF)

08/30/2022 - Aspen American Insurance Company, et al. v. Blackbaud, Inc. - Case No. 3:22-CV-44 JD (PDF)

09/14/2022 - Trina Wilkins, et al. v. Genzyme Corporation - Civil Action No. 21-10023-DPW (PDF)

08/30/2022 - Misemer Pharmaceuticals, Inc. v. Virtus Pharmaceuticals, LLC; Virtus Pharmaceuticals, LLC v. Misemer Pharmaceuticals, LLC; Arun Kapoor - Civil No. 3:21-cv-00107-GHD-RP (PDF)

09/09/2022 - The Curators of the University of Missouri and Capital Region Medical Center v. Corizon Health, Inc. and Corizon, LLC - Case No. 2:22-cv-4100-NKL (PDF)

09/02/2022 - United States of America v. Edwin Fujinaga, Paul Suzuki, and Junzo Suzuki - Case No.: 2:15-cr-00198-GMN-NJK (PDF)

09/06/2022 - John Vigil v. Frances Tweed, in her Individual Capacity, Corrine Dominguez, in her Individual Capacity, Antonio Coca, in his Individual Capacity, Joe Chavez, in his Individual Capacity, New Mexico Behavioral Health Institute, a Political Subdivision of the New Mexico Department of Health a Division of the State of New Mexico, Deputy Sean Armijo, in his Individual Capacity as a Deputy Employed by the San Miguel County Sheriff's Office - Civ. No. 18-829 SCY/JFR (PDF)

09/14/2022 - Michael Danilovich v. United States of America - 20-CV-296 (JPO); 12-CR-171 (JPO) (PDF)

09/13/2022 - Deborah Osinoff v. Nuvance Health d/b/a Sharon Hospital and Tammy L. Cordovano - Case No. 22-cv-02017(KMK) (PDF)

09/12/2022 - M.D. Richard Arjun Kaul, et al. v. Intercontinental Exchange, et al. - 21-CV-6992 (JPO) (PDF)

09/08/2022 - Vincent Iodice v. Archcare at Terence Cardinal Cooke Health Care Center, 1199SEIU United Healthcare Workers East, and Janice Atkins - 20 Civ. 4217 (KPF) (PDF)

09/06/2022 - Nicholas Earl v. Good Samaritan Hospital of Suffern Ny, Bon Secours Charity Health System, and Westchester Health Care Foundation, Inc., d/b/a Westcheschester Health Care Network, Inc. - No. 20 Civ. 3119 (NSR) (PDF)

09/06/2022 - Emergency Physician Services of New York, et al. v. UnitedHealth Group, Inc., et al. - 20-cv-9183 (PDF)

09/02/2022 - Mosaic Health Inc., and Central Virginia Health Services, Inc., Individually and on Behalf of All Those Similarly Situated v. Sanofi-Aventis U.S., LLC, Eli Lilly and Company, Lilly USA, LLC, Novo Nordisk Inc., and AstraZeneca Pharmaceuticals LP - 6:21-CV-06507 EAW (PDF)

09/02/2022 - Emergency Physician Servs. of New York, et al. v. UnitedHealth Grp., Inc., et al. - Case No. 1:20-cv-09183 (PDF)

09/01/2022 - MetroHealth Medical Center v. National Health Insurance Company - Case No. 22-cv-1186 (PDF)

08/31/2022 - In Re Natco Pharma (Canada), Inc. - Case No. 2:22-mc-33 (PDF)

09/06/2022 - Tinsley Ariana Taylor Makayla Saramosing v. Health Care Service Corporation et al. - Case No. CIV-21-669-G (PDF)

09/06/2022 - Tower Health, f/k/a Reading Health System; PI One, LLC, n/k/a Brandywine Hospital, LLC v. CHS Community Health Systems, Inc.; Pennsylvania Hospital Company, LLC; and Pottstown Hospital Company, LLC - Civil Action No. 19-2782 (PDF)

08/30/2022 - United States of America v. Lioudmila Novikov - Criminal Action No. 11-189 (PDF)

