Each month, we are pleased to share the most recent additions to the Office of Inspector General (OIG) Work Plan items. Starting in June, OIG has been updating their Work Plan monthly with any new changes to the active list. Let’s take a look at the new points from this month! 

A few topics that stood out to us for December’s OIG Work Plan are the following:

  1. Status Update on States’ Efforts on Medicaid-Provider Enrollment
  2. Prescription Opioid Drug Abuse and Misuse Prevention – Prescription Drug Monitoring Programs
  3. Impact of the Indian Health Service’s Delivery of Information Technology/Information Security Services and Opioid Prescribing Practices

Find the full list of Recently Added Items on OIG’s site. Curious where to find last month’s added items? Take a look at November OIG Work Plan Updates.

This month’s agenda is relatively small from OIG with only 6 new items. Let’s walk through some of these updates so you can address each item within your compliance program if applicable.

Status Update on States’ Efforts on Medicaid-Provider Enrollment

A crucial component of Medicaid program billing is effective provider enrollment, which helps safeguard against fraud, waste, and abuse. Many states have been identified to have not properly implemented certain OIG recommendations, i.e. fingerprint-based criminal background checks. Not completing site visits was also a point of emphasis for CMS, and the deadline for completion of such recommendations has been extended by the Centers for Medicare and Medicaid Services.

Read the full update from OIG here.

Prescription Opioid Drug Abuse and Misuse Prevention – Prescription Drug Monitoring Programs

As the opioid crisis continues to evolve and agencies and the public work together to help prevent and treat this epidemic, OIG will be evaluating what actions certain states have taken to enhance prescription drug monitoring programs (PDMPs). The main focus of these audits will be addressed with particular states that have had a high number of overdose deaths or received HHS funding for PDMPs.

Read more on this issue here.  

Impact of the Indian Health Service’s Delivery of Information Technology/Information Security Services and Opioid Prescribing Practices

While data management and information systems are a huge undertaking for many healthcare agencies, the Indian Health Service (IHS) remains at high risk of cybersecurity threats due to a lack of resources. Because of these limitations, essential IT improvements and electronic health record systems are out of date and unreliable.

To find out more about how OIG plans to step into this situation, continue reading here.

Do you have any recent experience or background information concerning OIG’s Work Plan updates for November? Let us know in the comments below!


Written by Michael Rosen, ESQ

ProviderTrust Co-Founder, mrosen@providertrust.com

Michael brings over 20 years of experience founding and leading risk mitigation businesses, receiving numerous accolades such as Inc Magazine’s Inc 500 Award and Nashville Chamber of Commerce Small Business of the Year.

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