Skip to main content

Reports

Search reports, investigative results, and agency plansShowing 1 - 10 of 132 results

Keyword

X
Department of Health & Human Services OIG

Home Health Agencies' Challenges and Strategies in Responding to the COVID-19 Pandemic

Home health agencies (HHAs) have faced unprecedented challenges to providing care during the COVID-19 pandemic. Reported challenges include, but are not limited to, procuring necessary equipment and supplies, implementing telehealth to treat patients remotely, and addressing staffing shortages. However, the full spectrum of these challenges, including how challenges have evolved over time, is unknown. HHAs have used strategies to address these challenges, but the array of strategies and the extent to which HHAs found them helpful are also unknown. This nationwide study will provide insights into the strategies HHAs have used to address the challenges presented by COVID-19, including how well their emergency preparedness plans served them during the COVID-19 pandemic.
Department of Health and Human Services OIG

Audits of Medicare Part B Telehealth Services During the COVID-19 Public Health Emergency

Telehealth is playing an important role during the public health emergency (PHE), and CMS is exploring how telehealth services can be expanded beyond the PHE to provide care for Medicare beneficiaries. Because of telehealth's changing role, we will conduct a series of audits of Medicare Part B telehealth services in two phases. Phase one audits will focus on making an early assessment of whether services such as evaluation and management, opioid use order, end-stage renal disease, and psychotherapy (Work Plan number W-00-21-35801) meet Medicare requirements. Phase two audits will include additional audits of Medicare Part B telehealth services related to distant and originating site locations, virtual check-in services, electronic visits, remote patient monitoring, use of telehealth technology, and annual wellness visits to determine whether Medicare requirements are met.
Department of Health and Human Services OIG

Audit of Home Health Services Provided as Telehealth During the COVID-19 Public Health Emergency

President Trump declared a national emergency in response to the COVID-19 pandemic, which allowed the Centers for Medicare & Medicaid Services (CMS) to take proactive steps to support the response to COVID-19 through the use of section 1135 waivers. By means of this authority, CMS waived certain requirements in order to expand Medicare telehealth benefits to health care professionals who were previously ineligible, including physical therapists, occupational therapists, speech language pathologists, and others. CMS also amended regulations to allow home health agencies to use telecommunications systems in conjunction with in-person visits. We will evaluate home health services provided by agencies during the COVID-19 public health emergency to determine which types of skilled services were furnished via telehealth, and whether those services were administered and billed in accordance with Medicare requirements. We will report as overpayments any services that were improperly billed.   
Department of Health and Human Services OIG

Audit of Delinquent Noncustodial Parents' Tax Refund and Economic Impact Payment Intercepts

The Coronavirus Aid, Relief, and Economic Security (CARES) Act provides qualifying individuals with a recovery rebate (economic impact payment) of up to $1,200 (or $2,400 if married and filing jointly), plus up to $500 for each qualifying child. Congress added a number of exemptions concerning the economic impact payments within the CARES Act; however, it did not exempt child support debt. According to estimates, up to 10.5 million noncustodial parents are delinquent in their payment of child support and could have their economic impact payments intercepted. Based on the significant impact that the CARES Act will have on the collection of delinquent child support due to the intercept of economic impact payments, we determined that the focus of our audit would be to determine whether selected State(s) have policies and procedures in place to ensure that State child support programs collected and distributed delinquent child support under the Federal Tax Refund Offset program.
Small Business Administration OIG

Emergency Economic Injury Disaster Loan Grants Made to Sole Proprietorships

The Office of Inspector General Audits Division will perform a review of emergency economic injury disaster loan grants made to sole proprietorships. The objective is to determine whether the Small Business Administration approved and disbursed emergency economic injury disaster loan grants in accordance with the Coronavirus Aid, Relief, and Economic Security Act and Paycheck Protection Program and Healthcare Act.
Department of Homeland Security OIG

FEMA's Administration of CARES Act Funding for the Emergency Food and Shelter Program

Determine whether FEMA is administering CARES Act funding for the EFSP in accordance with CARES Act and Federal requirements to meet program goals.
Department of Health & Human Services OIG

Race and Ethnicity Data for Medicare Beneficiaries

Accurate, complete, and appropriately detailed race and ethnicity data for Medicare beneficiaries are critical to identifying and mitigating health disparities. As racial and ethnic disparities have emerged among those impacted by COVID-19, the availability and quality of data on race and ethnicity has garnered greater attention and scrutiny. This study will describe the extent to which Medicare's race and ethnicity data for beneficiaries are complete and accurate. We will compare these data to data from other sources. We will also determine the extent to which the Medicare beneficiary race and ethnicity data align with Federal data standards.
Small Business Administration OIG

Evaluation of SBA’s Coronavirus Reconstitution Plan

The Office of Inspector General will be conducting an evaluation of SBA's Coronavirus (COVID-19) reconstitution plan. Our objectives are to determine (1) whether the agency established a COVID-19 reconstitution plan in accordance with applicable federal guidance and (2) if the agency is adhering to that plan.
Pandemic Response Accountability Committee

State Spend Rates of Pandemic Response Funds

This project seeks to provide transparency of states and localities spending rates of pandemic response funds. The project will also look at the state spend rate data in connection with public health and economic data to provide a more complete picture of the government’s COVID-19 relief efforts. The resulting information brief will inform Congress, policymakers, and the public about how swiftly states and localities have been able to spend Federal funds and may highlight any challenges faced by these recipients expending funds.
Pandemic Response Accountability Committee

Top Pandemic-related Management Challenges Update

The project will update the four Management Challenges identified by the Pandemic OIGs at the onset of the COVID-19 pandemic by building upon existing challenges and identifying any new challenges that the federal government will face when implementing their pandemic response programs. This update will inform policymakers in the new Congress and new Administration about key challenges that impact all federal agencies and that could impact the overall success and effectiveness of pandemic response programs.