Fraud Alerts / OIG Special Fraud Alerts / OIG Special Fraud Alerts

Article Overview

This article provides a public overview of the Office of Inspector General’s Special Fraud Alert framework, including where the agency gets information, how requests for alerts are handled, and the general factors considered when deciding whether an alert should be issued. It is relevant to compliance, health care administration, and fraud-and-abuse oversight for Medicare, Medicaid, and other state health care programs. The discussion stays at a high level and focuses on the policy and evaluation process rather than specific coding guidance.