OMIG Rescinds Medicaid Crossover Audit

Today, NYSPA received a letter from the NYS Office of the Medicaid Inspector General rescinding demand letters for repayment of claimed Medicaid overpayments for services provided to individuals who were covered by both Medicare and Medicaid.

These demands resulted from an audit conducted by the NYS Comptroller's Office. NYSPA had objected that the overpayment calculations were entirely erroneous due to the failure to properly calculate Medicaid's responsibility. A copy of the letter can be downloaded by clicking here. Psychiatrists who received these demand letters should make no further payment and, if they already made a repayment, should contact us immediately.