2014-2018 OIG Strategic Plan Focuses on More Auditing to Fight Fraud

The Office of the Inspector General (OIG) released its 2014-2018 Strategic Plan in late November. The 2014 Annual Work Plan has not yet been released, but this report provides some information on where the OIG plans to focus its efforts in the next couple of years. The 2014 Work Plan release has been delayed to January, and we will provide an update once that information has been released.

In the Plan, the OIG notes four areas it will be focusing on for the next several years:

  1. Fight Fraud, Waste, and Abuse – Key focus areas will include Medicare and Medicaid program integrity and waste in other HHS programs.  The OIG will complete this work using Medicare Fraud Strike Force teams as well as other means of fraud enforcement activities.
  2. Promote Quality, Safety, and Value – Key focus areas will include promoting quality of care in nursing facilities, home and community-based services, access to and use of preventative care and quality improvement programs.
  3. Secure the Future – Key focus areas will be reviewing billing and payment errors by providers to find inefficiencies that result in wasteful spending, including accuracy and completeness of program data.
  4. Advance Excellence and Innovation – In order to provide excellence within its own workforce, the OIG has plans to use more data analysis to undercover problems and recoup losses, so more auditing will be a focus.

Take a look at our CMSCG blog post regarding the 2013 Work Plan – “OIG 2013 Work Plan: What Skilled Nursing Facilities, Hospice Providers and Home Health Agencies Need to Know” (October 2012). Read about the results of one of the initiatives in the 2013 report, “OIG Report: Nursing Home Hospitalizations Need Better Monitoring” (November 2013). Earlier this year, the OIG called off its assessment of Nursing Home Antipsychotic Use due to budget cuts.

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