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NY Medicaid Mandatory Compliance Programs Reminder
04/11/11
08:31:21 pm, by Alec Sauchik 
, 187 words 
Categories: News and Announcements, Medicare and Medicaid, Fraud and Abuse
NY Medicaid Mandatory Compliance Programs Reminder
We would like to remind all providers that, under current New York and Federal laws and regulations, they are obligated to report, explain and repay overpayments within calendar 60 days of identification. Those that fail to disclose, explain and repay the overpayment in a timely manner may be subject to liability under the New York and Federal False Claims Act. Identifying and reporting compliance issues and refunding overpayments is also an essential component of a provider’s obligation to adopt and implement effective compliance programs that are mandatory in New York for certain Medicaid providers.In most circumstances, self-disclosure will result in a better outcome than if New York Office of Medicaid Inspector General ("OMIG") staff had discovered the matter independently. Potential benefits may include:
• Forgiveness or reduction of interest payments (for up to two years)
• Extended repayment terms
• Waiver of penalties and/or sanctions
• Timely resolution of the overpayment
• Recognition of the effectiveness of the provider’s compliance and decrease the likelihood of imposition of an OMIG corporate integrity agreement (CIA).
Sauchik Law Group will guide providers through the mechanics of complying with Medicaid self-disclosure requirements.
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