The OIG Work Plan
summarizes new and ongoing reviews and activities that the OIG plans to pursue during the next fiscal year and beyond
.
What is the main role of the Office of Inspector General quizlet?
They
assure the employee’s adhere to ethical conduct
, corporate compliance programs conform to the goals of the OIG. Mission is to protect the integrity of department of health and human services (HHS) programs, operations, and the health and well-being of the people served.
What is the general purpose of the OIG Work Plan?
The OIG Work Plan
sets forth various projects including OIG audits and evaluations that are underway or planned to be addressed during the fiscal year and beyond
by OIG’s Office of Audit Services and Office of Evaluation and Inspections.
How often does the OIG publish a compliance work plan?
The Work Plan is updated
quarterly
. Each project is categorized as initiated, in development, or planned. Initiated: The project is underway; the description of the project includes the calendar quarter in which we expect to complete the project.
Which of the following are inspector general responsibilities?
- Conduct independent and objective audits and investigations relating to DHS programs and operations.
- Promote economy, efficiency, and effectiveness in DHS programs and operations.
- Prevent and detect waste, fraud and abuse.
What is a work plan in government?
The work plan process includes
setting your own achievable work and learning objectives that align with Government direction
. Work planning also clarifies what is expected of you and helps in setting and prioritizing projects and objectives.
What is an annual work plan?
It is
a set of successive activities over a period of one year, interconnected
and which contribute to the same broader aim.
What constitutes a legal health record quizlet?
A health record that
uses a combination of paper and electronic formats
. … Form of a health record that is the legal business record of the organization and serves as evidence in lawsuits or other legal actions; what constitutes an organization’s legal health record varies depending on how the organization defines it.
What is the main goal of ethical medical research quizlet?
What’s the main goal of ethical medical research?
Restore or prevent illness, death and disabilities caused by diseases
.
What is a stark violation quizlet?
What is a Stark violation?
Form of healthcare fraud and abuse that includes healthcare providers referring a patient to a facility in which the provider (or the provider’s family member) has a financial interest
.
What happens when OIG investigation?
Q: What happens when an investigation is complete? A: Generally, when an investigation is complete,
OIG will produce a report based upon relevant witness interviews, records, and other evidence
. The report will be reviewed within OIG to ensure that it is fact-based, objective, and clear.
What are the 7 elements of an effective compliance program?
- Implementing written policies and procedures. …
- Designating a compliance officer and compliance committee. …
- Conducting effective training and education. …
- Developing effective lines of communication. …
- Conducting internal monitoring and auditing.
What type of clients does the federal Stark Law prohibit a physician from referring to a health care provider if a financial relationship exists?
Stark prohibits physicians from referring their patients
to other entities for designated health services (“DHS”)
payable by Medicare when the physician or an immediate family member of the physician has a direct or indirect financial relationship with the entity. These referrals are commonly known as “self-referrals.”
What is OIG exclusion list?
Exclusions. The Office of Inspector General’s List of Excluded Individuals/Entities (LEIE)
provides information to the health care industry, patients and the public regarding individuals and entities currently excluded from participation in Medicare, Medicaid, and all other Federal health care programs
.
Who are inspectors general and what is their function quizlet?
What is the purpose of the IG? The Inspector General is
an extension of the eyes, ears, voice, and conscience of the Commander
. What are the goals of the IG? Identify substandard performance, determine the magnitude of the deficiency and seek out the root cause for the substandard performance or deficiency.
What is Inspector General investigating?
The Office of Inspector General investigates
complaints or allegations of wrongdoing or misconduct by employees
or contractors that involve or give rise to fraud, waste or abuse within the programs or operations of the FCC. … Analysis of Complaint/Allegation. Investigative Process. OIG Access to Documents and Individuals.
