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OMIG Works to Keep Bronx Dentist out of the Medicaid Program

OMIG WORKS TO KEEP BRONX DENTIST CONVICTED OF WELFARE FRAUD OUT OF THE MEDICAID PROGRAM

Albany, N.Y. (March 6, 2012) – The Office of the Medicaid Inspector General (OMIG) works to prevent Medicaid fraud, waste and abuse by keeping dishonest providers out of the Medicaid program.

In 2010, the New York County District Attorney's Office charged a Bronx dentist with committing a fraudulent welfare act, grand larceny and offering a false written statement. Following her indictment on these charges, the OMIG excluded the Bronx dentist from the Medicaid program on March 3, 2010, finding that her exclusion was in the best interest of the Medicaid program. The dentist was ultimately convicted on these charges.

Over a year after OMIG's exclusion, the dentist applied to New York State for re-enrollment in the Medicaid program as a Medicaid provider. Based on the dentist's history of fraudulent behavior and her previous exclusion, the OMIG denied the application, finding that her conviction had a direct bearing on her ability to be fiscally responsible to the Medicaid program.

The dentist's conviction was based on misrepresentation of her income on applications for public assistance benefits. In order to qualify for these benefits, the dentist claimed that she was unemployed. In actuality, while practicing as a Medicaid provider, this dentist earned approximately $100,000 annually. From 2007 to 2009, the dentist collected public assistance benefits by maintaining that she was unemployed. The dentist was sentenced to five years probation, fined $5,000 and was ordered to pay restitution in the amount of nearly $8,000.

The OMIG performs secondary reviews of all enrollment applications that involve sanctioned individuals. By conducting these intensive front end reviews, the OMIG works to ensure that bad Medicaid providers remain out of the Medicaid program.

You can help OMIG identify fraud, waste, and abuse in the Medicaid system. If you suspect Medicaid fraud, waste or abuse, please call our toll-free hotline at 1-877-87 FRAUD (1-877-873-7283) to file a complaint.

OMIG's Statement on Sentencing of Dr. Suresh Hemrajani
Dr. Suresh Hemrajani was sentenced yesterday in New York City to two to six years behind bars after having been convicted last month of charges that he stole $700,000 from New York State's Medicaid program... full article
OMIG Joins with Northeast Parent and Child as Young Artists Illustrate Importance of Compliance
full article...
Authorized Verification Organizations

Listed below are the Vendors which have received preliminary approval to operate as Verification Organizations on behalf of covered home health providers serving NYS Medicaid recipients.

  1. AccuPoint, LLC
    419 Lafayette Street
    2nd Floor
    New York, NY 10003

  2. Contact:
    Matthew Serel
    President
    (646) 926-7081 ext. 7001
    mserel@accupointmed.com

  3. Arrow Solutions
    116-12 Myrtle Ave
    Richmond Hill, NY 11418

  4. Contact:
    Michael Appel
    Chief Operating Officer
    (718) 805-2266 ext. 7001
    michael@arrow-solutions.com

  5. Care At Hand
    33 Aspinwall Avenue, Suite 5
    Brookline, MA 02446

  6. Contact:
    Andrey Ostrovsky, MD
    Co-Founder
    Phone: 443-857-8199
    andrey@careathand.com

  7. CareWatch, Inc.
    3483 Satellite Blvd.  Suite 211 South
    Duluth, GA 30096

  8. Contact:
    Rick Drummond
    Director of Sales & Marketing
    Phone: 770-409-9084
    Fax: 770-409-0399
    drummond@carewatch.com

  9. CellTrak
    1051 Perimeter Drive
    Suite 950
    Schaumburg IL 60173

  10. Contact:
    Andrew Kaboff
    Founder, Vice President &
    Chief Business Development Officer
    Main:     847.240.0400
    Direct:   847.240.0409
    Cellular: 847.877.7693
    Fax:       847.574.5860
    akaboff@celltrak.com

  11. Crescent Computer Health Services
    150 Broadhollow Road # 200
    Melville, NY 11747-4901

  12. Contact:
    Bill Maldonado
    President
    (631) 673-6650
    bill@crescent1.net

  13. First Data
    5565 Glenridge Connector NE, Suite 2000
    Atlanta, GA 30342

  14. Contact:
    Valerie Stribbling
    Director, Business Development
    Office: 404.890.2433
    Mobile: 770.713.5718
    valerie.stribbling@firstdata.com

  15. HealthWyse, LLC
    60 Concord Street
    Wilmington, MA 01887

  16. Contact:
    Cindy L. McDade, MSC
    Office: (877) 777-9973  ext 404
    Cell:    (978) 404-9090
    CMcDade@healthwyse.com

