HHS-OIG is the largest inspector general's office in the Federal Government, with more than 1,600 employees dedicated to government oversight, combating fraud, waste and abuse and to improving the efficiency of HHS programs. A majority of the OIG's resources goes toward the oversight of Medicare and Medicaid.
This is not intended to be a formal agency solicitation. OIG welcomes questions from the health care community related to the application of OIG's authorities during the outbreak of 2019 novel coronavirus (COVID-19).
X. Compendium. Priority recommendations summarized. Work Plan. OIG planned projects. Semiannual Report. Significant OIG activities in 6-month increments.
OIG reports contain findings of its audits and evaluations, assess how well HHS programs and grantees/contractors are working, identify risks to the people they serve and to taxpayers, and recommend necessary improvements.
The Office of Investigations (OI) conducts criminal, civil and administrative investigations of fraud and misconduct related to HHS programs, operations and beneficiaries.
To help healthcare providers such as hospitals and physicians comply with relevant Federal health care laws and regulations, OIG creates compliance resources, which are often tailored to particular providers.
OIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud.
The Office of Inspector General's (OIG) work planning process is dynamic and adjustments are made throughout the year to meet priorities and to anticipate and respond to emerging issues with the resources available.
Submit a Hotline Complaint. OIG Hotline Operations accepts tips and complaints from all sources about potential fraud, waste, abuse, and mismanagement in the U.S. Department of Health and Human Services’ programs.
Visit our tips page to learn how to best use the Exclusions Database. If you experience technical difficulties, please email the webmaster at [email protected]
See also: Status of Deadbeats If you have information regarding one of these pictured MOST WANTED DEADBEAT parents, please click on this link or call our hotline at 800-447-8477. Thank you. Parents who fail to pay court-ordered support for the care of their children put an unnecessary strain on the custodial parent and the children, as well as on agencies that are tasked with enforcing these ...
Protect Yourself •/ AVOID COVID-19 Vaccine Scams As COVID-19 vaccine distribution begins, here are signs of potential scams: You are asked to pay out of pocket to get the vaccine. You are asked to pay to put your name on a vaccine waiting list or to get early access.
The OIG's Office of Audit Services (OAS) conducts financial and performance audits of HHS programs, operations, grantees, and contractors to reduce waste, abuse, and mismanagement and to promote economy and efficiency throughout HHS.. The Student Internship Program offers students an exciting and rewarding work experience that will equip them with a competitive edge in the accounting and ...
The Final Rule provided information regarding whether the proposals in the NPRM would effectively remove barriers to coordinated and value-based care and include the appropriate safeguards to protect Federal health care programs and patients.
Risk Assessment at a State Medicaid Agency. One goal of the President's Management Agenda is to maximize grant funding by applying a risk-based, data-driven framework that balances compliance requirements with demonstrating successful results to the American taxpayer.
CLA found that NIH had certain controls in place to secure EHR information and information systems. However, NIH's information security policies and practices were not operating effectively to preserve the security, confidentiality, integrity, and availability of NIH's EHR information and information systems, resulting in potential risks of unauthorized access, use, disclosure, disruption ...
Medicare Hospital Payments for Claims Involving the Acute- and Post-Acute-Care Transfer Policies. Medicare's acute- and post-acute-care transfer policies designate some discharges as transfers when beneficiaries receive care from certain post-acute-care facilities.
FACTSHEET: Kentucky’s Oversight of Opioid Prescribing and Monitoring of Opioid Use . A-04-19-02022 March 2020 1 . POLICIES AND PROCEDURES . State laws, regulations, guidance, and policies related to
OIG proposes rule for civil money penalties for information blocking. WASHINGTON-The Department of Health and Human Services (HHS) Office of Inspector General (OIG) proposed a rule amending civil money penalty (CMP) regulations today.
OIG negotiates corporate integrity agreements (CIA) with health care providers and other entities as part of the settlement of Federal health care program investigations arising under a variety of civil false claims statutes. Providers or entities agree to the obligations, and in exchange, OIG agrees not to seek their exclusion from participation in Medicare, Medicaid, or other Federal health ...