{
  "schemaVersion": 1,
  "deskKey": "america-oig:hhs",
  "agency": "HHS",
  "name": "Health and Human Services OIG",
  "page": "https://america.co/accountability/hhs-inspector-general",
  "sourceConsulted": "2026-10-06",
  "coverage": "Selected office routing guide; not a jurisdiction or legal determination",
  "officialSources": [
    {
      "name": "HHS OIG report-fraud instructions",
      "url": "https://www.oig.hhs.gov/fraud/report-fraud/",
      "role": "Official reporting route"
    },
    {
      "name": "HHS OIG before you submit",
      "url": "https://oig.hhs.gov/fraud/report-fraud/before-you-submit/",
      "role": "Scope and alternative routes"
    },
    {
      "name": "HHS OIG public reports",
      "url": "https://www.oig.hhs.gov/",
      "role": "Public oversight research"
    }
  ],
  "reportingPortalDeliveryVerified": false,
  "allegationsCollected": false,
  "originalHypotheticalExample": "Imagine a fictional clinic advertisement claiming every visit includes a procedure that a public program does not cover in the advertised circumstances. An advertisement alone does not show that a false bill was submitted or paid. Separate the public claim, the applicable program rule, the service date and any legally obtained billing evidence. If the real problem is denial of coverage, investigate the appeal instructions independently rather than expecting an OIG tip to change the decision.",
  "planningFields": [
    {
      "name": "Program and responsible office",
      "note": "Use a program name or public source, not a personal case number."
    },
    {
      "name": "Dates and factual chronology",
      "note": "Separate event dates from document publication dates."
    },
    {
      "name": "Evidence references",
      "note": "Record public links or placeholders; do not paste private records."
    },
    {
      "name": "Observation versus inference",
      "note": "What is directly supported? What needs another explanation?"
    },
    {
      "name": "Alternative route and deadline check",
      "note": "List the decision-review, service or records instructions you still need to consult."
    },
    {
      "name": "Safe reporting plan",
      "note": "Read the official confidentiality and transmission guidance. Keep identifiers out of these notes."
    }
  ],
  "privacy": "Do not put sensitive identifiers or documents in the worksheet. Nothing is submitted."
}