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U.S. Postal Service OIG

Impact of Pandemic on Postal Service Finances

Our objective is to assess the financial impact of the pandemic on the Postal Service’s liquidity and financial projections, costs, and cost attribution.
Department of Health and Human Services OIG

Centers for Medicare & Medicaid Services and States Implement Policy Modifications To Ensure That Medicaid Beneficiaries Continue To Receive Prescriptions

Medicaid is a joint Federal-State program that pays for medical assistance for individuals and families with low incomes. All States currently provide coverage for outpatient prescription drugs within their State Medicaid programs. Under section 1135 of the Act, CMS may temporarily waive or modify certain Medicaid requirements to ensure that sufficient health care items and services are available to meet the needs of beneficiaries in times of an emergency. The coronavirus disease 2019 (COVID-19) pandemic highlights the need for States to efficiently and effectively respond to protect the needs of Medicaid beneficiaries. This audit will provide insights from State officials on action taken by States and DC to ensure Medicaid beneficiaries continue to receive prescriptions during the COVID-19 pandemic. We will interview State officials from several States and DC to determine actions taken or planned. Our objective is to review actions taken or planned by States and DC to ensure Medicaid beneficiaries continue to receive prescriptions during the COVID-19 pandemic.
Department of Health and Human Services OIG

Use of Medicare Telehealth Services During the COVID-19 Pandemic

In response to the coronavirus disease 2019 (COVID-19) pandemic, CMS made a number of changes that allowed Medicare beneficiaries to access a wider range of telehealth services without having to travel to a health care facility. Although these changes are currently temporary, CMS is exploring whether telehealth flexibilities should be extended. These two concurrent reviews will be based on Medicare Parts B and C data and will examine the use of telehealth services in Medicare during the COVID-19 pandemic. The first review will examine the extent to which telehealth services are being used by Medicare beneficiaries, how the use of these services compares to the use of the same services delivered face-to-face, and the different types of providers and beneficiaries using telehealth services. The second review will identify program integrity risks with Medicare telehealth services to ensure their appropriate use and reimbursement during the COVID-19 pandemic.
Environmental Protection Agency OIG

EPA's Strategies to Comply with Federal Guidelines for Reopening Facilities Closed Due to the Coronavirus Pandemic

The OIG plans to begin an evaluation of the EPA's response to the White House's Guidelines for Opening Up America Again. This evaluation is self-initiated and is part of the OIG's efforts to examine the impact of COVID-19. For more information, please click on the link above.
Treasury Inspector General for Tax Administration

Assessment of Efforts to Address Backlogs of Business Taxpayer Returns Due to Tax Processing Center COVID-19 Closures

Assess the IRS’s actions to address the backlog of unworked inventory affecting business taxpayers as a result of Tax Processing Center closures. 
Treasury Inspector General for Tax Administration

Processing of CARES Act Tentative Refund Claims

Assess the IRS’s efforts to ensure the accuracy and validity of tentative refund claims from reporting a carryback loss. 
Department of Education OIG

CARES Act Preliminary Oversight Plan

The OIG CARES Act oversight plan presents an overall look at the work that the OIG intends to conduct, including auditing the U.S. Department of Education and grantee management and spending of CARES Act funds, examining the effectiveness of relief programs, and investigating the misuse, theft, and other criminal activity involving CARES Act funds.
Department of Health and Human Services OIG

Trend Analysis of Medicare Laboratory Billing for Potential Fraud and Abuse With COVID-19 Add-on Testing

The coronavirus disease 2019 (COVID-19) pandemic has led to an unprecedented demand for diagnostic laboratory testing to determine whether an individual has the virus. Beyond the COVID-19 tests, laboratories can also perform add-on tests, for example to confirm or rule out diagnosis other than COVID-19. However, OIG has program integrity concerns related to add-on tests in conjuction with COVID-19 testing, particularly related to potentially fraudulent billing for associated respiratory pathogen panel (RPP) tests, allergy tests, or genetic tests. The Centers for Medicare & Medicaid Services has relaxed rules related to COVID-19 testing and other associated diagnostic laboratory testing to no longer require an order from the treating physician or nonphysician practitioner (NPP) during the COVID-19 public health emergency. Relaxation of the physician ordering/NPP rules could allow unscrupulous actors more leeway for fraudulent billing of unnecessary add-on testing. This study will examine Medicare claims data for laboratory testing to identify trends in the use of RPP, allergy, and genetic testing and identify patterns of billing by laboratories that may indicate fraud and abuse.
Department of Health and Human Services OIG

A Review of Medicare Data To Understand Hospital Utilization During COVID-19

Coronavirus disease 2019 (COVID-19) can significantly tax hospitals and disproportionately affect Medicare beneficiaries. COVID-19 can affect much of a State or a locality at the same time, rapidly increasing the demand for hospital resources. Using Medicare claims data, this review will analyze the effects of COVID-19 on hospitalized Medicare beneficiaries and the hospital resources needed to care for them. Specifically, it will review utilization of the treatments provided and paid for by Medicare for patients with COVID-19 in selected localities that have known outbreaks. It will also describe the extent to which hospital utilization for Medicare beneficiaries changed over time.
U.S. Postal Service OIG

Employee Safety-Postal Service COVID-19 Response

Our objective is to assess the Postal Service’s response to COVID-19 regarding the safety of its employees.