08/30/2022 - United States of America v. Patricia McGill & Natalya Shvets - Criminal Action No. 12-112-01-02 (PDF)

09/13/2022 - Stephen Del Sesto, as Receiver and Administrator of the St. Joseph Health Services of Rhode Island Retirement Plan; et al. v. Prospect CharterCare, LLC; et al. - C.A. No. 18-328 WES (PDF)

09/07/2022 - Braidwood Management Inc. et al. v. Xavier Becerra et al. - Civil Action No. 4:20-cv-00283-O (PDF)

09/01/2022 - United States of America v. Lawanda Johnson - Case No. 3:09-cr-05703-DGE (PDF)

Court Cases - State Courts

09/01/2022 - Ebony Coe v. District of Columbia Department of Human Services - No. 17-AA-590 (PDF)

09/02/2022 - Protech Minerals, Inc. and Chul Lim Choe v. Dugout Team, LLC - No. 288, 2021 (PDF)

08/31/2022 - Leroy Yates, Jr. v. Iowa Board of Medicine - No. 20-1581 (PDF)

09/09/2022 - Finance and Administration Cabinet v. Anthem Kentucky Managed Care Plan, Inc.; Aetna Better Health of Kentucky Insurance Company; Cabinet for Health and Family Services, Commonwealth of Kentucky; Humana Health Plan, Inc.; Molina Healthcare of Kentucky, Inc.; UnitedHealthcare of Kentucky, Ltd.; and WellCare Health Insurance Company of Kentucky, Inc. - No. 2021-CA-0855-MR (PDF)

09/09/2022 - Anthem Kentucky Managed Care Plan, Inc. v. Kentucky Cabinet for Health and Family Services; Aetna Better Health of Kentucky Insurance Company d/b/a Aetna Better Health of Kentucky Inc.; Humana Health Plan, Inc. - No. 2021-CA-0849-MR (PDF)

09/09/2022 - Kentucky Cabinet for Health and Family Services v. Anthem Kentucky Managed Care Plan, Inc.; Aetna Better Health of Kentucky Insurance Company d/b/a Aetna Better Health of Kentucky Inc.; Humana Health Plan, Inc. - No. 2021-CA-0847-MR (PDF)

09/09/2022 - Aetna Better Health of Kentucky Insurance Company d/b/a Aetna Better Health of Kentucky Inc. v. Anthem Kentucky Managed Care Plan, Inc.; Commonwealth of Kentucky; Eric Friedlander, in his Official Capacity as Secretary of the Kentucky Cabinet for Health and Family Services; Holly M. Johnson, in her Official Capacity as Secretary of the Kentucky Finance and Administration Cabinet - No. 2021-CA-0824-MR (PDF)

09/09/2022 - UnitedHealthcare of Kentucky, Ltd. v. Anthem Kentucky Managed Care Plan, Inc.; Aetna Better Health of Kentucky Insurance Company d/b/a Aetna Better Health of Kentucky Inc.; Commonwealth of Kentucky - No. 2021-CA-0822-MR (PDF)

09/09/2022 - Humana Health Plan, Inc. v. Anthem Kentucky Managed Care Plan, Inc.; Aetna Better Health of Kentucky Insurance Company d/b/a Aetna Better Health of Kentucky Inc.; Commonwealth of Kentucky - No. 2021-CA-0819-MR (PDF)

09/09/2022 - Molina Healthcare of Kentucky, Inc. v. Anthem Kentucky Managed Care Plan, Inc.; Aetna Better Health of Kentucky Insurance Company d/b/a Aetna Better Health of Kentucky Inc.; Commonwealth of Kentucky - No. 2021-CA-0806-MR (PDF)

09/01/2022 - Cayuga Medical Associates, P.C. v. Barry Jay Pollack et al. - 532094 (PDF)

09/07/2022 - Acuity v. Masters Pharmaceutical, Inc. - Slip Opinion No. 2022-Ohio-3092 (PDF)

08/31/2022 - Robin Dunnick, Individually, and as Next Friend to Raynee Dunnick, and Dana Dunnick v. Kristy Marsillo, D.O. - No. 03-21-00296-CV (PDF)

