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Office of Investigations (OI). OI conducts criminal, civil, and administrative investigations of fraud and misconduct related to HHS programs, operations, and beneficiaries. With investigators working in almost every State, OI coordinates with DOJ and other Federal, State, and local law enforcement authorities.
In the United States, other than in the military departments, the first Office of Inspector General was established by act of Congress in 1976 [1] under the Department of Health and Human Services to eliminate waste, fraud, and abuse in Medicare, Medicaid, and more than 100 other departmental programs. [2]
Detecting and uncovering Medicaid fraud and recovering misspent taxpayer funds. [4] OSC has four divisions: Audit, Investigations, Medicaid Fraud, and Procurement, along with a COVID-19 Compliance and Oversight Project and a Police Accountability Project.
Bronx Democratic Rep. Ritchie Torres has called for an investigation into claims Gov. Hochul's office rigged a bid to oversee New York's allegedly fraud-ridden $9 billion home care Medicaid program.
The joint investigation revealed that during a four-year period, Mtui and Kaiza defrauded the Medicaid program by claiming payment for rides that never occurred, and double, triple or quadruple ...
Sen. Ron Wyden (D-Ore.) called for the Department of Justice (DOJ) to investigate youth residential treatment facilities operated by multiple national health care companies, alleging evidence of ...
Jimmy Carter signs Medicare-Medicaid Anti-Fraud and Abuse Amendments into law. The Office of Inspector General for the U.S. Department of Health and Human Services, as mandated by Public Law 95-452 (as amended), is established to protect the integrity of Department of Health and Human Services (HHS) programs, to include Medicare and Medicaid programs, as well as the health and welfare of the ...
In 2019, an investigation by the Texas Attorney General Medicaid Fraud Control Unit began and over time revealed that Marquez Medical Supply overbilled the government by substituting smaller-size ...