Office of Inspector General (OIG)

OIG What’s New

OIG Work Plan

Advisory Opinions

Corporate Integrity Agreements

Criminal and Civil Enforcement Actions

Medicaid Fraud Control Units (MFCUs)

State Enforcement Actions

Office of Medicaid Inspector General (OMIG)– New York

Health Care Fraud Prevention and Enforcement Team (HEAT)

Centers for Medicare & Medicaid Services (CMS)
Comprehensive Error Rate Testing (CERT)

Payment Error Rate Measurement (PERM)

Medicare Program Manuals

Medicare Conditions of Participation

Comprehensive Medicaid Integrity Plan (MIP)

Medicaid Integrity Contractors (MICs)

Medicaid Integrity Institute (MII)

Medicare Administrative Contractors (MACs)

Quality Improvement Organizations (QIOs)

Program for Evaluating Payment Patterns Electronic Report (PEPPER)

Recovery Audit Contractors (RACs)
Region A –

Region B –

Region C –

Region D –

Zone Program Integrity Contractors (ZPICs)

Zone 1 – N/A

Zone 2 –

Zone 3 – N/A

Zone 4 –

Zone 5 –

Zone 6 – N/A

Zone 7 –

Office for Civil Rights (OCR)

Case Examples & Resolution Agreements

View List of Breaches Affecting 500 or More Individuals

Health Care Compliance Association

HIPAA Collaborative of Wisconsin

OIG What’s New