The following is the 2016 OIG Work Plan overview. This is a top level look at the dozens of items and areas that the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) have laid out as areas of focus for it’s fiscal year 2016.
2016 OIG Work Plan Overview – areas of focus and new items reviewed
The table below shows each of the seven major areas of the 2016 OIG Work Plan, the specific areas and sectors reviewed, and breaks those down into the total number of reviewed items, and the number of new items up for review by the OIG in 2016.
| ITEM REVIEWED | # REVIEWED | # NEW |
| PART I: Medicare Part A and Part B | ||
| Hospitals | 23 | 3 |
| Nursing Homes | 2 | 1 |
| Hospice | 1 | 0 |
| Home Health Services | 1 | 0 |
| Medical Equipment and Supplies | 10 | 4 |
| Other Providers and Suppliers | 19 | 6 |
| Prescription Drugs | 4 | 0 |
| Part A and Part B Contractors | 7 | 0 |
| Information Technology Security, Protected Health Information and Data Accuracy | 0 | 0 |
| Other Part A and Part B Program Management Issues | 6 | 4 |
| PART II: Medicare Part C and D | ||
| Part C – Medicare Advantage | 3 | 1 |
| Part D – Prescription Drug Program | 11 | 4 |
| PART III: Medicaid Program | ||
| Medicaid Prescription Drug Reviews | 9 | 1 |
| Home Health Services and other Community-Based Care | 2 | 0 |
| Other Medicaid Services, Equipment and Supplies | 10 | 2 |
| State Management of Medicaid | 12 | 0 |
| Medicaid Information System Controls and Security | 4 | 0 |
| Medicaid Managed Care | 7 | 3 |
| PART IV: CMS Related Legal and Investigative Activities | ||
| Legal Activities | 7 | 0 |
| Investigative Activities | 1 | 0 |
| PART V: Public Health Reviews | ||
| Agency for Healthcare Research and Quality | 0 | 0 |
| Centers for Disease Control and Prevention | 6 | 1 |
| Food and Drug Administration | 6 | 2 |
| Health Resources and Services Administration | 4 | 1 |
| Indian Health Service | 2 | 1 |
| National Institutes of Health | 5 | 1 |
| Substance Abuse and Mental Health Services Administration | 0 | 0 |
| Other Public-Health-Related Reviews | 5 | 2 |
| Public Health Legal Activities | 1 | 0 |
| PART VI: Human Services Reviews | ||
| Administration for Children and Families | 8 | 2 |
| Administration for Community Living | 0 | 0 |
| PART VII: Other HHS-Related Reviews | ||
| Financial Statement Audits and Related Reviews | 2 | 0 |
| Financial Reviews | 6 | 0 |
| Automated Information Systems | 2 | 0 |
| Other HHS-Related Issues | 2 | 1 |