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BobHussar

Partner

"I‘m honored and humbled to advise and represent provider entities and their staff who make a meaningful difference to their patients and clients every day."

Overview

Biography

The former first deputy for the NYS Office of the Medicaid Inspector General, Bob has over 20 years of experience providing public and private clients with strategic advice and guidance on Medicare, Medicaid, and other payor regulatory, compliance, licensure, and reimbursement issues.

Bob is widely recognized for his extensive experience counseling providers, payors, boards of directors, and other health care industry stakeholders with regards to the development and implementation of compliance programs, the performance of compliance due-diligence and effectiveness reviews, the provision of interim compliance services, internal investigations, and the full range of regulatory matters, including self-disclosures, audit defense, settlement negotiations, and Justice Center matters.

Bar Associations

  • New York State Bar Association Health Law Section, Chair
  • New York State Bar Association Reimbursement, Enforcement and Compliance Committee, Former Chair

Selected Memberships & Affiliations

  • Health Lawyers Association
  • Health Care Compliance Association, Former Board Member
  • Health Care Compliance Association, Chair, New York Regional Annual Meeting
  • NYS Department of Health Value-Based Payment Program Integrity Work Group, Co-Chair
Experience

Representative Experience

  • Defended various types of providers against Medicaid, Medicare, and commercial-plan billing audits.
  • Advised providers and negotiated terms of Medicaid and Medicare self-disclosures and repayment agreements.
  • Conducts compliance-effectiveness reviews for hospitals, managed-care plans, home-care providers, transportation companies, and health care and human services organizations.
  • Served as interim chief compliance and privacy officer for a variety of health care organizations, ranging from a large academic medical center to a small health care and human services organization.
  • Represented numerous employees and provider agencies related to OPWDD and NYS Justice Center investigations and appeals.
  • Represented OPWDD providers at administrative hearings related to patient-discharge issues.
  • Represented physicians and pharmacists before Office of Professional Medical Conduct (OPMC) and NYS State Education Department (SED) investigations.
  • Represented multiple providers related to OMIG compliance-effectiveness reviews.
  • Provided training to association members on conducting effective abuse and neglect investigations.
  • Drafted legislation to limit and clarify the authority of the NYS Justice Center.
  • Advised a specialty lab related to OIG Corporate Integrity Agreement (CIA) readiness.
  • Guided a home-care agency through a HIPAA privacy-breach disclosure related to an incident involving more than 500 individuals.
  • Counsels DSRIP Performing Provider Systems (PPS), ACOs, and FIDA plans on program-integrity obligations and strategies.
  • Serves as a facilitator for a hospital association’s compliance work group.
  • Represented numerous payors and providers at OMIG meetings related to the formation of audit and investigation protocols.
  • Served as counsel to a home health care agency and provided representation in multiple audits by the Office of Medicaid Inspector General (OMIG), resulting in significant reductions in overpayment amounts. Also negotiated settlement agreements with OMIG, resulting in agreements for even lower overpayment amounts.

Prior Experience

  • Manatt, Phelps & Phelps, LLP, Counsel
  • Deloitte, Senior Manager
  • NYS Office of the Medicaid Inspector General, First Deputy
  • Northeast Health, Compliance Officer
  • NYS Governor’s Office of Regulatory Reform, Assistant Counsel

Selected Community Activities

  • Bethlehem Youth Hockey, Volunteer Coach
  • Bethlehem Youth Soccer, Volunteer Coach
  • Tri-Village Little League, Volunteer Coach
  • First United Methodist Church and RPM Youth Group, Sunday School Teacher and Youth Service Trip Chaperone

Featured Media

Alerts

NYS Courts to Implement Early Mandatory Mediation

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Takeaways From the USDA Interim Final Rule on Domestic Hemp Production

Alerts

The SHIELD Act: Update

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