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Physician Indicted for Medicaid Fraud and Invasive and Medically Unnecessary Testing

Med-Net Compliance

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

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An Overview of the New York OMIG Exclusion List

Provider Trust

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?

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SAC Health Theft Incident and Multiple Ransomware Attacks Reported

HIPAA Journal

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.

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What is HIPAA?

HIPAA Journal

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.

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How HHS-OIG, Regulators Enforce Vendor Compliance

Provider Trust

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

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Seventh Circuit Clarifies “Authoritative Guidance” for the False Claims Act

Hall Render

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.