Office of Inspector General, U.S. Department of Health and Human Services
Encyclopedia
Office of Inspector General (OIG), for the U.S. Department of Health and Human Services
(HHS) is charged with identifying and combating waste, fraud
, and abuse in the HHS’s more than 300 programs, including Medicare
and programs conducted by agencies within HHS, such as the Food and Drug Administration
, the Centers for Disease Control and Prevention
, and the National Institutes of Health
. Since 2004, Daniel R. Levinson
has served as HHS’s Inspector General, a presidentially appointed, nonpartisan position.
OIG holds accountable those who bill HHS programs but do not meet Federal health program requirements or who violate Federal laws regarding the use of Federal health care funds. OIG also identifies opportunities to improve the economy, efficiency, and effectiveness of HHS programs.
OIG has a responsibility to report both to the Secretary of HHS and to the United States Congress
program and management problems and recommendations to correct them. OIG's work is carried out through a nationwide network of regional offices that perform audits, investigations, inspections and other mission-related functions.
The Office of Investigations (OI) conducts criminal, civil and administrative investigations of allegations of wrongdoing regarding HHS programs or HHS beneficiaries. Investigative efforts lead to criminal convictions, civil judgments and settlements, administrative sanctions, and/or civil monetary penalties. Additionally, a small Protective Operations Branch (POB) within OI consists of special agents dedicated solely to protection of the Secretary of HHS in support of domestic and overseas missions.
The Office of Audit Services (OAS) provides all auditing services for HHS, either through its own resources or by overseeing audit work of others. Audits examine the performance of HHS programs and/or its grantees and contractors in carrying out their respective responsibilities and provide independent assessments of HHS programs and operations.
The Office of Evaluation and Inspections (OEI) conducts management and program evaluations that focus on issues of concern to HHS, the Congress and the public. OEI generally focuses on identifying instances in which the management of large HHS programs can be improved to increase the well-being of beneficiaries or to save Federal health care dollars.
The Office of Counsel to the Inspector General (OCIG) represents OIG in all civil and administrative fraud cases and, in connection with these cases, negotiates and monitors corporate integrity agreements, a compliance agreement in which health care providers or other entities consent to a set of obligations in order to avoid being excluded from participating in any Federal health care program. OCIG also provides guidance to the health care industry to promote compliance with Federal laws and regulations and provides legal support to OIG operations.
The Immediate Office, which includes the Office of External Affairs which handles OIG’s interactions with Congress and the public, is directed by the Inspector General with the assistance of the Principal Deputy Inspector General and his staff.
The Office of Management and Policy provides mission-support services to the Immediate Office of the Inspector General and other OIG components.
in May 2009, HEAT Strike Force teams target fraud “hot spots” in cities across the country to identify and arrest perpetrators of health care fraud and develop new cutting-edge approaches to combat health care fraud. Under the HEAT initiative, Strike Force teams composed of Special Agents from OIG, DOJ prosecutors, the Federal Bureau of Investigation
agents and, in some cases, State and local law enforcement agents collaborate to arrest and convict individuals and entities charged with health care fraud.
United States Department of Health and Human Services
The United States Department of Health and Human Services is a Cabinet department of the United States government with the goal of protecting the health of all Americans and providing essential human services. Its motto is "Improving the health, safety, and well-being of America"...
(HHS) is charged with identifying and combating waste, fraud
Fraud
In criminal law, a fraud is an intentional deception made for personal gain or to damage another individual; the related adjective is fraudulent. The specific legal definition varies by legal jurisdiction. Fraud is a crime, and also a civil law violation...
, and abuse in the HHS’s more than 300 programs, including Medicare
Medicare (United States)
Medicare is a social insurance program administered by the United States government, providing health insurance coverage to people who are aged 65 and over; to those who are under 65 and are permanently physically disabled or who have a congenital physical disability; or to those who meet other...
and programs conducted by agencies within HHS, such as the Food and Drug Administration
Food and Drug Administration
The Food and Drug Administration is an agency of the United States Department of Health and Human Services, one of the United States federal executive departments...
, the Centers for Disease Control and Prevention
Centers for Disease Control and Prevention
The Centers for Disease Control and Prevention are a United States federal agency under the Department of Health and Human Services headquartered in Druid Hills, unincorporated DeKalb County, Georgia, in Greater Atlanta...
