What to Expect from HHS Inspector General Next Year


Tony Maida wrote this bylined article on the HHS Office of Inspector General’s new work plan, noting that “the main takeaway … is ‘know your data.’ Whether the issue is Medicare claims or data reporting obligations, the OIG increasingly turns to data analytics to both generate audit or investigative leads or to study HHS program effectiveness.” Mr. Maida added that OIG can use data mining to select provider or supplier audit targets “who are ‘outliers’ from their peers or who otherwise appear to exhibit aberrant billing patterns.”