Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Regulating Health Care
Lecture:Legal Aspects of Medicine
Slide content:Fraud, Waste, and Abuse Office of Inspector General (OIG) protects integrity of Medicare, Medicaid, other government programs Fraud: Intentional misrepresentation or concealment of relevant facts Waste: Unnecessary costs as a result of poor management practices or controls Abuse: Excessively or improperly using government resources 22
Slide notes:Another venue in which law and medicine interact is in the Medicare and Medicaid programs. The U.S. Department of Health and Human Services has an Office of Inspector General, or OIG , that protects the integrity of Medicare, Medicaid, and other government programs. The OIG defines fraud as gaining a benefit by intentional misrepresentation or concealment of relevant facts. Waste means incurring unnecessary costs as a result of poor management practices or controls. Abuse refers to excessive or improper use of government resources. In cases of fraud, waste, or abuse, the OIG can pursue both criminal and civil penalties. Health IT Workforce Curriculum Version 4.0 22