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