Great Summary of 2013 OIG Targets

[Laureen]

http://3mhealthinformation.wordpress.com/2013/01/18/simplifying-your-approach-to-the-oig-work-plan/

When you first viewed the U.S. Department of Health and Human Services Office of Inspector General (OIG) Work Plan for FY 2013, were you almost paralyzed by the amount of reviews underway which could have implications for the way you do business? By now, many of you may have a system for ranking the most important areas of focus on the OIG’s radar for this year. What helps me is to segment the targeted areas into a few simple themes. I find it easier to handle the large volume of data by categorizing the topics into easy-to-understand groupings that address how the OIG measures its success. Based on what the OIG publicizes as its accomplishments, success is measured by large recoveries from audits and investigations and estimated savings for U.S. Department of Health and Human Services (HHS) programs.
Taking this approach with the Work Plan, I grouped the topic areas for Medicare Parts A and B, throwing in a couple of the “Other Part A and Part B Management and Systems Issues,” and came up with the following top themes:

• Looking for overpayments
• Correct coding
• Testing Medicare policies
• Testing HHS programs

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