Printer Friendly, PDF & Email

OIG Fraud Risk Indicator

Catherine Boerner (cboerner@boernerconsultingllc.com) is President at Boerner Consulting, LLC in New Berlin, WI.

Have you seen the OIG’s “Fraud Risk Indicator”? It’s the figure below, which can be found on their website at https://oig.hhs.gov/compliance/corporate-integrity-agreements/risk.asp (https://bit.ly/2ImyIzw) to gain a further understanding and review the “published criteria.”

OIG assessment of future risk posed by persons who have allegedly engaged in civil healthcare fraud

Basically, OIG assigns people to the following categories , based on their criteria, when gathering information on a False Claims Act (FCA) case. OIG will use its exclusion authority differently for parties in each category.

This document is only available to members. Please log in or become a member.


Would you like to read this entire article?

If you already subscribe to this publication, just log in. If not, let us send you an email with a link that will allow you to read the entire article for free. Just complete the following form.

* required field