Tag Archives: KNOW

Everything You Ever Wanted to Know About Medicaid Compliance…(But Were Afraid to Ask) [A Special Lunch & Learn Series]

Everything You Ever Wanted to Know About Medicaid Compliance…(But Were Afraid to Ask) [A Special Lunch & Learn Series]
Event on 2014-06-05 11:00:00

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 per session or 5 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:

  1. Medicaid Compliance 101 & the Office of the Medicaid Inspector General (OMIG)
  2. Knowing Thy (Compliant) Self: How to Conduct a Medicaid Self Audit
  3. Self-Disclosure is Not a Four Letter Word!: Protocols & Procedures of Medicaid Self Disclosure
  4. 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:

  1. 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.

  2. 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.

  3. 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.

  4. 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.
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*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 vvenezia@nycon.org. Thank you!

at *If you would like to attend all four, please choose “Complete Series” ticket.. You will be automatically registered for each webinar through June.
You will be emailed phone and web login 24-48 hours prior to the event.
New York, United States

Smartphones: The silent killer of the Web as you know it

VATICAN-POPE-RELIGION-CATHOLIC
The PC is dying, long live the PC! These headlines have been thrown around for years, as sales of laptops and desktops have continually dwindled downward. The tablet has long been pinned as the murderer of the traditional computers and it certainly looked like it was going to be the one to do away with them (perhaps in a few years), with the focus of many companies such as Apple and Microsoft shifting towards a tablet-first world. It’s obvious from the steadily declining shipments of traditional computers and companies exiting the PC market, that it’s not looking good for PCs, with tablets regularly…

This story continues at The Next Web


The Next Web

3 things you need to know about making a marketing video convert

Film reels
Daniel Glickman is CMO of PowToon, an animated videos & presentations platform. In this brilliant digital era, consumers are watching more videos now than ever – in fact by 2016, the number of people who watch online videos is expected to reach 1.5 billion. Standing out in the crowd is remarkably difficult and growing harder by the minute. Analyzing data of 2 million videos created in a well-known platform, here are 3 facts that you need to know about using Videos to generate conversions in your landing page. Fact #1: Landing pages with video are likely to convert You did your…

This story continues at The Next Web


The Next Web

Covered California: Todo lo que usted necesita saber / Covered California: all you need to know

Covered California: Todo lo que usted necesita saber / Covered California: all you need to know
Event on 2014-02-22 00:00:00
Covered California

¿Tiene usted preguntas sobre Obamacare? ¿Cómo le va afectar la nueva ley? ¿Realmente lo necesita? ¿Cuánto cuesta? Una representante de Covered California – el mercado para seguros de salud del estado de California – visitará nuestra biblioteca para contestar sus preguntas y ayudarle a navegar la ley para el mayor beneficio de su familia.

La presentación será la 1:30pm, pero la representante estará aquí desde las 12:00pm hasta las 4:00pm para contestar sus preguntas.

 

Do you have questions about Obamacare? How will the new law affect you? Do you really need health insurance? How much will it cost? A representative from Covered California will be here to answer your questions about the state's health insurance marketplace and help you choose what is best for your family.

The presentation will be at 1:30pm, but the representative will be here from 12:00noon to 4:00pm to answer your questions.

at Robert Louis Stevenson Branch Library
803 Spence Street
Los Angeles, United States

Covered California: Todo lo que usted necesita saber / Covered California: all you need to know

Covered California: Todo lo que usted necesita saber / Covered California: all you need to know
Event on 2014-02-08 00:00:00
Covered California

¿Tiene usted preguntas sobre Obamacare? ¿Cómo le va afectar la nueva ley? ¿Realmente lo necesita? ¿Cuánto cuesta? Una representante de Covered California – el mercado para seguros de salud del estado de California – visitará nuestra biblioteca para contestar sus preguntas y ayudarle a navegar la ley para el mayor beneficio de su familia.

