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BobTengeler

Of Counsel

"I'm proud to guide providers of medical care, services, and supplies through the complex and ever-changing laws, regulations, and administrative directives that govern their activities."

Overview

Biography

The former assistant Medicaid Inspector General for the NYS Department of Health, Bob primarily concentrates his practice on counseling health care clients in matters involving audits, business transactional issues, fraud investigations, Medicaid criminal activity, licensure, reimbursement, policy guidance, and the defense of state and federal litigation.

In his role as assistant Medicaid Inspector General, Bob supervised a staff of over 200 auditors, investigators, and attorneys responsible for Medicaid provider program-integrity control. During his tenure, he drafted and negotiated numerous regulations and proposed legislation. Additionally, he was the liaison with the State Medicaid Fraud Control Unit and with various federal fraud control entities. Working with the NYS Attorney General’s Office, Bob successfully defending numerous lawsuits involving Medicaid initiatives, some of which were heard in the US Court of Appeals, second circuit.

In counseling clients, Bob draws on his experience with federal agencies’ implementation of fraud-control initiatives, systems procedures for E-MEDNY, the Medicaid billing and data operating system, as well as New York’s legislative, regulatory, and budget processes.

Bar Associations

  • New York State Bar Association, Health Law Section

Selected Memberships & Affiliations

  • Town of Colonie Industrial Development Agency, Former Member
Experience

Representative Experience

  • Represented Rite Aid and other Medicaid providers in numerous Medicaid audits, resulting in favorable settlements and/or administrative outcomes to the client.
  • Worked on a team that successfully represented independent pharmacies in challenging New York State’s mandatory mail prescription-ordering for Medicaid recipients.
  • Represented numerous clients in successfully challenging state denials of applications to become Medicaid providers.
  • Working with the Medical Society of the State of New York, successfully obtained Medicaid reinstatement for physicians previously terminated from the Medicaid program due to professional licensure issues.
  • Provided compliance guidance to numerous providers of medical practices, including providers or transportation, physician, pharmacy, personal care, substance-use disorder, and hospital services as well as school-based Medicaid service providers.
  • While serving as assistant Medicaid Inspector General, provided testimony to the NYS Legislature regarding Medicaid fraud control and program-integrity initiatives.

Prior Experience

  • NYS Department of Health, Assistant Medicaid Inspector General
  • NYS Department of Social Services, Director of Bureau of Program Integrity
  • NYS Department of Social Services, Deputy Counsel, Medicaid Fraud Control
  • NYS Department of Social Services, Assistant Counsel, Bureau of Administrative Hearings

Selected Community Activities

  • Westland Hills Little League, Former Officer
Knowledge

Selected Speaking Engagements

  • New York State Medicaid Fraud Control Unit, “Medicaid Provider Action”
  • “Responding to Audits, Investigations, Subpoenas and Warrants in New York”
  • Regularly provides presentations to health care professional associations, including the Pharmacists Society of the State of New York (PSSNY), the Alcoholism and Substance Abuse Providers of New York State (ASAPNYS), and school districts regarding the provision of Medicaid services to children (SSHSP).

Selected Publications & Media

  • New York State Bar Association Health Law Journal, “Withhold Now and Ask Questions Later: Withholds and Recoveries of Medicaid Overpayments by OMIG”

Selected Alerts & Blog Posts

Featured Media

Alerts

HUD's Final Rule on FHA-Insured Condos

Alerts

The SHIELD Act: A Primer for Health and Human Services Providers

Alerts

DOH Implements New Notification Protocols for Cybersecurity Incidents

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