Office of Special Investigations (OSI)/AHCCCS Office of Inspector General (AOIG). Harmony then fraudulently submitted claims for reimbursement to Mercy Care, Arizonas health care benefit program, by billing for services that were medically unnecessary and for services provided in the names of physicians who had no role in the assessment.
The Office of Inspector General (OIG) is responsible for the integrity of the AHCCCS budget, nearly $18 billion in State Fiscal Year 2023. Nai# We assist individuals, entities, and other law firms with criminal and parallel issues related to healthcare fraud and abuse allegations in state and federal enforcement actions. AZ confirms case of sex misconduct at hospital - KNXV A sentinel event is defined as any of the following: If you have any issues with the QMS Portal or need technical assistance, please contact the Quality of Care Team at AzCHQOC@AZCompleteHealth.com. Through the AHCCCS prepayment coordination of benefits process, roughly $1.3 billion in health care expenses are covered by other carriers, including Medicare. Today, he is studying to be an electrician technician. AHCCCS said the proposed change may . Copyright 2023 Scripps Media, Inc. All rights reserved. 1 on Yelp's SW best eateries, Pac-12 mailbag: Is an Arizona departure worst-case scenario for Pac-12? The Arizona Attorney General's Office conducted this investigation along with investigators from the Office of Inspector General for the U.S. Department of Health and Human Services and the Office of Inspector General for AHCCCS. The suspect must work for a Medicaid provider, such as a doctor, nursing home . He wasnt even sure what day it was. Analysis of electrical accidents and the related causes involving Audit: AHCCCS lagging in investigating abuse, fraud, Tucson's west-side resort, Starr Pass, sold for $110 million, Cocktails on a train car and boutique bowling coming to Tucson, Tucson restaurant lands No. After the Arizona Governor and the President of the Navajo Nation both declared COVID-19 public emergencies, the need for non-emergency medical transports dramatically decreased. 13) Kayla Sol, 34 Conduct investigations, Manage time effectively, deal . Subscribe to stay connected to Tucson.