Report: Number of Suspected New York Medicaid Fraud Cases Doubled Since Last Year

The New York State Office of the Medicaid Inspector General has released the 2009 annual report detailing information about audits, investigations and initiatives related to Medicaid fraud and abuse that occurred in 2009, according to Medicaid Inspector General James G. Sheehan.

The OMIG referred 208 cases to the New York State Attorney General for potential prosecution, a 136 percent increase from 2008, according to The New York Post. The agency also referred 783 cases to other agencies. In 2009, OMIG achieved a $1.61 billion savings through its activities and exceeded its goal of recovering $322 million, reaching $500 million.

Among some of the OMIG's initiatives to fight Medicaid fraud, it introduced and passed a regulation requiring all Medicaid providers who bill or receive more than $500,000 in Medicaid payments annually to have a compliance program. OMIG also issued its first four corporate integrity agreements to healthcare providers who committed fraud or abuse but because of their coverage of Medicaid beneficiaries cannot be removed from the program. The providers must instead must follow specific compliance structures, processes and activities.

Read OMIG's 2009 Annual Report (pdf).

Read other coverage about Medicaid fraud:

- Owner of Connecticut Labs Accused of Bilking $1M From Medicaid

- Vermont Oral Surgeon Accused of 23 Counts of Medicaid Fraud Pleads Not Guilty

- New Jersey Pharmacist Gets 3 Years in Prison for Filing False Claims, Defrauding Medicaid Program

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