What is an OIG report?

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.

What is the OIG Work Plan?

The Work Plan The OIG Work Plan sets forth various projects including OIG audits and evaluations that are underway or planned to be addressed during the fiscal year and beyond by OIG’s Office of Audit Services and Office of Evaluation and Inspections.

What happens when OIG investigation?

Q: What happens when an investigation is complete? A: Generally, when an investigation is complete, OIG will produce a report based upon relevant witness interviews, records, and other evidence. The report will be reviewed within OIG to ensure that it is fact-based, objective, and clear.

Are OIG reports public?

Information reported to the Office of the Inspector General is confidential.

What is OIG compliance?

OIG compliance programs provide oversight toward promoting ethical and lawful corporate conduct that focus on encouraging prevention, detection and resolution of occurrences of conduct that do not meet federal and state law, and a hospital or health system’s business policies.

What is the OIG looking at?

The OIG uses risk assessments and data analysis to determine emerging issues where they need to implement oversight and enforcement resources. The OIG generates a semiannual report to Congress on the activities of the office.

Are OIG reports anonymous?

How far back can the OIG audit?

CMS originally proposed a 10-year lookback period. However, the Final Rule shortened the lookback period to 6 years.  The Final Rule stated that, as a general rule, a supplier will have 6 months to investigate possible overpayments before the 60-day clock starts running.

What are some of OIG common goals?

We have three clear goals: (1) fight fraud, waste, and abuse, (2) promote quality, safety, and value in HHS programs and for HHS beneficiaries, and (3) advance excellence and innovation.

Which of the following types of incidents must be reported to the Office of Inspector General OIG )?

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.

How does Social Security investigate?

CDI Investigation CDI investigations typically begin with a report of suspected fraud from SSA, State DDS, law enforcement, or the public. The CDI unit investigates statements and activities of claimants, medical providers, and other third parties, and obtains evidence to resolve questions of potential fraud.

What triggers an OIG audit?

We may initiate an audit if we uncovered significant issues during a previous review, or if we have determined that the program or office is of higher risk.

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