Med-Net Compliance

AUGUST 5, 2022

New York Attorney General Letitia James announced the indictment of a physician and his company for defrauding Medicaid by forcing patients to get unnecessary and invasive medical tests. From January 2006 to August 2017, the physician allegedly gave? From January 2006 to August 2017, the physician allegedly gave?gift

Medicaid 59

Medicaid Medicaid Fraud 59

Provider Trust

SEPTEMBER 12, 2022

In 2006, New York’s Office of the Medicaid Inspector General (OMIG) was established as an independent office within New York State’s Department of Health to combat fraud and abuse in New York State’s Medicaid program. What is New York's OMIG List of Restricted and Excluded Providers?

Medicaid 52

Medicaid Medicaid Fraud Licensing 52

HIPAA Journal

MAY 25, 2022

The break-in was discovered on March 4, 2022, with the subsequent investigation confirming on April 22, 2022, that six boxes of paper documents had been stolen from the facility, which included files relating to patients served by SAC Health in 1997 and between 2006 and 2020. Notification letters were sent to those individuals on May 3, 2022.

Ransomware 128

Ransomware Fraud HIPAA Licensing 128

HIPAA Journal

FEBRUARY 23, 2022

Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. The provisions related to administrative simplification are discussed below, while the provisions for medical liability reform (of which there are few) only relate to whistle blower protection for reporting fraud and abuse.

HIPAA 92

HIPAA Fraud Health Insurance Medicaid 92

Provider Trust

MAY 18, 2022

Moon , for submitting claims while excluded from March 2006 through July 2013. In addition, the suit involved alleged submission of false claims for reimbursement to the Massachusetts Medicaid Agency. In January 2015, the OIG settled for $96,259 with a Minnesota Pharmacist, Joseph C. The defendants settled and paid $19.95

Compliance 52

Compliance Due Diligence Medicaid Medicaid 52

Hall Render

APRIL 6, 2022

However, some of the defendant’s customers typically paid less than the retail price for their medications through several discount programs that the defendant offered between 2006 and 2015. This footnote originated as a footnote in a memorandum issued by CMS in October of 2006.

Medicare 72

Medicare Medicare Medicaid Medicaid 72