Resources

Program-Effectiveness-Reviews
Compliance-Today-2017-06-Training
2017-OIG-Work-Plan-Commentary

Office of Inspector General (OIG) – What’s New
http://www.oig.hhs.gov/w-new.asp

OIG Work Plan
http://www.oig.hhs.gov/publications/workplan.asp

Advisory Opinions
http://www.oig.hhs.gov/fraud/advisoryopinions/opinions.asp

Corporate Integrity Agreements
http://www.oig.hhs.gov/fraud/cias.asp

Criminal and Civil Enforcement Actions
http://www.oig.hhs.gov/fraud/enforcement/criminal/

Medicaid Fraud Control Units (MFCUs)
http://www.oig.hhs.gov/fraud/mfcu/

State Enforcement Actions
http://www.oig.hhs.gov/fraud/enforcement/state/

Office of Medicaid Inspector General (OMIG)– New York
http://www.omig.ny.gov/data/content/blogsection/31/246/

Centers for Medicare & Medicaid Services (CMS)
Comprehensive Error Rate Testing (CERT)
http://www.cms.gov/cert/

Payment Error Rate Measurement (PERM)
http://www.cms.gov/PERM/

Medicare Program Manuals
http://www.cms.gov/manuals/

Medicare Conditions of Participation
http://www.cms.gov/CFCsAndCOPs/

Comprehensive Medicaid Integrity Plan (MIP)
http://www.cms.gov/DeficitReductionAct/02_CMIP.asp#TopOfPage

Medicaid Integrity Contractors (MICs)
http://www.cms.gov/ProviderAudits/

Medicaid Integrity Institute (MII)
http://www.justice.gov/usao/eousa/ole/mii/

Medicare Administrative Contractors (MACs)
https://www.cms.gov/MedicareContractingReform/

Quality Improvement Organizations (QIOs)
http://www.qualitynet.org/dcs/ContentServer?pagename=Medqic/MQGeneralPage/GeneralPageTemplate&name=QIO%20Listings

Program for Evaluating Payment Patterns Electronic Report (PEPPER)
http://www.pepperresources.org/

Office for Civil Rights (OCR)
http://www.hhs.gov/ocr/privacy/index.html

Case Examples & Resolution Agreements
http://www.hhs.gov/ocr/privacy/hipaa/enforcement/examples/index.html

View List of Breaches Affecting 500 or More Individuals
http://www.hhs.gov/ocr/privacy/hipaa/administrative/breachnotificationrule/breachtool.html

Health Care Compliance Association
http://www.hcca-info.org/