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Click ‘Get Form’ to open it in the editor.
Begin by entering your name in the designated field at the top of the form.
Fill in your PGY YEAR and Program details as required, ensuring accuracy for proper documentation.
Proceed to the 'TERM OF APPOINTMENT' section. Enter the effective and ending dates of your appointment.
Complete the credentialing documentation section by listing all required documents you will submit, such as your Medical School Diploma and transcripts.
Review the responsibilities outlined in sections 2 and 3, ensuring you understand your duties and those of SUNY Downstate Medical Center.
Finally, sign and date the agreement at the bottom of the form to confirm your acceptance of its terms.
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Mandatory exclusions: OIG is required by law to exclude from participation in all Federal health care programs individuals and entities convicted of the following types of criminal offenses: Medicare or Medicaid fraud, as well as any other offenses related to the delivery of items or services under Medicare, Medicaid,
What is reportable to OIG?
The Allegations that should be reported to the OIG Hotline include, but are not limited to: Employee corruption, civil rights and civil liberties abuses, program fraud and financial crimes, and miscellaneous criminal and non-criminal activity associated with waste, abuse, mismanagement or misconduct affecting the
What triggers an OIG investigation?
OIG initiates investigations based on information received from a variety of sources, including: OIGs fraud, waste and abuse hotline; Department, GAO, and DOJ referrals; Congressional requests; and referrals from OSC regarding whistleblower disclosures.
When must a reportable event be reported to OIG?
However, the provider must report to OIG within 30 days all reportable events as defined by the CIA.
What exactly does the Office of the Inspector General do?
Based on government practices, the inspector general might come to your house for an investigation. They could be checking for possible fraud, misuse of funds, or compliance issues. This visit aims to ensure laws and regulations are followed.
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Submitting one using the online fillable DHS OIG Hotline Complaint Form is recommended: Submit a DHS OIG Hotline Complaint. Call: 1-800-323-8603 toll free.
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