Category: Medicare and Medicaid
10/13/11
02:09:46 pm, by Kristina Giyaur 
, 377 words 
Categories: News and Announcements, Medicare and Medicaid
NYS MEDICAID COMPLIANCE PROGRAM
Healthcare providers, physicians and pharmacies in particular, must be warned: A provider may be subject to sanctions and penalites, including revocation of enrollment in the NYS Medicaid Program, fo failing to implement an adequate compliance program.… more »
04/18/11
NY Medicaid Eliminates Payments for Most Enteral Nutritional Formula Beneficiaries
Beginning on May 1, 2011, NY Medicaid will not pay for enteral nutritional formula for most beneficiaries except:• Beneficiaries who are fed via nasogastric, gastrostomy or jejunostomy tube.• Beneficiaries with inborn metabolic disorders.• Ch… 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 »
NY Medicaid Implements a Moratorium on New Ambulette Enrollment
New York Medicaid is not enrolling any new ambulette providers in New York City and the following New York counties: Fulton, Monroe, Nassau, Niagara, Onondaga, Rockland, Suffolk and Westchester. There is an exception when the new applicant has purchased… more »
04/08/11
04:24:21 pm, by Kristina Giyaur , 151 words
Categories: News and Announcements, Medicare and Medicaid
RadConsult: NYS Medicaid Program to Implement a Radiology Management Program
The New York State Medicaid Program is preparing to implement a new peer consultation program applicable to outpatient non-emergency advanced imaging procedures. RadConsult, administered by HealthHelp is supposedly aimed to improve quality and reduce co… 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 »
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