Tag Archives: Fraud and Abuse
One of the lingering questions about the Health Insurance Marketplace created under the Affordable Care Act is whether plans on the Marketplace are considered part of a Federal health care program, thus opening up potential liability under the Anti-Kickback Statute. … Continue reading
The United States Department of Health and Human Services Office of the Inspector General (OIG) has issued a Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs (“the Bulletin”). The Bulletin replaces the previous … Continue reading
On Tuesday, the federal Office of the Inspector General (“OIG”) issued a Special Fraud Alert (“Fraud Alert”) detailing the OIG’s concerns with Physician-Owned Entities. Specifically, the alert dealt with physician-owned distributorships, or PODs. PODs are typically entities that make money … Continue reading
Auditing the Auditors, Part II: New York State Senate Republicans Request Independent Audit of the OMIG
As a result of a recent Congressional report on New York State’s Medicaid program, the Legislative Gazette has reported that Senate Republican leader Dean Skelos and New York State Senate’s Republican Conference have called for an independent audit of the … Continue reading
As a result of a recent Congressional report on New York State’s Medicaid program, a Congressional panel has requested that federal auditors review New York State’s $54 billion Medicaid spending and fraud, waste and abuse oversight programs. The report of … Continue reading
Today, the New York State Office of the Medicaid Inspector General (“OMIG”) posted its 2011 Annual Report. We will post a detailed analysis in the coming days. In the meantime, the report may be accessed here.