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In Oklahoma, an OHCA provider enrollment contracts representative will conduct these visits for providers that are not already screened by another state or federal agency.
It also includes recipient practices that result in unnecessary cost to the Medical Assistance program.
All providers are obligated by the Provider Agreement to designate a Compliance Officer and notify Perform Care of any suspected fraud or abuse involving their Members.
The number of civil health care fraud investigations handled by the Department increased from 270 in Fiscal Year 1992 to 2,488 in Fiscal Year 1996.
Law360, Washington (November 7, 2016, PM EST) -- The Federal Communications Commission on Friday proposed a .7 million fine against Network Services Solutions and its chief executive for a litany of alleged fraud against a Universal Service Fund program aimed at helping rural health care providers modernize their telecommunications services.