Category: Fraud and Abuse
11/03/11
NYS Medicaid Cuts Payments Once Again
New York State implements another cut: a 2% across the board Medicaid payment reduction.
The final 2011-12 state budget, Chapter 59 of the Laws of 2011, requires a 2% across the board reduction to most Medicaid payments. Such payment reductions will ap… more »
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 legislation, they are obligated to report, explain and repayoverpayments within calendar 60 days of identification. Those that fail to disclose, explain and repay the over… more »
02/22/11
Providers are responsible for all stages of Medicaid claim transmission process, regardless of the method used to transmit claims and use of an intermediary
Healthcare providers should be aware that, regardless of the claim submission method, the provider bears full responsibility for all phases of the claim process. This includes the accurate, timely, and compliant submission of Medicaid claims and the moni… more »
New York State Medicaid changes the enrollment procedure for newly enrolling physicians
Effective January 1, 2011, New York State Medicaid will use the Council for Affordable Quality Healthcare (CAQH) Universal Provider Datasource® (UPD) to electronically collect data to enroll physicians. The UPD uses an online credentialing application pr… more »
11/02/10
MEDICAID AUDITS: DEALING WITH OMIG
The Office of Medicaid Inspector General (OMIG) has recently drastically increased the number of audits targeting physicians and other Medicaid providers. The OMIG audit, typically initiated by a seemingly innocous notice or a letter received by mail, c… more »
06/29/10
Proposed New Law Regulating Interactions Between Doctors & Pharmaceutical Companies
Early this year, New York State government introduced a new provision to the Public Health Law, entitled "Interactions Between Pharmaceutical Companies and Health Care Professionals" (Section 279). If enacted, the new law, would be the first state law t… more »
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