OIG Work Plan – New Process, New Approach

PUBLISHED: Nov 7, 2018
Relevant to: All Healthcare Organizations

The U.S. Department of Health and Human Services (HHS) Office of Inspector General’s Work Plan presents areas within HHS programs and operations that OIG is evaluating. OIG was created to protect the integrity of HHS programs and operations by detecting and preventing fraud, waste, and abuse; identifying opportunities to improve program economy, efficiency, and effectiveness; and holding accountable those who do not meet program requirements or who violate Federal laws.

Until last year, OIG updated their public-facing Work Plan once or twice a year. However, last year OIG shifted their process to a monthly update, which is available on OIG’s Work Plan website, link provided below. The format of OIG’s updates has also changed; Work Plan projects are now published by date, vary in the number released month to month and are no longer organized by agency or subject matter. The Work Plan is now divided into three categories: recently added, active and archived.

OIG updates the web-based Work Plan monthly to ensure that it more closely aligns with the work planning process. The monthly update includes the addition of newly initiated Work Plan items, which can be found on the Recently Added Items page. Also, completed Work Plan items will be removed. Recently published reports can be found on OIG's What's New page. This web-based Work Plan will evolve as OIG continues to pursue complete, accurate, and timely public updates regarding our planned, ongoing, and published work.

The OIG Work Plan remains a great resource for healthcare organizations. The Work Plan provides insight into areas that government enforcement and audit officials are focusing on and can be a guide for compliance professionals. The new format of the Work Plan does pose new challenges for compliance departments. Rather than an annual update to compliance priorities, organizations should now institute monthly monitoring in a more proactive manner to ensure they are up-to-date in their compliance risk assessments and priorities.

Included with today’s StayAlert! notice are policies and procedures related to the OIG Work Plan and the development of comprehensive compliance plans.

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