By Frederick Robinson, Megan Fanale Engel, Cori Annapolen Goldberg and Selina Coleman
On January 31, 2014, the U.S. Department of Health and Human Services Office of Inspector General (OIG) published its Work Plan for fiscal year 2014. The OIG announced that in the upcoming year, it will continue to investigate various Medicare and Medicaid claims made to nearly every type of provider group. Below is a brief survey of some of the OIG’s newly planned review and monitoring activities.
The OIG will continue to also monitor the implementation of the Affordable Care Act (ACA) programs, focusing its oversight on the operation of the new Health Insurance Marketplaces and expanding the Medicaid program. The OIG has prioritized four key areas for reviews: payment accuracy; eligibility systems; contracts—planning, acquisition, contracting, management, and performance; and security of data and consumer information.
The full Work Plan is available here.
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