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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.

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Key Healthcare Compliance Examples To Understand Its Importance


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.


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How HHS-OIG, Regulators Enforce Vendor Compliance

Provider Trust

Additionally, check out this HHS-OIG 2016 report, Medicare: Vulnerabilities Related to Provider Enrollment and Ownership Disclosure , which revealed “vulnerabilities that could allow potentially fraudulent providers to enroll in the Medicare program.”. Moon , for submitting claims while excluded from March 2006 through July 2013.

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Is a Federal Medical License Constitutional?

Bill of Health

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.

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