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Medicaid Compliance is Major Government Focus

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In his presentation, A New Era in Medicaid Fraud Enforcement and Governance Accountability, Mark Thomas, Esq., Partner, Wilson Elser Moskowitz Edelman & Dicker, LLP, and General Counsel, HANYS, discussed the activities of the Office of the Medicaid Inspector General (OMIG) and how it is coordinating investigations with other state and federal agencies. Mr. Thomas said OMIG is the only state agency that is on a growth trajectory, with aggressive goals for finding Medicaid errors and returning money to the state. Mr. Thomas discussed the audit process OMIG uses, its data sources, and the importance of its guidance for hospitals, the final version of which has not yet been released. Mr. Thomas emphasized that facilities need to have an organization-wide compliance plan, supported by the leadership and governing board, and ingrained in the daily activities of all staff. “The compliance officer should not be the most unpopular person on staff,” he explained, noting that facilities should develop strategies to minimize mistakes by analyzing every transaction and step in care delivery and indentifying places where errors can occur. – Chris Pellnat

Published June 30, 2008