New York Medicaid Issue Defense Attorney

In the past few years, Medicaid oversight has increased substantially and the Office of the Medicaid Inspector General (OMIG) has devoted significantly more time and resources to Medicaid audit and enforcement actions. In an effort to ratchet up compliance efforts, the state has been legally obligated to recover Medicaid overpayment, fraud and abuse — failure to do so results in loss of federal subsidies. The result of this mandate has been an unprecedented level of oversight and scrutiny around Medicaid.

The Deficit Reduction Act of 2005 (DRA) forced health care providers who received $5 million or more in Medicaid revenues to have certain written compliance policies in place with respect to billing and payments. Since 2009, the new regulations have forced compliance in the areas of care quality, governance, mandatory reporting and credentialing. This doesn’t exempt smaller providers from scrutiny though, and consistent compliance and planning is expected throughout the industry.

It is extremely important that all health care organizations — from the large hospital to the solo practitioner — address these new requirements. This means actively identifying overpayments, disclosing necessary information and proactively responding to audit findings.

If your organization is working through Medicaid issues, it is important to fully understand your obligations. Because our firm has been helping health care organizations meet these needs for years, we are ideally prepared to help you address any issue you face.

Health Care Law Attorney

We at the Brill Legal Group, P.C., can help you review and address any documentation as part of a compliance plan if you seek to proactively work through these issues. We can also help conduct internal investigations or address any audit issues in real time. In practice, this means working with the OMIG during on-site facility audits, addressing subpoenas and other requests from the organization.

Regardless of the issue, decisive action is crucial. We encourage you to get in touch as soon as possible.

Contact our New York City regulatory defense law firm today; our Medicaid lawyers are available to provide an initial no-cost evaluation of the legal issues you may face.

Manhattan 212-233-4141 — Suffolk 631-204-8254 — Nassau 516-206-2002 —East Hampton — 631-204-8254

Toll free 888-315-9841.