Joseph Guy Email & Phone Number

Fuller Station Road, Altamont, Ny

Retired

Albany, New York Area

Technical Advisor, CMS Audit Medicaid Integrity Audit ContractCMS Task Order #4

Assist Project Director and Health Integrity Group staff in the development and revision Medicaid Integrity Contract audits in New England States, New York and New Jersey. Participation in audit planning discussions with states' Medicaid Program Integrity staffs. Development of new audit targeting criteria.

Program Director, Centers for Medicare and Medicaid Services (CMS) Medicaid integrity Audit Contract. Oversight of federal audits of Medicaid Providers in New England, New York and New Jersey.

Oversight of prepayment medical review for New York State Medicaid Program. Development and implementation of enhanced pre-payment claims editing. Expert testimony on New York State Medicaid policy for Attorney General's Medicaid Fraud Control Unit (MFCU) and United State's Attorney's Office.