Audit and Inspections
In order to help identify and reduce FWA, the OIG Audit and Inspections Division conducts risk-based performance, provider, and information technology audits related to (a) the accuracy of medical provider payments, (b) the performance of Health and Human Services (HHS) agency contractors, and (c) programs, functions, processes, and systems within the HHS System.
In addition to performing audits, the Audit Division serves as the single point of contact with the Centers for Medicare and Medicaid Services for Medicaid Integrity Contractor (MIC) audits.
The OIG Inspections Team conducts inspections of HHS programs, systems, and functions focused on FWA, and systemic issues in order to improve the HHS System. Inspections are performed in compliance with the Quality Standards for Inspections and Evaluations, promulgated by the Council of the Inspectors General on Integrity and Efficiency.
- Annual Audit and Inspections Plan (PDF), September 2022
- Audit Process Overview (PDF)
- OIG Audit Division Overview (PDF)
- External quality assurance review letter (PDF), April 2022
- Resources for providers