Every practice owner keenly understands the significance of audits. For those who accept Medicaid, it’s important to ensure your staff is well-prepared for their next OMIG audit when it inevitably arrives.
The best way to do this is by ensuring everyone is familiar with up-to-date OMIG audit protocols. These protocols are consistently changing, so staying ahead of the newest updates is how your staff can stay compliant with current regulatory requirements.
Updated Audit Protocol Revisions
The New York State Office of the Medicaid Inspector General (OMIG) has recently posted revised versions of several audit protocols on its website. These updates could impact your practice, particularly if you provide services within the affected areas.
OMIG Updated Audit Protocol
OASAS Substance Use Disorder Outpatient Programs
Revised: September 25, 2024
This protocol provides guidance on the audit process for outpatient programs serving individuals with substance use disorders under the Office of Addiction Services and Supports (OASAS). Any updates to billing, documentation, and service requirements should be reviewed to avoid audit findings.
OASAS Opioid Treatment Programs
Revised: September 25, 2024
Similar to the outpatient substance use disorder programs, this audit protocol focuses on services provided by opioid treatment programs (OTPs). Providers should familiarize themselves with any modifications related to billing practices, patient records, and eligibility requirements for these services.
Private Duty Nursing
Revised: October 29, 2024
If your practice provides private duty nursing services, it is crucial to review the updated audit guidelines. These changes pertain to the proper documentation, billing codes, and compliance checks that will be in focus during audits.
Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Revised: November 15, 2024
For providers involved in the provision of durable medical equipment, prosthetics, orthotics, and related supplies, the updated audit protocol outlines new expectations for billing practices, documentation requirements, and service delivery standards.
Review the Updated Protocols
Access the updated audit protocols directly from the OMIG website for the latest guidance on each program. Make sure to review the revised protocols that apply to your practice area.
Practicefirst: Professional Auditing Services
There are many advantages to assigning a third-party company to conduct audits for your healthcare organization.
Our team of experienced auditing professionals can thoroughly assess your organization, detecting compliance risks, coding inefficiencies, and improper documentation without the risk of costly legal fees. We’ll provide the insight your practice needs to optimize its revenue streams and operate more efficiently.
Schedule a consultation today, or contact us to learn more.
