On the heels of publishing their final regulations, on January 31, the New York Office of the Medicaid Inspector General (OMIG) released a variety of guidance documents addressing compliance programs; self-disclosure; and Medicaid managed care fraud, waste and abuse prevention programs. The guidance documents can be found at:
Rivkin Rounds Staff
OMIG’s FINALIZED Regulations: What You Need to Do – NOW!
In the next installment of Rivkin Radler’s Healthcare Compliance Lunch & Learn series, Rivkin Radler’s Bob Hussar, Ashley Algazi and Mary Connolly will present “OMIG’s FINALIZED Regulations: What You Need to Do – NOW!”
On December 28, the Office of Medicaid Inspector General (OMIG) released their final compliance and self-disclosure regulations. The regulations implement 2020…
An Insurance Fraud Year in Review
Rivkin Radler’s Michael Sirignano authored an article for the January 5 issue of the New York Law Journal entitled “An Insurance Fraud Year in Review.” The article discussed various types of healthcare fraud for which the perpetrators were sentenced in 2022.
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A Survey of OIG’s 2022 Advisory Opinions
- Discuss select Advisory Opinions from last year on a variety of topics, including use of
Pharma Coalition Files Suit Against HHS over OIG Advisory Opinion
On November 9, the Pharmaceutical Coalition for Patient Access (PCPA) filed an action against the U.S. Department of Health and Human Services (HHS) after HHS’s Office of Inspector General (OIG) determined that a proposed patient assistance model posed more than a minimal risk of fraud, waste, and abuse under the federal Anti-Kickback Statute (AKS). PCPA…
New 2023 Minimum Wages and Minimum Salaries to Take Effect
Minimum hourly wages for many nonexempt employees and minimum salaries for exempt employees in New York, New Jersey and Connecticut are scheduled to increase in 2023. Employers should begin to make plans to ensure that their hourly wages for nonexempt employees, their minimum salaries for exempt employees and their wage hour policies and practices comply…
Avoiding the Pitfalls in Recent Government Enforcement
In the next installment of Rivkin Radler’s Healthcare Compliance Lunch & Learn series, Rivkin Radler’s Ben Malerba and Ben Wisher will discuss Avoiding the Pitfalls in Recent Government Enforcement. The program will cover recent audits, investigations and actions of government agencies including DOJ, MFCU, OMIG, the NY AG, and others. Ben and Ben will also…
The Triple Threat of Workers’ Compensation Fraud
Rivkin Radler’s Michael Sirignano authored an article for the November 3 issue of the New York Law Journal entitled “The Triple Threat of Workers’ Compensation Fraud.” Although the article wasn’t in time for Rivkin Rounds’ recent Fraud Week, it discussed some recent attempts by healthcare providers to game the workers’ comp system by…
New Employment Laws and Regulations Regarding Marijuana in the Workplace
In the next installment of Rivkin Radler’s Healthcare Compliance Lunch & Learn series, Rivkin Radler Partners John Diviney and Tamika Hardy will discuss New Employment Laws and Regulations Regarding Marijuana in the Workplace. The program will cover the following topics:
- New state laws – New York Marijuana Regulation and Taxation Act, New York Labor Law
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Overpayments and Self-Disclosures
In the next installment of Rivkin Radler’s Healthcare Compliance Lunch & Learn series, Bob Hussar will discuss Overpayments and Self-Disclosures. Bob is a partner in Rivkin Radler’s Compliance, Investigations & White Collar and Health Services practice groups. The program will cover:
• Identifying whether you have an overpayment or potential fraud liability
• Determining when
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