Background and Experience

Bob Hussar has more than 20 years of experience providing public and private clients with strategic advice and guidance on Medicare, Medicaid, and other payer regulatory, compliance, licensure and reimbursement issues. He is widely recognized for his broad and diverse experience on behalf of providers, payers, boards of directors, and other health care industry stakeholders with regard 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, and settlement negotiations.

Bob previously served as First Deputy of the New York State Office of the Medicaid Inspector General (OMIG), where he provided strategic planning and leadership related to program integrity for New York's $50 billion Medicaid program. He was directly responsible for the implementation of mandatory provider compliance plans and corporate integrity agreements and chaired provider advisory committees focused on compliance guidance, self-disclosures, and OMIG's audit processes.

Prior to joining the OMIG, Bob served as Chief Compliance Officer for a comprehensive healthcare system comprised of over 15 affiliates and 4,000 employees.

Bob co-authored two chapters of CCH's Health Care Compliance Professional's Manual. He earned his law degree from Western New England College School of Law and his M.S. in Health Systems Management from Union College.

Representative Experience

• Served as interim Chief Compliance and Privacy Officer for a variety of healthcare organizations ranging from a large academic medical center to a small health and human services organization.
• Represented multiple providers in OMIG Compliance Effectiveness Reviews.
• Counsels DSRIP Performing Provider Systems (PPS), ACOs and FIDA Plans on Program Integrity obligations and strategies.
• Represented providers at administrative hearings related to OMIG audits and OPWDD patient discharge issues.
• Advised a specialty lab related to CIA readiness.
• Provided training to association members on conducting effective abuse and neglect investigations.
• Provided education to employees on their rights and responsibilities related to OPWDD and Justice Center investigations.
• Drafted legislation to limit/clarify the authority of the NYS Justice Center.
• Represented numerous payers/providers at OMIG meetings related to the formation of audit and investigation protocols.
• Negotiated terms of self-disclosures, repayment agreements and audit stipulations with OMIG.
• Conducted Compliance Effectiveness Reviews for hospitals, managed care plans, homecare providers, transportation companies and health and human services organizations.
• Guided a homecare agency through a HIPAA Privacy Breach Disclosure related to an incident involving more than 500 individuals.
• Currently serves as a facilitator for a hospital association’s compliance work group.
• Co-chair of the NYS DOH Value Based Payment (VBP) Program Integrity work group.