Office of Inspector General (HHS)
The HHS Office of Inspector General protects federal care programs from fraud, waste and abuse, including exclusion screening and enforcement of the Anti-Kickback Statute and False Claims Act.
What OIG does
The main responsibilities of the Office of Inspector General (HHS).
Working with OIG
Keep compliance-program evidence and policies organised
Structure exclusion-screening and conflict-of-interest records
Maintain an audit trail that supports a defensible compliance posture
Sectors, programs & frameworks
The care sectors, federal programs and regulatory frameworks most connected to OIG. Applicability varies by provider type, program and jurisdiction.
Regulatory frameworks
- Stark — Restrictions on physician referral relationships.
- AKS — Prohibits remuneration for referrals of federally funded care.
- FCA — Liability for false or fraudulent federal healthcare claims.
Alongside federal agencies, US care is also shaped by state licensure, survey agencies and Medicaid programmes across all 50 states. Explore the 50-state directory for state-level intelligence.
One platform, from federal government to the front line
CareFocusIQ connects agencies, programs, states and sectors into a single intelligent platform for US care.
CareFocusIQ provides technology and intelligence to support care operations and compliance. It is not a medical device and does not provide legal advice. Regulatory requirements vary by provider type, program and jurisdiction, and remain the responsibility of each provider.