Question: What Is An OIG Report?

How do I know if I am under investigation?

You may receive a subpoena or a target letter.

This is evidence that you’re under criminal investigation.

If no one has contacted you yet, you could ask a private investigator to check criminal databases.

Investigators would have clearances that help them access records not available to the public..

How do I file an OIG complaint?

How can I report an allegation?Online: Allegation Form (Recommended)Call: 1-800-323-8603 toll free.TTY: 1-844-889-4357 toll free.Fax: 202-254-4297.U.S. Mail:

What does OIG exclusion mean?

List of Excluded Individuals/EntitiesOIG has the authority to exclude individuals and entities from Federally funded health care programs for a variety of reasons, including a conviction for Medicare or Medicaid fraud. … OIG maintains a list of all currently excluded individuals and entities called the List of Excluded Individuals/Entities (LEIE).

How does someone get on the OIG exclusion list?

Mandatory exclusions are enforced by law and require the OIG to exclude an individual or entity when they are convicted for committing felony crimes — Medicare or Medicaid fraud, or other felony offenses related to state or federal health care programs; felony convictions related to controlled substances; or …

How long does it take for OIG investigation?

120 daysThe appropriate agency official is expected to advise the OIG within 120 days of receiving the investigative report as to what disciplinary or other action has been proposed or taken in response to investigative report findings, or if no action is taken.

What is the difference between OIG and Sam?

What is the difference between the LEIE and the General Services Administration’s (GSA) System for Award Management (SAM) website? GSA administers SAM, which contains debarment actions taken by various Federal agencies, including exclusion actions taken by OIG. The LEIE contains only the exclusion actions taken by OIG.

How does OIG investigate?

OIG initiates investigations based on information received from a variety of sources, including: OIG’s fraud, waste and abuse hotline; Departmental, GAO, and DOJ referrals; Congressional requests; and referrals from OSC regarding whistleblower disclosures.

Can inspector general bring charges?

An inspector general has no criminal authority. He can’t charge you with a crime or throw you in jail. He can’t even arrest you. … The upshot is that you should worry about an OIG investigation if you are the target of the investigation.

What power does the inspector general have?

To help them carry out their investigative role, Inspectors General have the authority to issue subpoenas for information and documents, administer oaths for taking testimony, and can hire and control their own staff and contract personnel.

What does an OIG check for?

An OIG Search identifies individuals or entities that have been excluded from participation in Medicare, Medicaid or other federal healthcare programs. When/if an individual or an entity is restored back to the program and the exclusion is lifted, they will be removed from the list.

Who is the current OIG Inspector General?

Michael E. HorowitzMichael E. Horowitz was sworn in as the Inspector General of the Department of Justice (DOJ) on April 16, 2012, following his confirmation by the U.S. Senate.

What are OIG guidelines?

OIG has developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry, such as hospitals, nursing homes, third-party billers, and durable medical equipment suppliers, to encourage the development and use of internal controls to monitor adherence to …

How often do you have to check the OIG exclusion list?

How often should exclusion list screening be performed? You should be checking all employees, vendors, and subcontractors against the exclusion list prior to hiring or contracting and then recheck monthly thereafter.

What qualifies as an IG complaint?

An Inspector General (IG) investigates fraud, waste, and abuse, as well as threats to public safety and morale. An IG conducts administrative reviews, inquiries, or investigations to resolve complaints.