Each year, the Office of Inspector General (OIG) of the US Department of Health and Human Services (HHS) publishes a work plan of new and ongoing reviews and activities planned for the fiscal year. These reviews and activities support OIG responsibility to protect the integrity of HHS programs and operations and the well-being of beneficiaries by detecting and preventing fraud, waste, and abuse; identifying opportunities to improve program economy, efficiency, and effectiveness; and holding accountable those who do not meet program requirements or who violate federal health care laws.

In fiscal year 2014, the OIG reported exclusion of 4,017 individuals and entities from participation in federal health care programs, 971 criminal actions against individuals or entities, and 533 civil actions including false claims and administrative recoveries related to practitioner self-disclosure matters. Most importantly to physicians, the OIG findings from review of Medicare and Medicaid payments often influence the audit activities...

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