Beware of The Comptroller's Audit Request

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In a move that can cost a medical practice hundreds of thousands of dollars, the New York State Comptroller’s Office (working with United Healthcare which administers the Empire Plan) has declared open war on practices providing out-of-network care to State employees covered by Empire. The Comptroller has dispatched its auditors across the State armed with audit letters to recoup what the Comptroller has characterized as “overpayments” resulting from the “routine waiver” of patient out-of-pocket costs.

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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