Dr. Simmon’s office is being audited due to a complaint regarding billing practices. This audit will be conducted by which office?

The Office of Inspector General (OIG) is responsible for overseeing both Medicare and Medicaid programs, ensuring compliance with regulations and investigating any allegations of fraud, waste, and abuse within these programs. When an audit is triggered by complaints related to billing practices, it is typically within the purview of the OIG to conduct such investigations. They have the authority to review practices, recommend audits, and enforce compliance measures to protect the integrity of federal health care programs.

The other options, while relevant in broader contexts of healthcare regulation and enforcement, do not specifically handle audits related to billing practices as their primary function. For example, the Center for Medicare and Medicaid Services (CMS) is primarily focused on policy and oversight rather than direct auditing for compliance issues, while the Department of Justice (DOJ) may get involved if there are significant legal violations, and the State Health Department generally oversees public health matters rather than billing practices directly. Thus, the OIG is the most appropriate office to conduct the audit in this scenario.