Office of the Inspector General / Office of Investigations

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains the role of the Office of Investigations within the Office of Inspector General and describes the kinds of investigative activities associated with provider oversight. It is useful for compliance staff, billing professionals, and healthcare organizations that want a high-level understanding of how federal investigative actions related to Medicare and Medicaid fraud and other provider conduct are handled.

Why This Topic Matters

Understanding the scope of the OIG’s investigative arm helps healthcare organizations recognize the compliance environment in which they operate and the federal entities involved when provider conduct is reviewed.

What You Will Learn

  • The function of the Office of Investigations within the OIG
  • What kinds of provider-related investigative activities may occur
  • How federal investigative efforts relate broadly to Medicare and Medicaid oversight
  • The types of investigative priorities handled by the office

Who Should Read This

  • Compliance officers
  • Medical billers and coders
  • Healthcare administrators
  • Practice managers
  • Revenue cycle professionals

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