An OMIG education letter can look less serious than an audit demand, but New York Medicaid providers should still take it seriously. The letter may not accuse the provider of fraud. It may not demand repayment right away. It may not ask for boxes of records by a strict deadline. Still, it can be an […]
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Medicaid Billing for Deceased, Hospitalized, or Incarcerated Patients in New York
Medicaid billing fraud investigations in New York often begin with a simple question: could the patient have actually received the billed service on that date? For New York providers, billing companies, transportation companies, clinics, home care agencies, and other Medicaid participants, that question can turn into a serious problem when claims appear under the names […]
Medicaid Transportation Fraud New York: Why Transportation Companies Are Facing More Scrutiny
Medicaid transportation fraud investigations in New York have become a serious concern for ambulette companies, taxi providers, livery operators, dispatch services, and owners involved in non-emergency medical transportation. For many transportation companies, the business can look simple from the outside. A patient needs a ride to a medical appointment. A driver picks them up, takes […]
What New York Providers Should Know About the OMIG 2026 Work Plan
The OMIG 2026 Work Plan gives New York Medicaid providers a clear look at where state enforcement attention may land this year. For physicians, clinics, pharmacies, home care agencies, transportation companies, behavioural health providers, nursing homes, managed care plans, and other Medicaid participants, the plan is not just an agency update. It is a practical […]
New York Pharmacist License Investigation: How to Respond to an OPD Complaint or Pharmacy Audit
A Practical Guide for Pharmacists Facing Investigations in New York If you are a pharmacist in New York and receive a letter from the Office of Professional Discipline, the reaction is often immediate. Concern, confusion, and a sense that something serious is developing. In many cases, pharmacist investigations do not begin with a single incident. […]
New York’s Landmark Ruling on Medical Spas and Energy Devices
On March 7, 2025, the New York State Board for Medicine issued a determination that will reshape the landscape of cosmetic and aesthetic services throughout the state. In its ruling, the Board held that the use of energy-based devices-lasers, intense pulsed light (IPL), radiofrequency, ultrasound, and similar technologies-that penetrate beyond the surface of the skin […]
