In 2015 the U.S. Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) reported 925 criminal actions against people or entities engaged in crimes against HHS programs and 682 civil actions (i.e., false claims, unjust-enrichment lawsuits filed in Federal district court, CPM settlements, and administrative recoveries related to provider self-disclosure matter). Companies in the healthcare industry should have top of the mind awareness of the OIG’s initiatives each year as they develop, change, and keep up their compliance programs for the year.
The Healthcare regulatory environment is complex and constantly evolving requiring healthcare organizations to stay current. The primary function of the OIG is to watch and protect HHS programs and operations in attempt to prevent fraud and abuse. If you are unfamiliar with the HHS OIG please take a couple of minutes to watch Dan R. Levinson, the Inspector General as he provides a brief overview of the mission-related functions performed by the OIG. The video is found on the OIG’s website.