oei-02-90-02122

oei-02-90-02122 - . \- . ) Deparment of Health and Human...

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. \- . ) Deparment of Health and Human Services ' OFFICE INSPECTOR GENERAL EFFECTIVE OMBUDSMAN PROGRAMS Six Case Studies UlVJCE$. '0 lt"cliG RiChard P. Kusserow INSPECTOR GENERAL JU 1991
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, . OFFICE OF INSPECTOR GENERAL The mission of the Offce of Inspetor Genera (DIG), as madate by Public Law 95-452, as amended, is to protect the integrty of the Deparent of Health and Huma Servces ' (HS) progrs as well as the health and welfare of beneficiares served by those progrs. This statutory mission is cared out thugh a nationwide network of audits, investigations, and inspections conducted by th DIG operating components: the Offce of Audit Services , the Offce of Investigations, and the Offce of Evaluation and Inspetions. The OIG also informs the Secreta of HHS of progr and management problems, and reommends courses to corrct them. OFFICE OF AUDIT SERVICES The DIG' s Offce of Audit Servces (OAS) provides al auditig servces for llS, either by conducting audits with its own audit resoures or by overseeing audit work done by others. Audits examne the performance of HHS program and/or its grtes and contractors in carng out their respective responsibilties, and ar intende to provide independent assessments of HHS program and operations in ordr to reuce waste, abuse and mismanagement and to promote economy and effciency thughout the Deparent OFFICE OF INVESTIGATIONS The DIG' s Offce of Investigations (01) conducts crmial, civi , and adistrative investigations of allegations of wrngdoing in HHS progrs or to HHS beneficiares and of unjust enrchment by providers. The investigative effons of 01 lead to crminal convictions, admnistrative sanctions, or civil money penalties. The 01 also overses State Medcaid frud contrl units which investigate and prosecute frud and patient abuse in the Medcaid program. OFFICE OF EVALUATION AND INSPECTIONS The DIG' s Offce of Evaluation and Inspetions (DEI) conducts shott-term management and progr evaluations (called inspections) that focus on issues of concern to the Deparent, the Congress, and the public. The fmdings and reommndations contaned in the inspections repons generate rapid, accurte, and up-to-dte information on the effciency, vulnerabilty, and effectiveness of deparenta programs. This repott was prepard under the diction of Thoma F. Tully, the Regional Inspector General for the Offce of Evaluation and Inspections, and Alan S. Meyer , Deputy Regional Inspector General , Offce of Evaluation and Inspections, Region II. Pancipating in this project were the following people: Renee Schlesinger Project Leader Headuarters Alan S. Levine, Thomas Puris, Demetr Arapakos Region IX Nancy Harson Raul Marnek
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Deparment of Health and Human Services OFFICE INSPECTOR GENERAL EFFECTIVE OMBUDSMAN PROGRAMS Six Case Studies ~ S UlVJCE$' RiChard P. Kusserow INSPECTOR GENERAL '0 + OEI- 02-90-02122 ~lt"dIa
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EXECUTIVE SUMMARY PURPOSE The purose of this repon is to present case studies of the six State Ombudsman program visited durg the " Successful Ombudsman Progrs
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oei-02-90-02122 - . \- . ) Deparment of Health and Human...

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