
New York Medicaid Compliance
Course Details:
- Category: State-Specific
- Duration: 25 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:
- NYM Compliance Program
- Part 521
- Compliance Guidance
- Risk Areas
- Definitions and Duties
- Seven Elements of the Program
- Recognized Roles of MMCO's
- Self-Disclosure
- Review Process
- Sanctions
- Resources
- Addendum A and B