Medicaid Inspector General James C. Cox presented testimony at the New York State Legislature's 2013-14 Joint Budget Hearing on Health and Medicaid, held on January 30, 2013 in Hearing Room B of the Legislative Office Building in Albany. Click here to read full text.
Dr. Boris Sachakov, a Brooklyn-based, board-certified colorectal surgeon who owned and operated a New York medical clinic, was sentenced on December 10 to 30 months in prison. Click here for details.
Webinar #15, "OMIG's New Compliance Program Review Assessment Form and Compliance Program Review Process," offered on November 7, 2012, has been posted on this site. The PowerPoint presentation is also available for downloading. Click here to view and listen to the presentation, as well as to access the assessment form in Word.
Webinar #16, "Certification for December 2012: What Every Provider Needs to Know About Changes to the OMIG Certification Process," presented on November 15, 2012, is now available for viewing and listening. The slides are also available for downloading. Click here to be directed to the presentation.
You can help stop Medicaid fraud: Call OMIG’s Fraud Hotline at 1-877-87 FRAUD (1-877-873-7283), or click here to file a complaint electronically.
The OMIG may sanction some providers by excluding them from participating in the Medicaid program. These providers are excluded from offering services to Medicaid enrollees and also cannot be paid with Medicaid dollars. Prior to adding new staff members, employers should check to see if prospective employees have been excluded from Medicaid. To make it easier to perform such a check, OMIG set up a dedicated service to check the status of any exclusion.
Anytime a health care organization discovers that it was paid more than it was due, this should be reported to OMIG. Our Self-Disclosure section provides information for health care organizations to complete the recently revamped self-disclosure process.
10 September 2014
Dr. Andrew Russo became the subject of a claims review after potential billing irregularities were i [ ... ]
The Office of the Medicaid Inspector General (OMIG) received a complaint in September 2011 alleging [ ... ]
11 August 2014
The Affordable Care Act requires Medicaid providers to "self-disclose" - to report and return any d [ ... ]
OMIG published Compliance Guidance 2014 - 04 Revision # 1. This compliance guidance gives informati [ ... ]
30 June 2014
A Nassau County physician, Mark Shaffer, was denied reinstatement into the New York State Medicaid p [ ... ]
Reliance Ambulette, a Flushing, New York -based provider of medical transportation services, overbil [ ... ]
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