New York Medicaid Compliance

Course Details:

  • Category: State-Specific
  • Duration: 30 minutes
  • Target Audience: Employees Residing in New York

Course Overview: The purpose of the Office of the Medicaid Inspector General's (OMIG) mandatory compliance program is "to enhance the integrity of the New York State (NYS) Medicaid program by preventing and detecting fraudulent, abusive, and wasteful practices within the Medicaid program and recovering improperly expended Medicaid funds while promoting high-quality patient care." Under NYS Social Services law, providers of Medicaid-funded services will be better able to identify and resolve billing discrepancies and detect potential fraud if the required compliance program is adopted.

Training Includes:

  • Requirements under NY Law
  • Compliance Program Goals
  • Code of Conduct
  • Compliance Officer Responsibilities
  • Proper Documentation
  • Billing and Coding Requirements
  • Prohibition of Certain Inducements
  • Established Lines of Communication
  • Responding to Detected Problems
  • Report Compliance Concerns
  • Disciplinary Guidelines
  • Certification