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David R. Ross

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David is Partner focusing his practice on Medicaid, Medicare and private insurance audits & investigations, Health Law including fraud and abuse, governmental investigations of all kinds, criminal defense, administrative hearings, Federal and State False Claims whistleblower cases, Medicaid compliance plans, and Article 78 cases. He is the head of the Firm’s Government Investigations Unit and a member of the Healthcare Fraud and Abuse Unit.

David has had a number of high ranking positions within New York State government. Former Governor George Pataki appointed him General Counsel of the Office of the Medicaid Inspector General (OMIG) when the OMIG was created in 2005 in response to widespread public concern about Medicaid fraud, waste and abuse. The OMIG is an office within the New York State Department of Health designed to maximize the recovery of misspent Medicaid funds and is the central coordinating body for New York’s anti-Medicaid fraud, waste and abuse efforts. In addition to serving the OMIG as General Counsel, David was the Deputy Medicaid Inspector General for Audits and Investigations and directed a statewide staff of 364 auditors, investigators and private contractors. In that capacity, he oversaw all audits and investigations involving Medicaid providers.

He also worked extensively with the Medicaid Fraud Control Unit of the Attorney General’s Office on many cases of criminal fraud. Under former Governors Pataki and Spitzer, David concluded his career in state government as the Acting Medicaid Inspector General. As the head of the OMIG, he was responsible for all statewide operations and 584 people in seven offices.

Prior to his service at the OMIG, David held several positions at the New York State Office of Alcoholism and Substance Abuse Services (OASAS), including Acting General Counsel, Deputy Counsel, and Associate Counsel. Prior to joining OASAS, he had extensive experience in criminal law and procedure, having served as an Assistant Attorney General in the New York State Attorney General’s Environmental Protection Bureau. He handled both criminal and civil cases and investigations throughout the state in addition to numerous Article 78 proceedings. David has also served as a Senior Assistant District Attorney and as an Assistant Public Defender in various County, City, Town and Village Courts.

David is a frequent speaker at various provider conferences throughout the state. He was weekly on-the-air Legal Analyst for the Capital District radio talk show Talk1300 AM hosted by Paul Vandenburgh.

Education

  • Albany Law School of Union University
    JD
  • State University of New York at Albany
    BA

Presentations

  • Assisted Living Program Bootcamp: Basic Training (and Beyond)
    New York State Center For Assisted Living, Boot Camp | 2016
  • How to Prepare for, Respond to, and Survive an OMIG Audit
    Webinar, New York State Center For Assisted Living | 2009, 2010, 2011, 2012, 2013, 2016
  • Self-Disclosures in Health Care
    Webcast - New York State Bar Association | 2014
  • Medicaid Audits
    Camp Finance by New York Council on Nonprofits | 2012, 2013, 2014
  • Medicaid Self-Audits and Self-Disclosure
    Association of Community Living Agencies in Mental Health
    35th Annual Education Conference | 2014
  • OMIG Update
    Mid-Winter Education Conference
    New York State Health Facilities Association | 2009, 2010, 2011, 2012, 2013

Professional Associations

  • American Health Lawyers Association
  • New York State Bar Association
  • New York State Bar Association
    Health Law Section
  • Albany County Bar Association
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