The OIG has released its Semiannual Report to Congress for the second half of FY 2009. The OIG reports savings and expected recoveries totaling $20.97 billion for all of FY 2009, including $16.48 billion in implemented recommendations, $4 billion in investigative receivables, and $492 million in audit receivables. The OIG also excluded 2,556 individuals and organizations from participation in federal health care programs in FY 2009. In addition, the OIG reported 671 criminal actions associated with crimes against HHS programs and 394 civil actions, including False Claims Act and unjust enrichment suits filed in federal district court, Civil Monetary Penalties Law settlements, and administrative recoveries related to provider self-disclosure matters. The report also includes a review of significant OIG accomplishments during the semiannual reporting period. The OIG also has released its summary of “Top Management and Performance Challenges in the Department of Health and Human Services for Fiscal Year 2009.” This annual report highlights potential challenges associated with management of the Medicare program, including the integrity of Medicare provider and supplier enrollment processes and payment methodologies, and vulnerabilities associated with fraud and abuse and quality of care concerns.