It is the responsibility of everyone involved to ensure that Federal grant dollars are spent in the way that they are intended. It requires compliance with program expectations, efficient use of Federal funds and fiscal responsibility.
In 2010, the U.S. Department of Health and Human Services launched a Program Integrity Initiative to reduce improper payments by intensifying efforts to eliminate payment error, waste, fraud, and abuse in the major programs administered by the HHS, while continuing to ensure that HHS programs serve and provide access to their intended beneficiaries.
HRSA provides oversight, guidance and technical assistance to help grantees make certain grant dollars are spent appropriately and waste, fraud and abuse are prevented and detected.
Risk is the potential for failure to achieve a program’s mission and strategic objectives.
Inappropriate, high-risk behaviors may compromise a grantee's ability to
When a grantee show signs of risk, HRSA works with the organization to
Program Integrity in the Uniform Guidance Presentation Slides (PDF - 385 KB)
All organizations are at risk for fraud; health care organizations may be at heightened risk. Fraudulent billing, unnecessary services or prescriptions, kickbacks and duplicate claims are just a few of the kinds of schemes that target programs and beneficiaries.
Fraud is a deliberate deception to secure an unfair gain.
Waste is the unnecessary incurrence of costs as a result of inefficient practices, systems or controls.
Abuse is the intentional misuse of authority, position, funds or resources for personal gain.
The consequences of fraud, waste and abuse can range from modification of terms and conditions of award, to drawdown restrictions, to debarment from receiving future funding or even criminal prosecution.
They can be prevented by
Ensure Program Integrity and Responsible Stewardship the HHS Program Integrity Initiative
Report Fraud Now HHS Office of the Inspector General
1-800-HHS TIPS (1-800-447-8477) TTY: 1-800- 377-4950