office of the york medicaid inspector state general andrew

YORK STATE Office of the Medicaid Inspector General ANDREW M. CUOMO ERIN E. IVES Governor Acting Medicaid Inspector Genera' December 22, 2020 Dr. Dilip Shikharchand Doctor 98120 Queens Boulevard Rego Park, New York 11374 Re: Audit Summation Audit #: 20-4017 Provider #: 00230048 NP1 #: 1134291420 Dear Dr. Doctor: The New York State Department of Health (DOH) is the single state agency responsible for the administration of the Medicaid program. As part of its responsibility as an independent entity within DOH, the Office of the Medicaid Inspector General (OMIG) conducts audits and reviews of various providers of Medicaid reimbursable services, equipment, and supplies. These audits and reviews are directed at assessing provider compliance with applicable laws, regulations, rules, and policies of the Medicaid program as set forth in New York Public Health Law, New York Social Services Law, the regulations of DOH (Titles 10 and 18 of the New York Codes Rules and Regulations), the regulations of the Department of Mental Hygiene (Title 14 of the New York Codes Rules and Regulations), DOH's Medicaid Provider Manuals and Medicaid Update publications. An audit of Dr. Doctor's (Provider) payment for the NYS Medicaid Electronic Health Record (EHR) Incentive Program was completed. The objective of this audit was to ensure the Provider's compliance with applicable Federal and State laws, regulations, rules, and policies governing the New York State Medicaid EHR Incentive Program, including verification of program eligibility and the meaningful use (MU) of a certified EHR system during the calendar year ending December 31, 2017. Our audit revealed that, for the period and scope reviewed, the Provider generally adhered to applicable Medicaid billing rules and regulations. Please be advised that pursuant to 18 NYCRR Section 517.3(h) OMIG hereby concludes its review related to the above-referenced audit objective and scope. OMIG has determined that no further action is warranted. OMIG reserves the right to conduct further reviews of your participation in the Medicaid program, take action where appropriate, and recover any associated overpayments. If you have any questions regarding the above, please contact or through email at Bureau of Managed Care Audit & Program Reviews Division of Medicaid Audit Office of the Medicaid Inspector General 800 North Pearl Street, Albany, New York 12204 I ( omlg.ny.gov

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Page 1: Office of the YORK Medicaid Inspector STATE General ANDREW

YORKSTATE

Office of theMedicaid InspectorGeneral

ANDREW M. CUOMO ERIN E. IVESGovernor Acting Medicaid Inspector Genera'

December 22, 2020Dr. Dilip Shikharchand Doctor98120 Queens BoulevardRego Park, New York 11374

Re: Audit SummationAudit #: 20-4017Provider #: 00230048NP1 #: 1134291420

Dear Dr. Doctor:

The New York State Department of Health (DOH) is the single state agency responsible for theadministration of the Medicaid program. As part of its responsibility as an independent entity withinDOH, the Office of the Medicaid Inspector General (OMIG) conducts audits and reviews of variousproviders of Medicaid reimbursable services, equipment, and supplies. These audits and reviews aredirected at assessing provider compliance with applicable laws, regulations, rules, and policies of theMedicaid program as set forth in New York Public Health Law, New York Social Services Law, theregulations of DOH (Titles 10 and 18 of the New York Codes Rules and Regulations), the regulationsof the Department of Mental Hygiene (Title 14 of the New York Codes Rules and Regulations), DOH'sMedicaid Provider Manuals and Medicaid Update publications.

An audit of Dr. Doctor's (Provider) payment for the NYS Medicaid Electronic Health Record (EHR)Incentive Program was completed. The objective of this audit was to ensure the Provider's compliancewith applicable Federal and State laws, regulations, rules, and policies governing the New York StateMedicaid EHR Incentive Program, including verification of program eligibility and the meaningful use(MU) of a certified EHR system during the calendar year ending December 31, 2017. Our audit revealedthat, for the period and scope reviewed, the Provider generally adhered to applicable Medicaid billingrules and regulations.

Please be advised that pursuant to 18 NYCRR Section 517.3(h) OMIG hereby concludes its reviewrelated to the above-referenced audit objective and scope. OMIG has determined that no further actionis warranted. OMIG reserves the right to conduct further reviews of your participation in the Medicaidprogram, take action where appropriate, and recover any associated overpayments.

If you have any questions regarding the above, please contact orthrough email at

Bureau of Managed Care Audit & Program ReviewsDivision of Medicaid AuditOffice of the Medicaid Inspector General

800 North Pearl Street, Albany, New York 12204 I ( omlg.ny.gov

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