Each month, we are pleased to share the most recent additions to the Office of Inspector General (OIG) Work Plan items. Starting in June 2017 – 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.

January 2018 OIG Work Plan

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

  1. OIG Toolkit to Identify Patients at Risk of Opioid Misuse
  2. Potential Abuse and Neglect of Medicare Beneficiaries
  3. States’ Monitoring of Subrecipients to Ensure Program Integrity Within the Child Care Development Fund Block Grant Program

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 the December 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.

OIG Toolkit to Identify Patients at Risk of Opioid Misuse

As many people and agencies continue to brainstorm ways to curb the opioid epidemic, OIG is providing a resource to help private and public sectors address the issue with hard-hitting data.

The Opioids in Medicare Part D: Concerns About Extreme Use and Questionable Prescribing (OEI-02-17-00250 was released by OIG last July with multiple datasets pinpointing Medicare Part D patient overprescribing of opioids. The report found that nearly 90,000 beneficiaries were at serious risk of opioid misuse or overdose in 2016.

Read the full update from OIG here.

Potential Abuse and Neglect of Medicare Beneficiaries

Last year saw a significant focus on individuals that potentially may be affected or at risk of patient abuse or neglect. Many times, skilled nursing facilities and long-term care facilities are the places where we see the most potential for these horrific scenarios. While it is easy to focus on the negatives, there are many heroic stories of healthcare professionals who are taking amazing care of these patients. When it comes to Medicare beneficiaries and their risk of such mistreatment, OIG has identified certain medical facility diagnoses which are common indicators of such abuse and negligence.

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

States’ Monitoring of Subrecipients to Ensure Program Integrity Within the Child Care Development Fund Block Grant Program

The Child Care Development Fund (CCDF) program was developed to help subsidize child care expenses for low-income families. Total funding for this program in 2017 came to approximately $5.8 billion. OIG has discovered that antifraud activities vary widely from state to state.

In this case, OIG will be working to determine each state’s management of the CCDF programs, and identify how subrecipients of these funds are being monitored across the country.

Read more on this issue here.

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


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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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