OIG posts a report and news about enforcement actions - 8/28

Good morning to all from Washington, DC. Today OIG posts a report and news about enforcement actions. As always, you can use the links provided to go directly to the new material.   ------------------------------------------------------------------------------     Alabama Received Millions in Unallowable Performance Bonus Payments under the Children’s Health Insurance Program Reauthorization Act (A-04-12-08014) http://go.usa.gov/DxtC   Under the Children’s Health Insurance Program Reauthorization Act of 2009, Congress appropriated $3.225 billion for qualifying States to receive performance bonus payments (bonus payments) for Federal fiscal years (FYs) 2009 through 2013 to offset the costs of increased enrollment of children in Medicaid.    We found that the majority (92 percent) of bonus payments that Alabama received for FYs 2009 and 2010 was not allowable in accordance with Federal requirements.  Although most of the data elements used in the bonus payment calculations were in accordance with Federal requirements, the State agency overstated its FYs 2009 and 2010 current enrollment in its requests for bonus payments.  As a result, CMS overpaid Alabama $88.2 million in bonus payments.    We recommended that the State agency:   (1) Refund $88.2 million to the Federal Government and   (2) Ensure that future requests for bonus payments are calculated using the monthly average number of qualifying children and not the total number per year of qualifying children in Alabama Medicaid, to comply with Federal requirements.    The State agency disagreed with our first recommendation and concurred with our second recommendation.     ------------------------------------------------------------------------------   August 27, 2013; U.S. Department of Justice MRI Diagnostic Testing Company, Imagimed LLC, and Its Former Owners and Chief Radiologist to Pay $3.57 Million to Resolve False Claims Act Allegations http://go.usa.gov/jPWd   ------------------------------------------------------------------------------   August 27, 2013; U.S. Attorney; Northern District of Illinois Mobile Doctors' Chicago CEO and Doctor Arrested on Federal Health Care Fraud Charges; Offices Searched in Three Cities http://go.usa.gov/jPWd   ------------------------------------------------------------------------------   August 27, 2013; U.S. Attorney; Northern District of Texas Abilene, Texas, Dentist Pleads Guilty in Medicaid Fraud Scheme http://go.usa.gov/jPWd   ------------------------------------------------------------------------------   August 26, 2013; U.S. Attorney; District of Colorado Craig Doctor Arrested for Prescribing Drugs Resulting in Patient Deaths and Heath Care Fraud Scheme http://go.usa.gov/jPWd   ------------------------------------------------------------------------------   State Enforcement Actions Updated http://go.usa.gov/jPZ3   ------------------------------------------------------------------------------   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 is going well.   Marc Wolfson – Office of External Affairs OIG’s privacy policy can be found at http://oig.hhs.gov/notices/privacy-notice.asp Follow us on Twitter: http://twitter.com/OIGatHHS Inquiries? Contact us: Public.Affairs@oig.hhs.gov Manage your OIG subscriptions: update your preferences or unsubscribe Questions about this service? Support@GovDelivery.com This email was sent to buzzhairs.health@blogger.com using GovDelivery, on behalf of the U.S. Dept. of Health & Human Services · 200 Independence Avenue SW · Washington DC 20201 · 1-877-696-6775