Everything You Ever Wanted to Know About Medicaid Compliance…
Everything You Ever Wanted to Know About Medicaid Compliance…
(But Were Afraid to Ask)
A special four-part NYCON “Lunch & Learn” Webinar Series brought to you by the Experts
FREE for NYCON Members or Non-Members $75 per session or $275 for all four.
*If you would like to attend all four, please choose "Series Ticket" type. You will be automatically registered for each session through June. All webinars are from 11am to 12:30pm.
Medicaid Compliance… Medicaid Compliance Plans … Medicaid Self Auditing…Medicaid Self-Disclosures… Medicaid Audits … Medicaid fraud, waste and abuse…Office of the Medicaid Inspector General … OMIG...
If these words and phrases are part of a typical day at your nonprofit, we have designed the perfect series of webinars for you. In four 90-minute sessions we will be covering:
- Medicaid Compliance 101 & the Office of the Medicaid Inspector General (OMIG)
- Knowing Thy (Compliant) Self: How to Conduct a Medicaid Self Audit
- Self-Disclosure is Not a Four Letter Word!: Protocols & Procedures of Medicaid Self Disclosure
- Preparing For, and Surviving, an OMIG Medicaid Audit
Participants will hear directly from experts in the field (including David Ross, former Acting Medicaid Inspector General for the State of New York, and David Rottkamp, CPA and leader of Grassi & Co.’s not-for-profit practice area) and get the practical information they need to provide appropriate oversight and management of Medicaid-funded programs, understand the role of the Office of the Medicaid Inspector General, and much more. See detailed session descriptions below:
- APRIL 9th, 2014
Medicaid Compliance 101 & the Office of the Medicaid Inspector General (OMIG)
Changes to the oversight of the Medicaid program led to the creation of the OMIG. Learn about the OMIG’s powers and duties, as well as its requirements for compliance plans and annual compliance certification for certain types of providers. Also learn about the importance of compliance and other compliance-related issues. Join our experts to hear about reducing Medicaid fraud, waste, and abuse before the Medicaid program is billed, and how to have systems that will identify when errors are made so that corrections can be initiated and made by providers. Provider misconduct, also known as “unacceptable practices,” will be illustrated along with the various sanctions available to the OMIG, including exclusion from the Medicaid program and enrollment termination. A question and answer period will be provided.
- May 15th, 2014 11:00am to 12:30pm
Knowing Thy (Compliant) Self: How to Conduct a Medicaid Self Audit
Part of any provider’s compliance program is their compliance plan, and the key part of any compliance plan is the concept of risk assessment and self auditing. This means identifying where errors are most likely to be made, and then reviewing your Medicaid claims and documentation for compliance with applicable requirements. Hypotheticals for risk assessment and self audit will be discussed. As participants will hear, self auditing can be the best preventative medicine. A question and answer period will be provided.
- June 5th, 2014 11:00am to 12:30pm
Self-Disclosure is Not a Four Letter Word! Protocols & Procedures of Medicaid Self Disclosure
Under Obamacare, providers are required to report, repay and explain all Medicaid overpayments received. Learn what “overpayments” are, the sixty day rule, and the federal False Claims Act, which imposes potentially severe civil liability on providers for failing to self report, repay and explain overpayments received. Learn how to handle routine overpayment situations and also when to seek advice on non-routine matters. A question and answer period will be provided.
- June 19th, 2014 11:00am to 12:30pm
Preparing for, and Surviving, an OMIG Medicaid Audit
This workshop will provide you with an overview of how an OMIG Medicaid audit is conducted and how the audit process works. Learn how to prepare for the audit, how to interact with the auditors when they arrive, and when to seek counsel. Potential defenses to audit findings will also be briefly covered. A question and answer period will be provided.
About our Speakers
David Ross, Esq. O’Connell & Aronowitz
David has been in private practice since 2007 and is a shareholder (partner) of the firm. His practice concentrates on Medicaid, Medicare and private insurance audits & investigations, Health Law including fraud and abuse, governmental investigations of all kinds, criminal defense, administrative hearings, Medicaid compliance issues, and Article 78 cases against the government. Prior to joining O’Connell and Aronowitz, David had a number of high ranking positions within New York State government. Former Governor George Pataki appointed him General Counsel of the Office of the Medicaid Inspector General (OMIG) when the OMIG was created in 2005 in response to widespread public concern about Medicaid fraud, waste and abuse. In addition to serving the OMIG as General Counsel, David was the Deputy Medicaid Inspector General for Audits and Investigations and directed a statewide staff of 364 auditors, investigators and private contractors. In that capacity, he oversaw all audits and investigations involving Medicaid providers. He also worked extensively with the Medicaid Fraud Control Unit of the Attorney General’s Office on many cases of criminal fraud. Under former Governors Pataki and Spitzer, David concluded his career in state government as the Acting Medicaid Inspector General. As the head of the OMIG, he was responsible for all statewide operations and 584 people in seven offices. David is a frequent speaker at various provider conferences throughout the state. From 2007 to 2008, he was a live, weekly on-the-air Legal Analyst for the Capital District radio talk show Talk1300 AM hosted by Paul Vandenburgh. He currently appears on Talk1300 on an occasional basis.
David M. Rottkamp, CPA, Partner
David has more than 26 years of experience providing audit and advisory services to the not-for-profit industry. David focuses on not-for-profit organizations serving individuals with special needs, religious organizations, educational institutions, social service providers, and the arts and culture world. Since beginning his career, David has advised some of the area’s most successful not-for-profit organizations in areas such as: financial reporting systems, compliance with the NYS Nonprofit Revitalization Act, implementation of the “new” IRS Form 990 guidelines, internal control reviews, developing financial forecasts, and providing quality board education and governance advice. David is an active member of the New York State Society of CPAs (NYSSCPA), where is the Chair of the Not-for-Profit committee. David has also chaired the statewide Not-for-Profit Conference for the NYSSCPA for the past four years. An authority in the industry, David has presented on a variety of not-for-profit topics to the Financial Managers Association (FMA), Interagency Council of Mental Retardation and Developmental Disabilities Agencies, Inc. (IAC), the New York State Society of CPAs Foundation for Accounting Education (FAE), and the New York Council of Nonprofits (NYCON) Camp Finance. David is also an adjunct professor at New York University (NYU) in Manhattan.To give back to the industry in which he serves, David is on the board of the National Multiple Sclerosis Society - Long Island Chapter, as immediate past chairman. Beyond his local work, David is a member of the National Board of Directors of the National Multiple Sclerosis Society and is chair of the National’s audit committee. He is also a member of the American Institute of Certified Public Accountants (AICPA) and graduated from Pace University, with a BBA in Accounting.
*As a reminder: NYCON is pleased to bring a full calendar of "Members Only Lunch & Learn Webinars" to you in 2014. You must be a staff or board member of a current NYCON Member Nonprofit to attend this webinar for free. If you have not renewed your membership you can do so by clicking here. If you are not sure of your membership status please email us at firstname.lastname@example.org. Thank you!
*If you would like to attend all four, please choose "Complete Series" ticket.. You will be automatically registered for each webinar through June.
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New York Council of Nonprofits, Inc. (NYCON)
Founded in 1927, NYCON is a 501(C)(3) membership-based, mission-driven, statewide association of diverse charitable nonprofit organizations. With over 3,000 members, we work to build the capacity of nonprofits and communities to enhance the quality of life through responsive, cost-effective service. Our mission-based activities are enhanced by three subsidiary corporations: Governance Matters, Inc., Innovative Charitable Initiatives, Inc., and Council Services Plus.