Oregon Health Integrity Audit

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Oregon Health Authority : Program Integrity Audit Unit : Program

(2 days ago) WEBThe Oregon Health Authority's Program Integrity Audit Unit (PIAU) supports the responsible stewardship of Medicaid funds in three ways: Auditing Oregon Medicaid …

https://www.oregon.gov/oha/FOD/PIAU/Pages/Index.aspx

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OAR 410-120-1395 – Program Integrity - OregonLaws

(8 days ago) WEBThese rules describe program integrity actions related to provider… (1) The Oregon Health Authority (Authority) uses several approaches to promote program integrity.

https://oregon.public.law/rules/oar_410-120-1395

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State Auditors Flag Questionable Oregon Health Plan Billing

(7 days ago) WEBThe Oregon Health Authority has a Program Integrity Audit Unit that audits Oregon Health Plan delivery and billing systems, providers and contractors, …

https://www.thelundreport.org/content/state-auditors-flag-questionable-oregon-health-plan-billing

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Secretary of State Audit Oregon Health Authority Medicaid …

(3 days ago) WEBSecretary of State Audit Oregon Health Authority Medicaid Payments (Report 2017-25) Secretary of State Audit Plan Item program integrity through a cost-effective …

https://www.oregonlegislature.gov/lfo/Audit%20Reviews%20Documents/JLAC%20Analysis%20of%20Audit%20Report%20No.%202017-25.pdf

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Department of Health and Human Services, Centers for …

(7 days ago) WEBThe Oregon Health Authority (OHA) is the single state Medicaid agency for Oregon. The Oregon Health Plan (OHP) is the state Medicaid program under OHA that provides …

https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/FraudAbuseforProfs/Downloads/ORfy18.pdf

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State audit finds $1.6 million in likely inappropriate Medicaid

(4 days ago) WEBA state audit of Medicaid payments by the Oregon Health Authority found that $1.6 million was likely spent on services that were not allowed while patients were in …

https://oregoncapitalchronicle.com/2021/12/15/state-audit-finds-1-6-million-in-likely-inappropriate-medicaid-payments-related-to-hospital-stays/

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BREAKING NEWS: Oregon Publishes List of Sanctioned Providers …

(7 days ago) WEBOregon’s current List of Prioritized List of Health Services is comprised of 662 condition-treatment pairings. Effective January 1, 2020 – December 31, 2021, lines …

https://streamlineverify.com/breaking-news-oregons-innovative-medicaid-program-recent-program-integrity-developments/

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OHSU Integrity Department OHSU

(1 days ago) WEBThe OHSU Integrity Department provides leadership for OHSU's compliance with federal, state, and local laws, regulations, and guidelines. Oregon Health & Science …

https://www.ohsu.edu/integrity-department

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Oregon Health Authority: Recommendation Follow-up: OHA …

(1 days ago) WEBHealth Authority (OHA) as included in audit report 2017-25, “Oregon Health Authority Should Improve Efforts to Detect and Prevent Improper Medicaid Payments .” The …

https://sos.oregon.gov/audits/Documents/2019-13.pdf

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DHHS Centers for Medicare and Medicaid Services, Center for …

(3 days ago) WEBExecutive Summary. The Centers for Medicare & Medicaid Services (CMS) conducted an audit of the Medical Loss Ratio (MLRs) reported by the 15 Medicaid Coordinated Care …

https://www.cms.gov/files/document/oregon-medicaid-managed-care-medical-loss-ratio-report.pdf

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Federal and State Program Integrity in Oregon Health …

(Just Now) WEBOregon has a number of fraud and abuse laws relating to the Medicare and Medicaid programs. The state’s Department of Human Services utilizes a number of program …

https://www.healthinfolaw.org/state-topics/38%2C57

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Timothy Marshall - Chief Integrity Officer - OHSU

(3 days ago) WEBChief Integrity Officer. Dec 2019 - Present3 years 10 months. Portland, Oregon Area. • Manage and provide oversight for Integrity office and …

https://www.linkedin.com/in/timothy-marshall-21b0615a

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Medicaid Program Integrity for Managed Care Entities (MCEs)

(5 days ago) WEB• In general, an audit process begins with an issue, allegation or data. • The audit team: – Establishes the scope of the audit. – Performs the audit. – Issues audit findings. • …

https://www.oregon.gov/oha/FOD/PIAU/Resources/Audit.pdf

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Oregon Health Authority Oregon Health Insurance …

(1 days ago) WEBThe objectives of this audit were to conduct the following for the fiscal year ended June 30, 2022: Verify OHIM’s compliance with programmatic requirements set forth by 45 CFR …

https://sos.oregon.gov/audits/Documents/2023-18.pdf

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Program Integrity and Provider Audits - LII / Legal Information …

(3 days ago) WEB(1) The Oregon Health Authority (Authority) uses several approaches to promote program integrity and preventing Fraud, waste and Abuse in the Medicaid program. OAR 410 …

https://www.law.cornell.edu/regulations/oregon/OAR-410-123-1025

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PacificSource Health Plans (All) - Oregon Legislative Assembly

(5 days ago) WEBAuthority’s (OHA) Program Integrity Unit performs audits on providers, which are generally conducted in synchronization with coordinated care organization …

https://olis.oregonlegislature.gov/liz/2023R1/Downloads/PublicTestimonyDocument/63763

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Deschutes County seeks volunteer to serve on Audit Committee

(1 days ago) WEBThe committee plays a role in overseeing the audit activities performed for the County. Committee tasks include: Reviewing and commenting on the County …

https://ktvz.com/news/deschutes-county/2024/04/30/deschutes-county-seeks-volunteer-to-serve-on-audit-committee/

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Legacy Health, BOLI settle dispute over nurses’ breaks after 6 years

(7 days ago) WEBLegacy Health has agreed to a $2.25 million fine, with a $1 million reduction if it passes audits. May 1, 2024. contribute now. Legacy Health, BOLI settle dispute …

https://www.opb.org/article/2024/04/30/legacy-health-nurses-boli-labor-industry-breaks/

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Oregon secretary of state candidates cite similar goals but …

(6 days ago) WEBRead represented Beaverton in the Oregon House from 2007 until becoming state treasurer in 2017, rising to the powerful positions of speaker pro tempore and co …

https://www.oregonlive.com/politics/2024/04/oregon-secretary-of-state-candidates-cite-similar-goals-but-different-strategies-to-restore-trust-in-office.html

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Oregon Department of Human Services : How to Report Fraud : …

(9 days ago) WEBPlease choose one way to report. You only need to report once. Report fraud online. Email your report to: [email protected]. Mail your report to: ODHS Office of …

https://www.oregon.gov/DHS/abuse/pages/fraud-reporting.aspx

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