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.

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.

Ransomware 128

Ransomware Fraud HIPAA Licensing 128

MedTrainer

SEPTEMBER 8, 2023

Details of the settlement indicate the submission of false claims to Medicare, Medicaid, TRICARE, and FECA programs. According to the DOJ, Covenant engaged in “improper financial relationships” with eight referring physicians and a physician-owned investment group from 2006 to 2013. License revocation or suspension.

Compliance 52

Compliance HIPAA Medicaid Medicaid 52

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

Bill of Health

JANUARY 3, 2023

Although three in four doctors support scrapping state medical boards in favor of a single federal license, such sweeping reform is likely far off. Lindsey Goehring refrains from arguing all licenses fall within the purview of the federal domain, but maintains that telemedicine would qualify as interstate commerce. By Timothy Bonis.

Licensing 130

Licensing Telemedicine Governance Federal Policy 130