, and the National Institutes of Health
National Institutes of Health
The National Institutes of Health are an agency of the United States Department of Health and Human Services and are the primary agency of the United States government responsible for biomedical and health-related research. Its science and engineering counterpart is the National Science Foundation...
. Since 2004, Daniel R. Levinson
Daniel R. Levinson
Daniel R. Levinson has headed the Office of Inspector General for the U.S. Department of Health and Human Services since September 8, 2004...
has served as HHS’s Inspector General, a presidentially appointed, nonpartisan position.
Mission
The mission of the OIG as mandated by The Inspector General Act (Public Law 95-452, as amended), is to protect the integrity of HHS’s programs as well as the well-being of the beneficiaries of those programs.OIG holds accountable those who bill HHS programs but do not meet Federal health program requirements or who violate Federal laws regarding the use of Federal health care funds. OIG also identifies opportunities to improve the economy, efficiency, and effectiveness of HHS programs.
OIG has a responsibility to report both to the Secretary of HHS and to the United States Congress
United States Congress
The United States Congress is the bicameral legislature of the federal government of the United States, consisting of the Senate and the House of Representatives. The Congress meets in the United States Capitol in Washington, D.C....
program and management problems and recommendations to correct them. OIG's work is carried out through a nationwide network of regional offices that perform audits, investigations, inspections and other mission-related functions.
Components
The OIG consists of the following six components:The Office of Investigations (OI) conducts criminal, civil and administrative investigations of allegations of wrongdoing regarding HHS programs or HHS beneficiaries. Investigative efforts lead to criminal convictions, civil judgments and settlements, administrative sanctions, and/or civil monetary penalties. Additionally, a small Protective Operations Branch (POB) within OI consists of special agents dedicated solely to protection of the Secretary of HHS in support of domestic and overseas missions.
The Office of Audit Services (OAS) provides all auditing services for HHS, either through its own resources or by overseeing audit work of others. Audits examine the performance of HHS programs and/or its grantees and contractors in carrying out their respective responsibilities and provide independent assessments of HHS programs and operations.
The Office of Evaluation and Inspections (OEI) conducts management and program evaluations that focus on issues of concern to HHS, the Congress and the public. OEI generally focuses on identifying instances in which the management of large HHS programs can be improved to increase the well-being of beneficiaries or to save Federal health care dollars.
The Office of Counsel to the Inspector General (OCIG) represents OIG in all civil and administrative fraud cases and, in connection with these cases, negotiates and monitors corporate integrity agreements, a compliance agreement in which health care providers or other entities consent to a set of obligations in order to avoid being excluded from participating in any Federal health care program. OCIG also provides guidance to the health care industry to promote compliance with Federal laws and regulations and provides legal support to OIG operations.
The Immediate Office, which includes the Office of External Affairs which handles OIG’s interactions with Congress and the public, is directed by the Inspector General with the assistance of the Principal Deputy Inspector General and his staff.
The Office of Management and Policy provides mission-support services to the Immediate Office of the Inspector General and other OIG components.
HEAT
The Health Care Fraud Prevention and Enforcement Action Team (HEAT) is a joint task force between OIG, other HHS agencies, and the U.S. Department of Justice (DOJ). Established by President Barack ObamaBarack Obama
Barack Hussein Obama II is the 44th and current President of the United States. He is the first African American to hold the office. Obama previously served as a United States Senator from Illinois, from January 2005 until he resigned following his victory in the 2008 presidential election.Born in...
in May 2009, HEAT Strike Force teams target fraud “hot spots” in cities across the country to identify and arrest perpetrators of health care fraud and develop new cutting-edge approaches to combat health care fraud. Under the HEAT initiative, Strike Force teams composed of Special Agents from OIG, DOJ prosecutors, the Federal Bureau of Investigation
Federal Bureau of Investigation
The Federal Bureau of Investigation is an agency of the United States Department of Justice that serves as both a federal criminal investigative body and an internal intelligence agency . The FBI has investigative jurisdiction over violations of more than 200 categories of federal crime...
agents and, in some cases, State and local law enforcement agents collaborate to arrest and convict individuals and entities charged with health care fraud.
Office of Investigations (OI) - Armament and Tactics
HHS-OIG agents qualify with, and field the Glock 23 and Glock 27 pistols as well as the LWRC M6 rifle on a quarterly basis. Agents conduct regular refresher training in law enforcement defensive and arrest tactics.External links
- http://www.oig.hhs.gov/
- http://www.hhs.gov/