Jan 12, 2024 | Client Alerts
We would like to remind New York healthcare providers about a significant regulatory aspect that impacts the way private insurers handle medical necessity disputes in New York. This is particularly relevant for those engaged in dealing with insurance audits or...
Dec 20, 2023 | Client Alerts
Recently, home infusion pharmacies have faced formidable challenges stemming from underpayment, untimely payment, and non-payment by major medical plans for infusion therapies. This pervasive issue affects both in-network and out-of-network providers across the...
Dec 8, 2023 | Client Alerts
MEDICAID/OMIG Compliance Policies and Reviews Are More Critical Then Ever Beginning July 2023, and very actively since then, NY Medicaid, through OMIG, has been conducting compliance program reviews to determine if required providers had adopted, implemented, and...
Nov 8, 2023 | Client Alerts
In the recent weeks, the New York State Office of the Medicaid Inspector General (OMIG) has conducted numerous unannounced on-site pharmacy visits as part of their new investigative initiative. At the time of the on-site audit, a letter referring to a Credential...
Nov 1, 2023 | Client Alerts
In February 2023, New York State proposed Senate Bill S4007, which aims to introduce regulatory oversight of certain healthcare transactions involving private equity firms. The proposed law would apply to various healthcare entities, including physician...
