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Thursday, August 10, 2017 11:00 am

Protocols & Procedures of Medicaid Self Disclosure [Webinar]

Everything You Ever Wanted to Know About Medicaid Compliance…(But Were Afraid to Ask) An updated, special four-part NYCON “Lunch & Learn” Webinar Series.

FREE for NYCON Members. Non-Members $89 per session or $299 for all four. NOTE: If you would like to attend all four, please choose "Series Ticket" type. You will be automatically registered for each session through August.


Medicaid Compliance… Compliance Plans … Self Auditing…Self-Disclosures… 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 practitioners in the field (including David Ross, Esq., 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:


  1. July 12th, 2017   11:00am to 12:30pm
    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 presenters 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.

  2. August 3rd, 2017   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.

  3. August 10th, 2017   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.

  4. August 17th, 2017   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.

*As a reminder: NYCON is pleased to bring a full calendar of "Members Only Lunch & Learn Webinars" to you in 2017. 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 vross@nycon.org. Thank you!

Eventbrite - Medicaid Corporate Compliance…Everything You Wanted to Know (But Were Afraid to Ask) <I>[Webinar Series] </I>

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NYCON develops and promotes an effective and vibrant charitable nonprofit community throughout New York State.  We strengthen organizational capacity, act as an advocate and unifying voice, help to inform philanthropic giving, and conduct research and planning to demonstrate relevance and impact.