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OIG 2014 Work Plan: Fighting Fraud with Data Analysis
Posted in Litigation

On January 31, 2014, the U.S. Department of Health and Human Services, Office of Inspector General (OIG) released its 2014 Work Plan.  The stated goals for the 2014 Work Plan are the facilitation of "systemic changes, successful prosecutions, negotiated settlements, and recovery of funds."  Since the OIG’s five-year Strategic Plan identified combating fraud, waste, and abuse as a top priority, it is no surprise that the 2014 Work Plan shows a continued focus on fraud vulnerabilities identified through data analysis of billing practices and within the electronic health records system. 

The 2014 Work Plan reveals that OIG plans to implement new programs to monitor billing for power mobility devices, pharmaceutical compounding, Medicare Part A billing practices in nursing homes, and a variety of pharmaceutical and medical supply practices.   In the 2014 Work Plan, OIG also indicates that it will continue to analyze Medicare and Medicaid claims data for patterns that indicate possible fraud, waste, and abuse.  OIG notes that increasing analytical capacity to expand the ability to analyze data, identify fraud trends, and determine oversight approaches remains a priority.

If you would like more information on the OIG 2014 Work Plan, or about any other matter, please feel free to contact Christie Moore, at 502.587.3758 or Peter Thurman, at 502.587.3582.

  • Partner

    Christie practices in the area of white collar crime defense and complex commercial litigation, representing clients in health care, antitrust, securities, intellectual properties, RICO, and False Claims Act matters. She has ...

  • Partner

    Peter Thurman has more than 10 years of corporate law experience where he concentrates his practice in the areas of health care and insurance law. He regularly represents a variety of public and private companies, primarily health ...

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