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fraud

Jan 30, 2020

Pennsylvania Proposes False Claims Act

Pennsylvania legislators have announced their intention to introduce a series of anti-fraud measures this session, which includes a new state false claims act. Citing the impact of the federal False Claims Act, the proposal represents a bi-partisan effort to curb fraud, waste, and abuse in Commonwealth programs, including Medicaid.» Read More

Oct 17, 2018

Exclusion Implications of Entering into False Claims Act Settlements

According to the Office of Inspector General (OIG), the government’s primary civil tool for addressing health care fraud is the False Claims Act (FCA).  Most FCA cases are resolved through settlement agreements in which the government alleges fraudulent conduct and the settling parties do not admit liability. » Read More

Apr 25, 2018

New York State – OMIG Releases its Work Plan for the 2018/2019 Fiscal Year

The Office of the Medicaid Inspector General (“OMIG”) has released its Work Plan for the next Fiscal Year, which encompasses April 1, 2018, through March 31, 2019.  The stated mission of the OMIG, an independent entity created within the New York State Department of Health, is to detect and prevent fraudulent practices within the Medicaid system and recover funds deemed improperly paid to health care providers. » Read More

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