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  2. Office of Inspector General, U.S. Department of Health and ...

    en.wikipedia.org/wiki/Office_of_Inspector...

    Daniel R. Levinson was the longest-serving HHS Inspector General from 2004 to 2019. The OIG consists of the following components: Office of Audit Services (OAS). OAS conducts audits that assess HHS programs and operations and examine the performance of HHS programs and grantees. In FY 2020, OIG produced 178 audits.

  3. National coverage determination - Wikipedia

    en.wikipedia.org/wiki/National_coverage...

    It is a form of utilization management and forms a medical guideline on treatment. Medicare coverage is limited to items and services that are considered "reasonable and necessary" for the diagnosis or treatment of an illness or injury (and within the scope of a Medicare benefit category).

  4. United States Department of Health and Human Services

    en.wikipedia.org/wiki/United_States_Department...

    The Office of Inspector General, U.S. Department of Health and Human Services (OIG) investigates criminal activity for HHS. The special agents who work for OIG have the same title series "1811" as other federal criminal investigators, such as the FBI, HSI, ATF, DEA and Secret Service. They receive their law enforcement training at the U.S ...

  5. Centers for Medicare & Medicaid Services - Wikipedia

    en.wikipedia.org/wiki/Centers_for_Medicare...

    The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the United States Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children's Health Insurance Program (CHIP), and health insurance portability standards.

  6. Office of Inspector General (United States) - Wikipedia

    en.wikipedia.org/wiki/Office_of_Inspector...

    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]

  7. US agency lacked background checks for some sponsors of ... - AOL

    www.aol.com/news/us-agency-lacked-background...

    The report, issued by the U.S. Department of Health and Human Services inspector general, found 16% of child case files in March and April 2021 lacked documentation of sponsor background checks by ...

  8. Daniel R. Levinson - Wikipedia

    en.wikipedia.org/wiki/Daniel_R._Levinson

    As Inspector General, Levinson was the senior official responsible for audits, evaluations, investigations, and law enforcement efforts, relating to HHS programs and operations. He managed an independent and objective nationwide organization of over 1500 professional staff members dedicated to promoting economy, efficiency, and effectiveness in ...

  9. Consulting firm McKinsey to pay $650 million to resolve US ...

    www.aol.com/news/consulting-firm-mckinsey-pay...

    McKinsey agreed to pay $650 million over five years, improve its compliance practices to detect illegal activity and submit to oversight from the DOJ and U.S. Department of Health and Human ...