The New York State Office of the Medicaid Inspector General (“OMIG”) recently updated its Self-Disclosure Guidance and Instructions, and issued updated FAQs on Self-Disclosures. The January 2024 publications supersede OMIG’s...more
On January 3, 2024, the New York State Office of the Medicaid Inspector General (“OMIG”) posted its 2024 Work Plan. This is the first update since its 2019 – 2020 Work Plan and OMIG notes that the Work Plan does not reflect...more
1/10/2024
/ Auditors ,
Audits ,
Compliance ,
Durable Medical Equipment ,
Home Health Care ,
Investigations ,
Long-Term Care ,
MCOs ,
Medicaid ,
Mental Health ,
New York ,
OMIG ,
Pharmacies ,
Self-Disclosure Requirements
The New York State Office of the Medicaid Inspector General (“OMIG”) recently issued a listserv to clarify the August 22, 2023, publication of its Abbreviated Self-Disclosure Process. No changes were announced to the...more
The following is a summary of selected federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported...more
10/6/2023
/ Anti-Kickback Statute ,
Civil Monetary Penalty ,
Department of Health and Human Services (HHS) ,
Enforcement ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Healthcare Fraud ,
Kickbacks ,
Medicare ,
Medicare Fraud ,
OIG ,
Popular ,
Self-Disclosure Requirements ,
Telemedicine ,
Wire Fraud
On August 21, 2023, the New York State Office of the Medicaid Inspector General (“OMIG”) updated its Medicaid Self-Disclosure Program Requirements. The updated Instructions and Guidelines announce a new “Abbreviated”...more
The New York State Office of the Medicaid Inspector General (“OMIG”) recently posted on its website a Compliance Program Self-Assessment Form that OMIG developed as a resource for providers to help them assess their...more
On December 28, 2022, New York State Register published a summary of the New York State Office of the Medicaid Inspector General’s (“OMIG”) Notice of Adoption for Rulemaking on Medicaid Program Fraud, Waste and Abuse...more
The July 13, 2022 New York State Register published a summary of the New York State Office of the Medicaid Inspector General’s (“OMIG”) Proposed Rulemaking on Medicaid Program Fraud, Waste and Abuse Prevention. As Proposed...more