OIG Semi-Annual Report to Congress

Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare

The Office of Inspector General’s Fall 2019 Semi-Annual Report to Congress is now available.  This 107-page report describes “OIG’s work on identifying significant problems, abuses, deficiencies, remedies, and investigative outcomes relating to the administration of HHS programs and operations that were disclosed during the reporting period…we present OIG expected recoveries, criminal and civil actions, and other statistics as a result of our work for the entire FY 2019. We also highlight some of our work completed during this semiannual reporting period, April 1, 2019, through September 30, 2019.”

If you’re not familiar with OIG or what it does, page 1 of the report provides some background information.  “The Department of Health and Human Services (HHS) Office of Inspector General (OIG) provides independent and objective oversight that promotes economy, efficiency, and effectiveness in HHS programs and operations. OIG’s program integrity and oversight activities are shaped by legislative and budgetary requirements and adhere to professional standards established by the Government Accountability Office (GAO), the Department of Justice (DOJ), and the Inspector General community. Through a nation-wide network of audits, investigations, and evaluations, OIG carries out its mission to protect the integrity of HHS programs and the health and welfare of the people served by those programs. OIG’s work is conducted by three operating components—the Office of Audit Services (OAS), the Office of Evaluation and Inspections (OEI), and the Office of Investigations (OI)—with assistance from the Office of Counsel to the Inspector General (OCIG) and Mission Support and Infrastructure (MSI).”

OIG has been very busy this past year:


Each of the line items in the above chart are noteworthy.  Read on through this report to learn about the “big-ticket” items OIG has addressed this past year.  Keep reading to see the information outlined in the many Appendices:

  • Appendix A: Questioned Costs and Funds to Be Put to Better Use
  • Appendix B: Savings Decisions Supported by OIG Recommendations
  • Appendix C: Peer-Review Results
  • Appendix D: Summary of Sanction Authorities
  • Appendix E: Reporting Requirements in the Inspector General Act of 1978
  • Appendix F: Reporting Requirements in the Inspector General Empowerment Act of 2016
  • Appendix G: Anti-Kickback Statute—Safe Harbors

There’s a lot to see in this report.  I encourage you to review it as well as past OIG reports I’ve blogged on such as:

Background Check for LTC Providers

Federal Oversight of California Life Safety Emergency Preparedness

Trends in Nursing Home Complaints (2016-2018)

AL Medicaid Services in OIG FY2020 Work Plan

Hospice Care Provided to Medicare Beneficiaries

Abuse and Neglect of Medicare Beneficiaries

Trends in Nursing Home Deficiencies

National Background Check Program for LTC Providers

If you want to view last year’s (Fall 2018) Semi-Annual Report, you can check out this blog.