David Ross

About David Ross

David is Partner and concentrates his practice on Medicaid, Medicare and private insurance audits & investigations, Health Law including fraud and abuse, governmental investigations of all kinds, Medicaid compliance plans and Article 78 cases. He is head of our Government Investigations practice and also works in Healthcare Fraud & Abuse.

Medicaid Compliance Plans and the OMIG

As you may be aware, the New York State Office of the Medicaid Inspector General (or “OMIG”) has established that certain Medicaid providers (all Public Health Law Article 28 and 36 facilities, and all Mental Hygiene Law Article 16 and 31 facilities) have Medicaid Compliance Plans.  Also covered are providers that derive a “substantial portion […]

Analysis on GAO Report: $102 Million Spent on Auditing Fees to Identify Less Than $20 Million in Overpayments

The Federal Government Accountability Office (GAO) has determined that a program to fight fraud in the Medicaid health system for the poor has cost the federal taxpayers at least $102 million in auditing fees since 2008 while finding less than $20 million in overpayments. The Medicaid Integrity Group (MIG), established by CMS as part of […]

United States HHS OIG Reviewing Self Disclosure Protocol for Federal Health Care Programs

The federal government’s Office of the Inspector General (“OIG”), part of the United States Department of Health and Human Services, is considering revising its self-disclosure protocol to provide additional guidance to federal health care program providers.  The OIG is soliciting comments from all sources on the process by which health care providers can report overpayments […]

Tax Dollars at Work: Federal Government Spent $102 million in Auditing Fees to Identify Less Than $20 Million in Medicaid Overpayments

The Government Accountability Office (“GAO”) has released a report following its review of the National Medicaid Audit Program.  The GAO has determined that this program, designed to fight Medicaid fraud, has cost the United States at least $102 million in auditing fees since 2008 while identifying less than $20 million in overpayments.  Analysis of the GAO’s findings […]

OMIG 2012-2013 Work Plan: A Brief Overview

“Fighting Fraud.  Improving Integrity and Quality.  Saving Taxpayer Dollars.” This phrase appears on each page of the newly released New York State Office of the Medicaid Inspector General (OMIG) State Fiscal Year 2012-2013 Work Plan. On the Executive Summary page, the OMIG’s stated mission is to “enhance the integrity of the New York State Medicaid […]

OMIG Reform Legislation Passes New York Senate, Assembly; Awaits Governor’s Signature

Yesterday, June 23, 2011, the New York State Assembly passed A.5686A, a bill which could significantly impact the powers of the Office of the Medicaid Inspector General (OMIG).  The bill previously passed the New York State Senate on June 20, 2011 (S.3184A), and it now awaits only Governor Cuomo’s signature before it becomes law. This groundbreaking piece […]

O&A Attorneys Present at NYCQAL Annual Conference

On March 14, 2011, five attorneys of the O’Connell and Aronowitz law firm presented at the annual conference of the New York Coalition for Quality Assisted Living, Inc. (NYCQAL) held in Atlantic City. Formed in December 2005, NYCQAL is a not-for-profit corporation organized to advocate for the continued viability of adult care, assisted living and other […]