HHS - Departmental Appeals Board Appellate Division Decisions

DAB(APP) 2022-08-17 - DAB3068 - Sylvie Wamba

HHS - Departmental Appeals Board Civil Remedies Decisions

DAB(CR) 2022-07-14 - CR6116 - Desert Canyon Post Acute, LLC v. CMS

CMS - Quality, Safety, & Oversight - General Information (QSO Letters)

Accreditation of Medicare Certified Providers and Suppliers

CMS National Background Check Program

CMS Federal Grant Opportunity

National Partnership to Improve Dementia Care in Nursing Homes

National Partnership – Dementia Care Resources

Revisit User Fee Program

Termination Notices

OASIS Coordinators

Antipsychotic Medication Use Data Report 2021Q4 - Updated 07.29.2022 (PDF)

Wisconsin: Holy Family Memorial Hospice - 08/10/2022 (PDF)

Tennessee-Summit View of Farragut-08-30-2022 (PDF)

SFF Posting with Candidate List - August 31, 2022 (PDF)

275131 - Hi-Line Retirement Center, PUBLIC NOTICE OF MANDATORY TERMINATION-08-27-2022 (PDF)

Antipsychotic Use by State 2021Q1-2021Q4 - Updated 07.29.2022 (XLS)

Kansas - Public Notice of Mandatory Termination Victoria Falls 175520_08-08-22 (PDF)

North Carolina - Accordius Health at Statesville - 08-19-2022 (PDF)

Missouri - Vitas Laboratory LLC’s CLIA - 09/13/2022 (PDF)

Michigan: Oakridge Manor Nursing and Rehab - 07/26/2022 (PDF)

Late Adopter Data Report 2021Q4 - Updated 07.29.2022 (PDF)

Illinois-Doctors Clinical Laboratory - 09-06-2022.pdf (PDF)

Illinois: City View Multicare Center - 09/20/2022 Rescission (PDF)

Iowa – Vitas Laboratory LLC’s CLIA - 09/13/2022 (PDF)

Illinois-O Hare Clinical Labs - 09-06-2022.pdf (PDF)

Guidance for Federal Monitoring Surveys (FMS)

California 555235 AHMC Seton Medical Center Public Notice 7-29-22 (PDF)

Late Adopter Antipsychotic Use by State - 2021Q4 Updated 08.08.2022 (XLSX)

District of Columbia (DC)

Michigan: Oakridge Manor Nursing and Rehab-Rescission of Termination - 08/18/2022 (PDF)

CA 555771 Brookdale Riverwalk SNF Public Notice 7-22-22 (PDF)

Brookdale RESCIND TERM 555771 2-7-2261 (PDF)

Admin Info-22-09-All (PDF)

Admin Info-22-08-ALL (PDF)

CA 555235 AHMC Seton Medical Center Public Notice Rescind 8-16-22 (PDF)

Fiscal Year (FY) 2023 State Performance Standards System (SPSS) Guidance

Montana-20220827-275026 - Hi-Line Retirement Center-public-notice-rescission-termination (PDF)

News

CMS - HPMS Guidance History

September 23, 2022 - 2022 Part C and D Reporting Requirements Data Validation Results [PDF]

September 23, 2022 - Contract Year 2023 Translated Model Materials Requirements and Language Data Analysis Methodology [PDF]

September 22, 2022 - Contract Year 2023 Annual Notice of Change and Evidence of Coverage Submission Requirements and Yearly Assessment [PDF]

CMS - Press Releases

2022.09.22: HHS Approves 12-month Extension of Postpartum Medicaid and CHIP Coverage in North Carolina

2022.08.05: Statement by HHS Secretary Xavier Becerra, CMS Administrator Chiquita Brooks-LaSure on the 25th Anniversary of the Children’s Health Insurance Program (CHIP)

DOJ - Press Releases

2022.09.21: Doctor And Office Manager Convicted For Health Care Kickback Conspiracy

2022.09.16: Podiatrist Convicted Of $1.8 Million Healthcare Fraud Scheme

2022.09.15: Pharmaceutical Company Akorn Agrees To Pay $7.9 Million For Allegedly Causing Medicare To Pay For Invalid Prescription Drugs

