Revenue Cycle

Medicaid agency lays out eight elements for compliance

Health Care Auditing Strategies, June 1, 2009

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Since Medicaid programs are state-run, they vary across the country. However, New York has set a high standard, becoming the first state to create its own Medicaid work plan and recovering more than $250 million in damages and restitution related to cases of fraud and abuse in 2008.

New York’s First Deputy Medicaid Inspector General Robert Hussar offered pointers for compliance professionals to improve their fraud and abuse prevention programs during the 2009 Health Care Compliance Association’s (HCCA) 13th annual Compliance Institute April 26–29.

With the onslaught of state and federal auditors approaching Medicaid agencies, it is becoming increasingly difficult for compliance professionals to meet every standard, Hussar said.
“I’m pleased to say [we] fully appreciate and recognize the ongoing challenges compliance officers face,” he said.

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