In January 2009, the New York State Office of Medicaid Inspector General (OMIG) published proposed new regulations for “Compliance Programs for Medical Assistance Providers”.  These regulations, seen as a bellwether for state Medicaid regulations nationwide, are intended to curb the estimated significant overpayments in the program.  The State of New York alone, committed to recovering $215 million in Medicaid overpayments in FY 2008 and actually recovered more than $500 million.

The new NY State regulations will apply to Medicaid providers who
submit claims totaling $500,000 or more over a twelve-month period.  Compared to the minimum $5 million threshold under current federal law, this new minimum will include many more providers.  Additionally the proposed NY state regulations will require disclosure of overpayments, compared to the current federal laws stating that health plans should self-disclose overpayments.

Join us for a free webinar to learn about these new, landmark regulations proposed in New York and potentially paving the way for other states. 

During the webinar, you will learn about the following:

• Overview of the regulations and new requirements above and beyond the federal regulations
• Discussion of key requirements such as establishing written policies and procedures, policies that encourage “good faith” participation in the program, establishing a system to identify compliance risk areas, establishing a system for investigating potential compliance problems, and more
• Key areas that the OMIG is likely to target
• Likely mistakes that will trigger audits and sanctions
• Managing through the appeals process to minimize financial risks

Who Should Attend:

About the Presenter:

Chris Kutner is a partner in the healthcare practice group at the law firm of Farrell Fritz, P. C. in New York.  A former compliance officer for two major health plans, Mr. Kutner is experienced in working with the Centers for Medicare and Medicaid Services.  He holds a national certification from the Healthcare Compliance Certification Board and represents healthcare providers as well as payors on compliance issues.