The United States Department of Health and Human Services ("HHS") Office of Inspector General ("OIG") released its Fiscal Year 2014 Work Plan ("2014 Plan") on January 31, 2014. The OIG releases a work plan annually to identify the new and ongoing investigative, enforcement and compliance activities that it will undertake during that fiscal year ("FY").1 Providers may find the work plan to be a useful resource for focusing their compliance efforts and reviews.
The OIG's annual work plan provides an indication of OIG enforcement priorities during the year. In FY 2013, the OIG reported expected recoveries of over $5.8 billion, including nearly $850 million in audit receivables and approximately $5 billion in investigative receivables. The OIG also reported FY 2013 exclusions of 3,214 individuals and entities from participation in Federal health care programs; 960 criminal actions against individuals or entities that engaged in crimes against HHS programs; and 472 civil actions, including false claims and unjust enrichment lawsuits, civil monetary penalty settlements and administrative recoveries related to provider self-disclosure matters.
The 2014 Plan includes many ongoing initiatives, continued from previous years. It also includes new initiatives for FY 2014, including initiatives for hospitals, physicians, institutional providers and others, as well as reviews for Medicare Parts C and D, Medicaid, the Affordable Care Act ("ACA"), and the Recovery Act. This Update summarizes new initiatives and highlights of the 2014 Plan.