Stay Current Setting Healthcare Audit Priorities The OIG Issues Its 2009 Work Plan

October 2008 Setting Healthcare Audit Priorities: The OIG Issues its 2009 Work Plan BY PAUL A. GOMEZ Recently the Office of Inspector General of the hospitals claiming provider-based status for Department of Health and Human Services inpatient and outpatient facilities. The OIG (“OIG”) released its “areas most worthy of noted that hospitals with provider-based attention” for the 2009 fiscal year. As a entities may receive higher reimbursement guidepost to the OIG’s current and future audit when they include the costs of a provider-based initiatives, the 2009 Work Plan is essential entity on their cost reports. The OIG also noted reading for compliance officers and provider that free standing facilities may also benefit administrators charged with setting audit from enhanced disproportionate share hospital priorities for their internal corporate compliance (“DSH”) payments, upper payment limit programs. As described by the OIG, a healthy payments or graduate medical education compliance program is constantly identifying payments for which they would not normally be new risk areas for investigation and audit. The eligible. Moreover, according to the OIG, OIG issues the Work Plan as a catalog of risk provider-based status for outpatient clinics may areas designed to guide hospitals and other increase coinsurance liability for Medicare healthcare providers and suppliers in the beneficiaries. As a result, the OIG will operation of their individual ...