La presentación será la 1:30pm, pero la representante estará aquí desde las 12:00pm hasta las 4:00pm para contestar sus preguntas.

 

Do you have questions about Obamacare? How will the new law affect you? Do you really need health insurance? How much will it cost? A representative from Covered California will be here to answer your questions about the state's health insurance marketplace and help you choose what is best for your family.

The presentation will be at 1:30pm, but the representative will be here from 12:00noon to 4:00pm to answer your questions.

at Robert Louis Stevenson Branch Library
803 Spence Street
Los Angeles, United States

Obamacare Dental Plans – All You Need to Know

obamacare dental insuranceOne of the lesser-known components of the Affordable Care Act is the availability of dental plans. In addition, dental care for children is one of the 10 mandatory essential health benefits as defined by the law, which means all medical plans must cover pediatric dentistry. Therefore, it is no longer necessary to include your children on an individual dental plan, saving you some money. However, if your children currently see a dentist and you want to keep that dentist, it might be necessary to choose a separate dental plan.

Obamacare dental benefits for children will be provided through the state’s Children’s Health Insurance Program (CHIP) or the MetLife High Option plan that is currently available under the Federal Employee Dental and Vision Insurance Program. This is true for all states except Utah, which will only be providing preventive dental care for children.

Obamacare Dental Benefits Not Mandatory for Consumers

According to federal agencies, the states only have to offer Obamacare dental benefits for children. They do not require parents to purchase them. However, the American Dental Association disagrees with the federal interpretation of the law; however, the federal agency will not require the benefits be purchased in the 36 states where it is operating the exchanges.

Individual states that have developed their own exchanges have the option of requiring dental coverage or not. While they are able to make coverage mandatory for all residents, most states are choosing not to exercise their power at this time. In addition, it doesn’t appear they will be requiring it any time soon, although things can change from year to year.

Impact of the Employer Mandate Delay on Dental Plans

Since approximately 1 million fewer employees are expected to sign up for employer-sponsored health insurance due to the one-year employer mandate delay for companies with 50 or more full-time employees, enrollment in dental plans is projected to decrease as well. According to the Congressional Budget Office, about 500,000 people will go without dental insurance for 2014 because of this delay. The other 500,000 people will likely get coverage through Medicaid or, with the help of federal subsidies, the health insurance exchanges.

Moreover, the decision not to expand Medicaid in 28 states will impact dental enrollment as well. While several states are looking at alternative low-income insurance options, and other states may expand Medicaid in the future, residents in the states that aren’t participating in the expansion will likely see a decrease in dental insurance applications.

Number of Kids and Adults that Will Get Dental Coverage under the ACA

With the inclusion of pediatric dental plans through the Affordable Care Act and the expansion of the Medicaid program in 23 states and the District of Columbia, 8.7 million children will have the ability to gain full dental benefits by 2018. About 3.2 million of those kids will get Obamacare dental coverage through Medicaid, 3 million will get benefits through private health insurance on exchange and 2.5 million will have dental care through their parents’ employer-sponsored plans.

Approximately 17.7 million adults will be able to gain at least minimal Obamacare dental insurance through the Affordable Care Act. Just 4.5 million adults will get full dental benefits through Medicaid, since not all states have chosen to expand the program. In addition, 800,000 adults are expected to purchase private dental insurance plans through the exchanges.

Certainly, the ACA is going to impact children more than adults in terms of dental care. The law is expected to reduce the number of kids without dental insurance by as much as 55 percent. Adults, however, are projected to see an increase in dental coverage of just five percent. In fact, if adults drop their employer-sponsored dental plans because their children no longer need it thanks to the ACA, the number of covered adults could actually decline, leading to an increase in the number of adults who have oral health problems.

More information on specific dental plans offered on different states is available here.

The post Obamacare Dental Plans – All You Need to Know appeared first on ObamaCare Insurance.

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