New York Healthcare Law Blog

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 »

Many physicians and other healthcare providers frequently find themselves faced with various, often unclear, requests for patient information.  This happens as part of pending malpractice litigation, administrative proceedings, surrogate disputes and in… more »

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 »

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 »

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 »

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 »