Welcome to the Nexus of Ethics, Psychology, Morality, Philosophy and Health Care

Welcome to the nexus of ethics, psychology, morality, technology, health care, and philosophy
Showing posts with label Office of Inspector General. Show all posts
Showing posts with label Office of Inspector General. Show all posts

Monday, September 28, 2015

VA watchdog shelves 36,000 complaints, draws ire from whistleblowers

By Donovan Slack
USA TODAY
Originally published September 23, 2015

The chief watchdog at the Department of Veterans Affairs investigates less than 10 percent of the nearly 40,000 complaints it receives annually about problems at the agency, even when they concern potential harm to veteran health, Deputy Inspector General Linda Halliday said Tuesday.

The Office of Inspector General, which is responsible under federal law for rooting out mismanagement and abuse at the agency, simply doesn't have the resources, Halliday said at a hearing of the Senate Homeland Security and Governmental Affairs Committee.

"There is a serious discrepancy between the size of our workforce and the size of our workload," Halliday said. She said her office has roughly 650 professional staff members while the agency they investigate has more than 350,000 employees and a budget greater than $160 billion. "The OIG is not right-sized to respond to all the complaints that we currently receive."

The entire article is here.

Thursday, July 11, 2013

Medicare fraud outrunning enforcement efforts

By Fred Shulte
The Center for Public Integrity
Originally published on July 1, 2013

Citing massive budget and staff cuts, federal officials are set to scale back or drop a host of investigations into Medicare and Medicaid fraud and abuse — even though cracking down on government waste and cutting health care costs have been top priorities for the Obama administration.

The Department of Health and Human Services Office of Inspector General is set to lose a total of 400 staffers that are deployed nationwide as a primary defense against health care fraud and abuse. Though agency officials have yet to decide which investigations will be shelved as staff dwindles, the existing staff is already stretched so thin that the agency has failed to act on 1,200 complaints over the past year alleging wrongdoing — and expects that number to rise. The OIG began shedding staff at the beginning of the year.

The budget crunch surfaced during questioning at a June 24 hearing of the Senate Committee on Homeland Security and Governmental Affairs. The hearing was called to examine prescription drug abuse in Medicare.

Gary Cantrell, Deputy Inspector General for the OIG Office of Investigations, said at the hearing that his unit “is shrinking” even as the federal Medicare and Medicaid programs grow in size and complexity. “We’re set to lose roughly 400 bodies out of a total of 1,800 at our peak in 2012. That’s really limiting our ability to expand our oversight in some of these areas,” he said.

Stuart Wright, Deputy Inspector General for the OIG Office of Evaluations and Inspections, added that 200 of those staffers will have departed by the end of this year and 200 more are out the door by the end of 2015.

The entire story is here.

Sunday, November 4, 2012

HHS IG pledges focus on Medicare billing abuse involving electronic records

Inclusion in IG work plan for 2013 follows Center's 'Cracking the Codes' series

By Fred Schulte
The Center for Public Integrity
Originally published October 24, 2012


Federal officials will focus on possible Medicare overbilling by doctors and hospitals that use electronic medical records, a top government fraud investigator said  Wednesday, in announcing investigative priorities for the coming year.

“Electronic medical records can improve quality of care and efficiency and help us uncover cases of fraud and abuse. At the same time, we must guard against the use of electronic records to cover up crime,” said Daniel Levinson, the Department of Health and Human Services inspector general, in a video presentation.

The video posted on the agency’s website on Wednesday summarized the inspector general’s “work plan,” for 2013, a listing of Medicare and Medicaid fraud fighting efforts the agency plans to emphasize.

The entire article is here.