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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]
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 ...
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 ...
Medicaid scams: claiming you have a new card available but need to provide identifying information to claim it. ... potential fraud and unwanted phone calls to the FTC so that it can investigate ...
OIG Special Agents have special skills in investigating white collar crime related to Medicare and Medicaid fraud and abuse. Organized crime has dominated the criminal activity relative to this type of fraud. [citation needed] HHS-OIG investigates tens of millions of dollars in Medicare fraud each year.
On the federal level the Office of Inspector General of the Department of Health and Human Services and the Department of Justice are usually involved, and on the state level, the state attorney general and the state offices involved in Medicaid or Medicare are involved. [1] CIA can be used to address quality of care [2] or corporate integrity ...