  17. HHA eXchange
    36-40 37th street
    Queens, NY 11106

  18. Contact:
    Raphael Nadel
    Chief Executive Officer
    Homecare Software Solutions
    718 407 4633 Ext 9501
    raphael@hhaexchange.com

  19. McKesson Corporation
    Horizon Homecare MobileCare
    Horizon Homecare Telephony
    Extended Care Solutions Group / Sales & Marketing
    1550 East Republic Road
    Springfield, MO 65804 

  20. Contacts:
    Sharilynn Duncan
    Product Marketing Manager
    417.874.4000 x 4156 Tel
    417.874.4015 Fax
    sharilynn.duncan@mckesson.com

    Karen Utterback
    VP Clinical Strategy
    (601) 268-9664 Tel
    (601) 818-6882 Cell
    karen.utterback@mckesson.com

  21. MediSked
    860 University Avenue
    Rochester, NY 14607

  22. Contact:
    866-633-4753 x 1
    sales@medisked.com

  23. Sandata Technologies
    26 Harbor Park Drive
    Port Washington, NY  11050

  24. Contact:
    Maritza Borges
    Regional Account Manager
    516-484-4400, ext. 1456
    mborges@sandata.com

    Matthew Rose
    Regional Vice President of Sales
    516-484-4400, ext. 4191
    mrose@sandata.com

Northeast Parent and Child Responds to OMIG Visit by Bringing Out the Art of Compliance

Northeast Parent and Child Responds to OMIG Visit by Bringing Out the Art of Compliance


From left: Lisa Snyder, teacher assistant; artists Kirsten Warner and Monique Jackson; Acting Medicaid Inspector General James C. Cox; artist Daniel McCoy; and Northeast Parent and Child President and CEO John E. Henley.
The recipe contained a little Marc Chagall, a little Piers Mondrian, and a lot of corporate compliance.

When mixed together, the result was three posters to remind the employees, board members and clients of Northeast Parent and Child Society in Schenectady of the importance of compliance in everyday life.

Following a visit from Maureen O'Neill and Carol Booth of Office of the Medicaid Inspector General's Bureau of Compliance staff, officials from Northeast learned that they needed to spread the word about compliance. They decided to take a careful look at how they disseminated their compliance plan and initiatives. Although they had fared well when evaluated by OMIG, they determined that they should involve everyone within the organization in communicating their compliance efforts. That included the children whom they serve.

Maureen suggested that they develop posters and brochures to stress the importance of compliance throughout the agency.

"We knew we wanted to do something to engage our young people in the process," said Northeast's President and Chief Executive Office John E. Henley at a November 29 event held at the organization's headquarters. Henley, a former special education teacher who has seen education evolve since he entered the field of education in the 1970s, knows the importance of student involvement.

They decided to ask Northeast's art program to pose this question to its students: What does truth mean to you? How can you express that in a poster? And how would that be useful in reminding people who entered all of Northeast's facilities about the importance of compliance?

The students went to work.

Under the director of Lisa Snyder, teacher assistant in the art program, they created dozens of posters for consideration. Chief Compliance Officer Dr. Peter Stoll discussed the concept of compliance with them and broke it down.

Eleven finalists were selected, and 600 staff members voted on those to select the top three: Monique Jackson, Daniel McCoy and Kirsten Warner. The quality assurance and community relations team developed slogans to accompany the art work. What they created—as a team—were three very moving emotional reminders of the importance of compliance in the everyday operation of not only Northeast Parent and Child, but of all health care and human service providers.

"It's such a pleasure to see people do the right thing about compliance," said Acting Medicaid Inspector General James C. Cox at the event. "By publicizing compliance through these beautiful posters, these three artists are telling the story of internal controls and compliance. This is a great help to the community, because it puts the message of compliance in people's minds. Without good internal controls, people are more likely to commit unintentional errors."

"We will be hanging these posters in prominent places," added Dr. Stoll. "This is smart business strategy—we see these posters, and it helps to internalize the mission and turn everyone who sees them into a prosetlytizer for compliance."

"This is an example of how 'tone from the top' works for an organization," emphasized Assistant Deputy for Compliance Matt Babcock. "From the board of directors to administration to staff to the students, everyone is part of compliance at Northeast Parent and Child."

"Public trust is fundamental," Henley noted, "and trust is absolutely paramount in working with the needs and disabilities of the people we serve. This is the next step as we continue to refine the most recent version of the compliance plan approved by the board.

"And it was an enormous amount of fun," he added. "I love anything that involves our students—it means that everything comes full circle."

Compliance Plan Posters:

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