audit

2019 Executive Budget Expands OMIG Oversight Authority

By Farrell Fritz P.C. on January 29, 2019

Posted in Audit and Compliance, Corporate and Business, Hospitals and Health Care Facilities, Insurance and Managed Care, Long Term Care, Home Health and DME, Medicaid and Medicare, OMIG and OIG, Regulatory Issues

Since the advent of the Medicaid managed care program there has been a lingering question as to when a Medicaid dollar stopped being a Medicaid dollar.

With fee-for-service providers that were paid directly by the Medicaid program, the answer was always clear-cut – each dollar received from the Medicaid program was a Medicaid dollar and…

Court of Appeals Upholds Comptroller Audit Of Non-Participating Provider’s Billing Records

By Kevin P. Mulry on May 12, 2014

Posted in Audit and Compliance, Corporate and Business, Fraud and Abuse and Stark, Hospitals and Health Care Facilities, Insurance and Managed Care, Litigation, OMIG and OIG

The New York Court of Appeals decided last week, in Handler v. DiNapoli, that the State Comptroller has the authority to review the billing records of a non-participating provider receiving funds from the State’s primary health benefit plan, even though the payment of state funds is made indirectly.

New York State provides health…