OIG Work Plan
The annual list of new and ongoing HHS-OIG audits, evaluations, and inspections.
1 min read · Last reviewed May 23, 2026
At a glance
- Category
- Compliance Program
- Primary sources
- 1
- Workspace handoff
- compliance binder →
Where this comes up
Compliance committees and practice managers operate at this level — written policy, workforce training, sanction policy, monitoring and auditing cadence, response and corrective action. The seven elements of an effective compliance program (OIG) are the scaffolding; this term lives somewhere on that scaffold.
Full definition
What it is in practice
OIG Work Plan signals enforcement focus areas. Updated periodically; practices should map their operations to the work plan annually.
How it shows up in your practice
If the work plan announces a focus on, say, modifier-25 use or telehealth fraud, audit your own practice against the same patterns.
Sources
- HHS-OIG — Work Planhttps://oig.hhs.gov/reports-and-publications/workplan/
Cross-reference Work Plan in the Compliance Binder
Open compliance binder →Related terms
- Compliance ProgramOIG Compliance ProgramVoluntary compliance program structure recommended by HHS-OIG for physician practices.
- Denials & AppealsRAC Audit TriggerDocumentation or coding pattern that increases the likelihood of a Recovery Audit Contractor review.
- Denials & AppealsRecovery Audit Contractor (RAC)CMS contractors who identify and recover improper Medicare payments through review of paid claims.
D3rx is a healthcare-billing and compliance research aid maintained by D3rx Inc. Articles are drafted by an LLM (Anthropic Claude) against primary HHS, OCR, CMS, eCFR, NIST, and state-regulator publications, and reviewed for restraint and source fidelity by the D3rx team.
Reviewer status: a named credentialed reviewer (CHC, CHPC, or healthcare attorney) is being engaged. Until that engagement is finalized, this page does not claim credentialed review.
Related across the archive
- GlossaryOIG Compliance ProgramVoluntary compliance program structure recommended by HHS-OIG for physician practices.
- GlossaryRAC Audit TriggerDocumentation or coding pattern that increases the likelihood of a Recovery Audit Contractor review.
- GlossaryRecovery Audit Contractor (RAC)CMS contractors who identify and recover improper Medicare payments through review of paid claims.
- ComplianceThe OIG's 7 Elements of an Effective Compliance Program (Applied to a Small Practice)The OIG's seven elements of an effective compliance program, what each one looks like in a 1–15-clinician practice, and how to document each in 2026.
- ComplianceTelehealth Compliance Post-PHE: Where the Rules Landed in 2026How CMS Medicare telehealth flexibilities, DEA controlled-substance telemedicine rules, ONC standards, and state telehealth statutes interact for practices in 2026.
- BillingWhat to Do When a Payer Says You're UnderbillingGot a letter saying you're underbilling? Here's what it actually means, whether you should worry, and what action to take.
- ComplianceAmbulatory Surgery Center Compliance: CMS + State + Infection Control42 CFR Part 416 Conditions for Coverage, CMS State Operations Manual Appendix L, the ASC Infection Control Surveyor Worksheet, and where state ASC licensure tightens the standard.
- ComplianceAnnual HIPAA Training Curriculum (What to Cover + How to Document)A 2026 annual HIPAA training curriculum for small healthcare practices — eight required modules under 45 CFR 164.530(b) and 45 CFR 164.308(a)(5), with documentation templates.
This glossary entry is a research aid for billing and compliance staff. It does not provide legal, medical, or financial advice and does not replace counsel. References cited link to primary sources at HHS, OCR, CMS, eCFR, NIST, and the relevant payer or industry body.