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HRD-81-34 1 (1980-12-05)

handle is hein.gao/gaobabbhq0001 and id is 1 raw text is: GAO Unitd States General Accounting Office Human Resources \ n ;n DC 205 18 Division December 5, 1980 B-201407 Mr. Jay B. Constantine *-j )11 Chief, Health Professional Staff 4'L I111 Committee on Finance, 113939 United States Senate Subject: 5alidation of the Health Care Related Convictions Attributed to the Office of Investigations of the Department of Health and Human Service1(HRD-81-34) Dear Mr. Constantine: This is in response to your July 30 and August 18, 1980, requests to evaluate information the Committee received in- dicating that (1) the Office of Investigations (01) of the Office of Inspector General of the Department of Health and Human Services (HHS) had exaggerated its effectiveness by claiming credit for convictions resulting from investigations carried out by others and (2) the Office of Inspector General had'done virtually nothing in following up on a September 1977 offer of assistance from a laboratory which was later a focal point of assistance to the Federal Bureau of Inves- tigation (FBI) in its investigation and related convictions for Medicare-Medicaid fraud in Southern California. Because of time and staff constraints, we limited our efforts to validating the accuracy of the number of health care financing convictions attributed to the Office of In- spector General and/or 01 in the Inspector Genoral's 1978 and 1979 Annual Reports and to obtaining information on the extent of HHS followup with the subject laboratory and the extent and nature of its interaction with the Department of Justice, including the FBI, in the Southern California in- vestigations. ( , , In summary, we found that: --The 1978 Annual Report identified 19 cases involving 31 convictions in 1978 under the category Investi- gations Involving Medicare/Medicaid Investigations (106197) &/33 c-

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