The Office of Inspector General (OIG) will be auditing provider fraud, waste and abuse related to COVID-19. Misinterpretation, not just intentional fraud, could lead to denials and refunds of overpayments. The U.S. Department of Health and Human Serves will also investigate CARES Act funding distributed to healthcare providers and how payments were calculated. Providers should consider conducting their own internal audits for compliance and in preparation of the impending audits.
To learn more about the OIG’s strategic plan for COVID-19 oversight visit https://oig.hhs.gov/about-oig/strategic-plan/covid-strategic-plan.