2022.09.15: Former Elected County Coroner Convicted For Illegal Distribution Of Controlled Substances

HHS - Press Releases

2022.09.23: Biden-Harris Administration Awards More Than $1.6 Billion in Funds for Communities Addressing Addiction and Overdose Crises

2022.09.23: HHS Announces Initiative to Help Uninsured and Underinsured Americans Access COVID-19 Monoclonal Antibody Treatment

2022.09.23: HHS Announces Health Resources and Services Administration-Funded Health Centers Partnering With National Cancer Institute-Designated Cancer Centers to Improve Equity in Cancer Screening

2022.09.22: HHS Approves 12-month Extension of Postpartum Medicaid and CHIP Coverage in North Carolina

2022.09.21: HHS Delivers First National Strategy to Support Family Caregivers

2022.09.21: HHS Secretary Becerra Declares Public Health Emergency for Puerto Rico after Hurricane Fiona

2022.09.20: HHS Awards nearly $1 Million to Address Eating Disorders in Adolescent Girls

2022.09.20: Statements by HHS Secretary Xavier Becerra, Other Department Leaders on National Sickle Cell Awareness Month

2022.09.20: OCR Settles Three Cases with Dental Practices for Patient Right of Access under HIPAA

2022.09.19: HHS Awards $3 Million for Initiative to Promote Black Youth Mental Health

NIH - News Releases

2022.09.22 A healthy lifestyle may help former smokers lower their risk of death from all causesSeptember 22, 2022 - Lifestyle interventions have not been robustly studied in former smokers.

2022.09.21 Two popular diabetes drugs outperformed others in large clinical trialSeptember 21, 2022 - NIH-funded researchers complete first study comparing commonly used type 2 diabetes medications.

2022.09.21 NIH-funded study shows sound sleep supports immune functionSeptember 21, 2022 - Adults who cut back on sleep for six weeks had increased markers of inflammation.

2022.09.20 Heart medication shows potential as treatment for alcohol use disorderSeptember 20, 2022 - Spironolactone may play a role in reducing alcohol drinking.

2022.09.15 NIH-funded team develops method to identify future SARS-CoV-2 mutations that could affect rapid antigen test performanceSeptember 15, 2022 - Researchers developed a method to evaluate how mutations to SARS-CoV-2 can affect recognition by rapid antigen tests.

2022.09.14 Genomics study identifies unique set of proteins that restores hearing in zebrafishSeptember 14, 2022 - NIH study shows the role of transcription factors in facilitating cell regeneration.

2022.09.13 National Science Advisory Board for Biosecurity to meetSeptember 13, 2022 - Meeting will take place on September 21.

2022.09.13 Novel imaging approach reveals important details about rare eye disease choroideremiaSeptember 13, 2022 - New findings could improve the development and efficacy of therapies.

2022.09.13 NIH launches Bridge2AI program to expand the use of artificial intelligence in biomedical and behavioral researchSeptember 13, 2022 - Generating high-quality, ethically sourced data sets is crucial for enabling the use of next-generation AI technologies.

2022.09.12 Prenatal cannabis exposure associated with mental disorders in children that persist into early adolescenceSeptember 12, 2022 - NIH-funded results add to growing scientific evidence of negative health effects of cannabis use during pregnancy

OIG Compliance Program Guidance

Corporate Integrity Agreements

Index of Corporate Integrity Agreement Documents - Sortable Table by Provider, City, State, Effective Date, and Press Release

Medicaid Fraud Control Units

2022.09.22: Lowell Man Found Guilty, Sentenced To Jail For Defrauding Masshealth

2022.09.22: Marshfield Pharmacy And Owner Charged With False Billing To Masshealth And Insurers

2022.09.20: Mother-Daughter Duo Defrauds Medicaid Out Of More Than $100,000

2022.09.19: Attorney General Alan Wilson Announces Additional Assault Charge Against Laurens Caregiver

