Oregon Health Integrity Audit
Listing Websites about Oregon Health Integrity Audit
OAR 410-123-1025 – Program Integrity and Provider Audits
(8 days ago) WEBOAR 410-123-1025Program Integrity and Provider Audits. (1) The Oregon Health Authority (Authority) uses several approaches to promote program integrity and …
https://oregon.public.law/rules/oar_410-123-1025
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Oregon Health Authority : The Audit Process : Program Integrity Audit …
(Just Now) WEBPIAU performs medical record audits to verify that the services submitted by the provider to the Authority were provided and documented according to Oregon Medicaid rules and guidelines. Providers are obligated to apply reasonable safeguards when transmitting Protected Health Information to OHA as outlined by the Policy for Protected Health
https://www.oregon.gov/oha/FOD/PIAU/Pages/Audit-Process.aspx
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Oregon Health Authority : Provider and CCO Education : …
(6 days ago) WEBProgram Integrity Audit Unit You are here: Oregon Health Authority; Fiscal and Operations; Program Integrity Audit Unit; Provider and CCO Education; Provider and CCO Education Tools for Oregon Health Plan Providers : Tools for Providers web page Resources for Coordinated Care Organizations
https://www.oregon.gov/oha/FOD/PIAU/Pages/Education.aspx
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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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State of Oregon: Audits - Oregon Health Authority: Too …
(6 days ago) WEBWhy this audit is important. Oregon has the second highest rate of substance use disorder in the nation and ranked 50th for access to treatment. In Oregon, more than two people …
https://sos.oregon.gov/audits/Pages/audit-2023-03-measure-110.aspx
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Program Integrity and Provider Audits - LII / Legal Information Institute
(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 410-120-1360 through 410-120-1580 generally describe Authority program integrity activities related to Medicaid providers and payment. Providers enrolled with the Authority or under …
https://www.law.cornell.edu/regulations/oregon/OAR-410-123-1025
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Oregon Health Authority Mishandled Over $500,000 in Mental Health …
(Just Now) WEBFederal auditors have flagged problems in the Oregon Health Authority’s oversight of mental health grants, including the potential misappropriation of more than half a million dollars. Their review, obtained by the Capital Chronicle in a public records request, shows the agency has failed to adequately inform a federally-mandated advisory council …
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Oregon Health Authority : CCO Quality Assurance : …
(2 days ago) WEBThe U.S. Department of Health & Human Services Office of Inspector General (OIG) interviewed four of Oregon’s 15 CCOs and audited their compliance with federal …
https://www.oregon.gov/oha/HSD/OHP/Pages/CCO-QA.aspx
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Department of Health and Human Services - Office of …
(6 days ago) WEBfor Audit Services November 2019 A-07-19-00574. The mission of the Office of Inspector General (OIG), as mandated by Public Law 95-452, as amended, is to protect the integrity of the Department of Health and Human Services (HHS) programs, as well as the health Kansas, Missouri, Montana, Nebraska, Nevada, North Dakota, Oregon, South
https://oig.hhs.gov/documents/audit/8965/A-07-19-00574-Complete%20Report.pdf
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Failures in Oregon’s mental health system led to delayed …
(7 days ago) WEBComagine Health, a national Seattle-based nonprofit with nearly 100 employees in Oregon, handles the assessments. The contractor is paid an hourly rate …
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DHHS Centers for Medicare and Medicaid Services, …
(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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Department of Health and Human Services - Oversight.gov
(7 days ago) WEBfor Audit Services November 2020 A-09-20-01001 Inquiries about this report may be addressed to the Office of Public Affairs at as amended, is to protect the integrity of the Department of Health and Human Services (HHS) programs, as well as the health and welfare of beneficiaries served by those programs. This statutory mission is carried out
https://www.oversight.gov/sites/default/files/oig-reports/HHSOIG/92001001.pdf
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Audit of Oregon s Medicaid Management Information …
(2 days ago) WEBOregon Health Authority . 500 Summer Street, NE E-20 . Salem, OR 97301 . Dear Dr. Goldberg: Enclosed is the U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG), final report entitled Audit of Oregon’s Medicaid Management Information System Expenditures for the Period October 1, 2007, Through September 30
https://oig.hhs.gov/oas/reports/region9/91002017.pdf
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Oregon Medical Board needs better system to fairly …
(2 days ago) WEBThe Oregon Medical Board needs to do more to fairly and consistently discipline the health care professionals it regulates, an Oregon Secretary of State audit …
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OREGON HEALTH & SCIENCE UNIVERSITY (A …
(5 days ago) WEBOREGON HEALTH & SCIENCE UNIVERSITY (A Component Unit of the State of Oregon) Financial Statements and Supplementary Information June 30, 2023 and 2022 We …
https://www.ohsu.edu/sites/default/files/2023-10/ohsu-financial-stmt-audited-fy23.pdf
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Secretary of State Audit Confirms PBMs Need More Oversight
(7 days ago) WEBSecretary of State Audit Confirms PBMs Need More Oversight OHA Changes and PBM Legislative Reform Needed in Oregon West Linn, OR (Aug. 21, 2023) – Secretary Griffin-Valade and her team released their much-anticipated state audit report on Pharmacy Benefit Managers (PBMs) regarding prescription drugs within the Oregon …
https://oregonpharmacy.org/2023/08/21/secretary-of-state-audit-confirms-pbms-need-more-oversight/
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Department of Health and Human Services
(7 days ago) WEBFollowing the trainings with mental health, DME, and transportation providers and similar training for Federally Qualified Health Centers, DHS reported seeing an increase in self-referrals. In addition, DHS auditors noted improvement in documentation and billing during follow-up audits for those providers who are on a corrective action plan.
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OFFICE OF THE DIRECTOR Kate Brown, Governor
(1 days ago) WEBDirector, Audits Division Secretary of State, 255 Capitol St. NE, Suite 500 Salem, OR 97301 RE: Oregon Health Authority Response to Final Draft Improper Medicaid …
https://www.oregon.gov/oha/HSD/OHP/Documents/OHA_Response_To_SOS_Medicaid_Payment_Audit.pdf
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Department of Administrative Services Enterprise Information …
(1 days ago) WEBIn 2019, the Texas Health and Human Services Commission was fined $1.6 million when a data breach made the personal health information of 6,617 people available online. In 2020, Oregon was one of 28 states involved in a multi -state settlement agreement with Tennessee-based Community Health Services, Inc., following a 2014 data breach which …
https://sos.oregon.gov/audits/Documents/2020-37.pdf
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OREGON HEALTH & SCIENCE UNIVERSITY (A …
(5 days ago) WEBOregon Health & Science University (OHSU or the University) is Oregon’s only public health sciences university and major academic health center. It is a national leader in …
https://www.ohsu.edu/sites/default/files/2021-11/ohsu-financial-stmt-audited-fy21.pdf
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Oregon audit calls for PBM regulations to provide protection for
(8 days ago) WEBPBMs were established in the 1960s to help process health insurance claims for prescription drugs. Since then, they have grown into powerful intermediaries between insurers, manufacturers, pharmacies, and governments. Oregon spent approximately $767 million on retail prescriptions for Oregon Health Plan coordinated …
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