OIG Report Reveals Medicare Overpayments for Continuous Glucose Monitors
The Deptartment of Health and Human Services Office of Inspector General published a report that found Medicare overpayments for CGMs

The Dept. of Health and Human Services Office of Inspector General (OIG) published a report on continuous glucose monitors (CGMs) and supplies acquisition cost. In the report, "Medicare Payments for Continuous Glucose Monitors and Supplies Exceeded Supplier Costs and Retail Market Prices, Indicating Medicare Can Save At Least Tens of Millions of Dollars in One Year," the OIG recommends that the Centers for Medicare & Medicaid Services (CMS) seek payment reductions for CGMs and supplies.

OIG Report Highlights Issues With Wound Care Payments in Medicare
The report showed a significant increase in Medicare spending toward skin substitutes in just two years

WASHINGTON—The U.S. Department of Human Services Office of the Inspector General (OIG) released a review of Medicare Part B payment trends for wound care products known as skin substitutes that the office said “raises major concerns about fraud, waste and abuse.”

In March 2023, OIG issued a report that identified significant gaps in manufacturer compliance with new average sales price (ASP) reporting requirements for skin substitutes. 

HHS-OIG Semiannual Report Reveals $7B in Expected Medicare Recoveries
The Department of Health and Human Services and the Office of Inspector General found more than $7 billion in expected recoveries & receivables for taxpayers, according to a new report

WASHINGTON—The Department of Health and Human Services (HHS) and the Office of Inspector General (OIG) released their fall 2024 semiannual report to congress (SAR), which found more than $7 billion in expected recoveries and receivables from misspent Medicare, Medicaid and other health and human services funds.

OIG: Selected Home Health Agencies Compliant With Provider Relief Fund
The Office of the Inspector General selected several home health agencies in order to determine compliance with the terms, conditions & requirements for Provider Relief Fund payments

WASHINGTON—The Office of the Inspector General (OIG) conducted an audit of 25 selected home health agencies (HHA) to determine if they expended taxpayer funds in accordance with the terms, conditions and requirements for Provider Relief Fund (PRF) payments. As a result of the review, the selected HHAs were found compliant with PRF guidelines.


OIG Reviews Medicare Advantage Health Risk Assessments
The Office of the Inspector General reviewed Medicare Advantage companies’ use of health risk assessments & offered suggestions to the Centers for Medicare & Medicaid Services

WASHINGTON—The Office of the Inspector General (OIG) reviewed Medicare Advantage (MA) companies’ use of health risk assessments (HRAs), which often increase payments to MA plans by billions of dollars. As a result of the review, OIG offered suggestions to the Centers for Medicare and Medicaid Services (CMS).

OIG Reports CMS COVID Payments Compliant
An audit by the OIG found CMS’ COVID-19 payments to providers complied with federal requirements

WASHINGTON—The Center for Medicare & Medicaid Services (CMS) recovered Medicare payments to providers under the COVID-19 Accelerated and Advance Payment (CAAP) programs in compliance with federal requirements, according to an audit conducted by the U.S. Department of Health and Human Services (HHS) Office of the Inspector General (OIG).