New York Office of the Medicaid Inspector General’s (OMIG) 2013 annual report provides an important insight into the agency’s activities, recoveries and where it plans to focus its resources in the upcoming year.
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Stress, financial difficulties, effects of aging, declining health and a myriad of other pressures could lead to poor work performance and imperil the license of healthcare professionals. A program designed to assist healthcare professionals in recovery may help. The Professional Assistance Program of New Jersey (PAPNJ or NJPAP or the Program) monitors and provides support in the recovery of physicians, pharmacists, dentists, nurses and other health care professionals. The Program not only assists in the recovery from drug or alcohol use or dependence but also from other health impairments, such as cognitive impairments, hypertension, diabetes, physical disabilities or depression. PAPNJ can also play an important part in protecting a professional’s license. Continue reading » Earlier this year, the New Jersey Board of Medical Examiners (BME) issued a Certificate of Waiver to all New Jersey licensed physicians waiving enforcement of rules requiring a prescription to be written in the name of a person to whom a drug is administered (allowing prescription to be written to friends, family or first responders), examination before and follow-up after the issuance of a script. The Waiver is in effect for a year or until the BME adopts revised regulations. Continue reading » The U.S. Department of Health and Human Services (HHS) issued a final rule on July 31, which extended the deadline for the implementation of the tenth revision of the International Classification of Diseases (ICD-10), from October 1, 2014 to October 1, 2015. The final rule also requires the continued use of ICD-9 through September 30, 2015. Continue reading » On August 6, 2014, the Centers for Medicare and Medicaid Services (CMS) began implementing a new fingerprint-based background check requirement for individuals with 5% or greater ownership interest in providers and suppliers that fall into a high-risk category and are either currently enrolled or have pending enrollment in Medicare. This screening process will be conducted in phases and not all entities in the high-risk screening category will be subject to the first phase. Continue reading » On July 29, 2014, the Centers for Medicare and Medicaid Services (CMS) announced an extension on the temporary moratoria on new provider enrollment applications as well as on applications adding additional practice locations for Home Health Agencies (and related sub-units) and Part B ambulance suppliers. The temporary moratoria is for an additional six months. Continue reading » On July 30, 2011, the Centers for Medicare & Medicaid (CMS) implemented its new Fraud Prevention System (FPS), which uses predictive analytics technology, similar to that utilized by credit card companies, to move away from the “pay and chase” model to instead detect aberrant or fraudulent billing patterns prior to payment of claims. According to CMS, by fiscal year 2013, CMS was able to take administrative action against 938 providers and suppliers using FPS, saving or preventing $210.7 million in payments. Continue reading » The U.S. Department of Health and Human Services Office for Civil Rights (OCR) reached a major settlement with a non-profit covered entity (CE) resolving allegations of violation of the HIPAA Privacy Rule for allegedly failing to appropriately and reasonably safeguard protected health information (PHI). Continue reading » We are pleased to announce that we have moved to a new office location. Our new headquarters are located at: 5 Auer Court
Suite H East Brunswick, NJ 08816 We will continue to use the present telephone and facsimile numbers, which are: Phone: 732-637-9540
Fax: 732-358-7093 Our email address remains unchanged. Kindly update your records with our new contact information. Should you have any questions on the relocation, please be sure to contact us so we can answer them. In the meantime, we look forward to seeing in our new office surroundings. |
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