OIG Work Plan - Active Items

Medicaid Managed Care Plans' Focus on Fraud Referrals - September 2022

Hospital Price Transparency - September 2022

Inpatient Rehabilitation Facility Nationwide Audit - September 2022

Protecting Children in Foster Care From Identity Theft - September 2022

Audit of Internal Controls in Place To Identify, Record, and Track Indian Health Service Sanitation Facilities Construction Program Costs - August 2022

Skilled Nursing Facilities' Medicare Payments to Related Parties - August 2022

Audit of National Institutes of Health's Data Integrity Controls for the Sequence Read Archive Data - July 2022

Audit of the Low Income Home Energy Assistance Program for Fiscal Years 2021 and 2022 - June 2022

Superfund Financial Activities at the National Institute of Environmental Health Sciences

CDC Oversight of the President's Emergency Plan for AIDS Relief Funds

Cybersecurity Testing of HHS and Consumer Mobile Applications - November 2021

Comparison of Average Sales Prices and Average Manufacturer Prices

Audit of IHS Telehealth Technologies' Cybersecurity Controls

Efforts To Improve Response to Reports of Abuse and Neglect of Children Living in Congregate Care Facilities in Six States

National Institutes of Health and Grantee Compliance With Federal Requirements To Ensure Proper Monitoring and Use of Grant Funds by Selected Grantees and Subgrantees - June 2021

Audit of the Effectiveness of HHS's Governance To Ensure Hospitals Implement Measures To Prevent, Detect, and Recover From Cyberattacks - May 2021

NIH Oversight of Foreign Grant Recipients' Compliance With Audit Requirements - April 2021

Audit of Background Verification Process at IHS-Operated Health Facilities - April 2021

How Part D Plans' Preference for Higher Cost Hepatitis C Drugs Affects Medicare Beneficiaries

Audit of Indian Health Service's COVID-19 Vaccine Policies and Procedures for COVID-19 Vaccines Distributed to Tribal Health Programs

Audit of HHS's Contracting Compliance for the Acquisition of Information Technology

NIH-Funded Clinical Trials Reported to ClinicalTrials.gov

Audit of the Distribution of Supplies From Indian Health Service's National Supply Service Center in Response to COVID-19

Audit of Indian Health Service's Coverage of COVID-19 Testing

Audit of HHS's Awarding of Ventilator Production Contracts Under the Defense Production Act in Response to COVID-19

Audit of Grantee's Expenditures Under the Additional Supplemental Appropriations for Disaster Relief Requirement Act, 2018

Review of Institutions of Higher Education Grantees Receiving National Institutes of Health Awards

Audit of HHS's Production and Distribution of COVID-19 Lab Test Kits

Review of Background Verification Process at Tribally Operated Health Facilities

OIG Reviews of Non-Federal Audits

Child Care and Development Fund: Provider Compliance with State Criminal Background Check Requirements

Identification of HHS Cybersecurity Vulnerabilities

OIG Reports

Audit Reports - Centers for Medicare and Medicaid Services

New York Generally Determined Eligibility for Its Basic Health Program Enrollees in Accordance With Program Requirements A-02-20-01028 (09/20/2022) (PDF)

Nearly All States Made Capitation Payments for Beneficiaries Who Were Concurrently Enrolled in a Medicaid Managed Care Program in Two States A-05-20-00025 (09/19/2022) (PDF)

Medicare Part B Overpaid and Beneficiaries Incurred Cost-Share Overcharges of Over $1 Million for the Same Professional Services A-06-21-05003 (09/19/2022) (PDF)

Certain Life Care Nursing Homes May Not Have Complied With Federal Requirements for Infection Prevention and Control and Emergency Preparedness A-01-20-00004 (09/15/2022) (PDF)

Audit Reports - Indian Health Service

IHS's National Supply Service Center Was Generally Effective in Providing Supplies to Facilities During the COVID-19 Pandemic, but Its Internal Controls Could Be Improved A-07-20-04124 (09/16/2022) (PDF)

Audit Reports - National Institutes of Health

National Institutes of Health Grant Program Cybersecurity Requirements Need Improvement A-18-20-06300 (09/19/2022) (PDF)

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