Nonprofit Alert: New Update from Office of the Medicaid Inspector General (OMIG) Tightens Compliance

By Michael McNee  |  November 23, 2009  |  Download PDF

As of October 1, 2009, The Office of the Medicaid Inspector General (OMIG) now requires all organizations that rely on Medicaid reimbursements to ensure that all persons, providers and affiliates providing care, services or supplies under Medicaid be in good standing and eligible to receive payment.

New Update from Office of the Medicaid Inspector General (OMIG) Tightens Compliance Requirements for All Organizations Reliant on Medicaid Reimbursements

As of October 1, 2009, The Office of the Medicaid Inspector General (OMIG) now requires all organizations that rely on Medicaid reimbursements to ensure that all persons, providers and affiliates providing care, services or supplies under Medicaid be in good standing and eligible to receive payment.

This means you need to check your compliance policy now, and regularly,

  • Ensure your policy includes a procedure for checks of ALL employees, contractors, board members and even private physicians and pharmacies to make sure they are in good standing.
  • Make sure your compliance plan is more than just a binder on a shelf; it needs to be regularly assessed, reviewed and implemented.

If you haven’t conducted these checks, you may be putting your organization at risk.

Marks Paneth Consulting Services

As part of its services, the Marks Paneth Consulting Group can help conduct internal reviews and ensure that organizations comply with the new OMIG regulations now, and in the future.

The Marks Paneth Consulting Services Group is experienced in conducting corporate compliance reviews and is adept at indentifying risk areas in need of improvement. The firm’s Consulting Services Group offers the tools and expertise that help remedy risks before they become problematic. Specifically, Marks Paneth can perform:

  • Desk review of policies and procedures

And field reviews of:

  • Billing practices, payments and documentation
  • Service eligibility
  • Governance and training
  • Reporting and monitoring
  • Credentialing practices
  • Contracts with vendors, individuals and other BAs

Helpful Links

Below you can find some websites to include in your exclusions procedures:

For Your Information

To discuss how Marks Paneth can help your organization or for more information on OMIG’s new requirements, please contact:


About Michael McNee

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Michael McNee, CPA, is the Partner-in-Charge of Attest Services and Co-Partner-in-Charge the Nonprofit, Government & Healthcare Group at Marks Paneth LLP. He is also a member of the firm’s Executive and Management Committees. In these roles, Mr. McNee is responsible for overseeing the execution of the firm’s audit and attest services and directing the operations of the Nonprofit, Government & Healthcare Group. He develops strategy, sets policy and acquires and develops talent. In addition to his managerial... READ MORE +


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