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New York State OMIG Makes Regulatory Modifications to Compliance Program Requirements

Health Law Advisor

Social Services Law ยง 363-d) codified in New York State law federal requirements and OMIG policies require Medicaid providers who have received an overpayment to report, return, and explain the overpayment by making a disclosure to OMIG within sixty (60) days of identifying the overpayment. Please contact Arthur J.

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Department of Justice (DOJ) Evaluation of Corporate Compliance Programs

Compliancy Group

In the case of healthcare fraud or other forms of noncompliance, the organization at fault could enter a corporate integrity agreement (CIA) with the Office of the Inspector General (OIG). The corporation might still face penalties, which could be reduced if they show good faith in identifying and remedying the offense.

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Preparing for Payer Coding Audits

Medisys Compliance

These are usually just innocuous mistakes that do not represent any intent to commit billing fraud. In the unfortunate event when you receive such overpayment demand letters, donโ€™t acquiesce without conducting an analysis first. One error of this nature can lead to a reviewer casting aspersions on the integrity of your note.

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2023 Non-Monetary Compensation to Physicians (and Chance to Review 2022)

Hall Render

These waivers exempt providers from sanctions for noncompliance with the Stark Law in relation to various types of arrangements (absent the governmentโ€™s determination of fraud or abuse), including remuneration that exceeds the current non-monetary compensation limit and medical staff incidental benefits amount.

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Medical Billing Expert Witness – Physician Billing Fraud case explained

Med League

Med League Support Services provides medical billing expert witness to review medical billing fraud cases. million fraud scheme against payers and patients. Dr. Rosen was part of this large fraud scheme where physician prescribes expensive drugs through network of pharmacists who then pay bribes to fill the order.