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Faced 5+ Years in Prison

People Vs Joseph Amico

Covered by NYDaily News. Las Vegas man accused of threatening a prominent attorney and making vile remarks.

Faced 10+ Years in Prison

People Vs. Anna Sorokin

Covered by New York Times, and other outlets. Fake heiress accused of conning the city’s wealthy, and has an HBO special being made about her.

Faced 3+ Years in Prison

People Vs. Genevieve Sabourin

Accused of stalking Alec Baldwin. The case garnered nationwide attention, with USAToday, NYPost, and other media outlets following it closely.

Faced Potential Charges

Ghislaine Maxwell Juror

Juror who prompted calls for new Ghislaine Maxwell trial turns to lawyer who defended Anna Sorokin.

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Meet Todd Spodek


The Spodek Law Group understands how delicate high-profile cases can be, and has a strong track record of getting positive outcomes. Our lawyers service a clientele that is nationwide. With offices in both LA and NYC, and cases all across the country - Spodek Law Group is a top tier law firm.

Todd Spodek is a second generation attorney with immense experience. He has many years of experience handling 100’s of tough and hard to win trials. He’s been featured on major news outlets, such as New York Post, Newsweek, Fox 5 New York, South China Morning Post, Insider.com, and many others.

In 2022, Netflix released a series about one of Todd’s clients: Anna Delvey/Anna Sorokin.

Why Clients Choose Spodek Law Group

The reason is simple: clients want white glove service, and lawyers who can win. Every single client who works with the Spodek Law Group is aware that the attorney they hire could drastically change the outcome of their case. Hiring the Spodek Law Group means you’re taking your future seriously. Our lawyers handle cases nationwide, ranging from NYC to LA. Our philosophy is fair and simple: our nyc criminal lawyers only take on clients who we know will benefit from our services.

We’re selective about the clients we work with, and only take on cases we know align with our experience – and where we can make a difference. This is different from other law firms who are not invested in your success nor care about your outcome.

If you have a legal issue, call us for a consultation.
We are available 24/7, to help you with any – and all, challenges you face.

New York OMIG Lawyer

By Spodek Law Group | July 27, 2023
(Last Updated On: October 13, 2023)

Last Updated on: 13th October 2023, 01:54 pm

OMIG was actually established in New York Public Health Law, specifically Title 3 of Article 1. So they are enabled by state law to carry out their duties related to Medicaid oversight.

Some of OMIG’s main responsibilities include:

  • Investigating fraud, abuse, and illegal acts involving Medicaid
  • Recovering overpayments
  • Imposing penalties
  • Making referrals for criminal prosecutions

Common OMIG Investigations

OMIG conducts routine audits and inspections of Medicaid providers across New York. Some of the common issues they investigate include:

  • Billing for services not provided
  • Billing for unnecessary services
  • Billing for services provided by unlicensed staff
  • Billing at a higher reimbursement rate
  • Duplicate billing

If OMIG identifies potential fraud or abuse, they have the authority to recoup Medicaid funds through various methods, like payment suspensions, pre-payment reviews, and more.


Sometimes providers or facilities will uncover billing issues or overpayments themselves. In these cases, they may want to self-disclose to OMIG before an audit or investigation begins.

Self-disclosures can show OMIG that the provider is being proactive. OMIG recently updated the self-disclosure process, giving providers two options:

  1. Self-disclosure portal – Providers submit overpayment info through an online portal.
  2. Self-disclosure letter – Providers send a letter detailing the overpayment to OMIG.

Experienced OMIG lawyers can help providers through this process, including calculating the overpayment amount accurately.

Mandatory Compliance Programs

Certain Medicaid providers in New York are actually required to have compliance programs in place under state law and regulations. These help prevent, detect, and correct fraud, waste, and abuse.

OMIG recently overhauled the rules related to mandatory compliance programs. Some key changes include:

  • More providers are now required to have a program.
  • Programs must meet certain core elements.
  • Providers have to designate a compliance officer.
  • Compliance training is required for staff, executives, and boards.

An experienced OMIG attorney can help providers implement and maintain an effective compliance program that meets all of OMIG’s requirements.

Appeals and Hearings

If OMIG takes an enforcement action, like imposing penalties or suspending payments, the provider has the right to appeal. There is an established appeals process that involves administrative hearings.

Some key things to know:

  • There are deadlines for filing appeals that must be met.
  • Hearings allow providers to present evidence and examine OMIG’s findings.
  • After the hearing, an administrative law judge issues a recommendation.
  • Providers can go to court after exhausting the administrative process.

Having an experienced OMIG attorney represent you during the appeals process is extremely valuable, as they understand the procedures and can build the strongest case.

Criminal Prosecutions

In some serious fraud cases, OMIG may refer the matter to prosecutors for potential criminal charges. This can lead to felony Medicaid fraud charges.

If facing criminal prosecution, having an OMIG lawyer who also does criminal defense work is key. They can advocate during the investigation stage to avoid charges and negotiate with prosecutors. If charges are filed, they can defend at trial or negotiate a favorable plea deal.

Tips for Providers

Here are some quick tips for healthcare providers and facilities in New York when it comes to OMIG:

  • Have a strong compliance program in place.
  • Conduct regular audits to identify any overpayments quickly.
  • Cooperate fully during any OMIG audit or investigation.
  • Consider self-disclosure if you discover a problem.
  • Consult an experienced OMIG attorney at the first sign of an investigation.

Finding the Right OMIG Lawyer

Don’t hesitate to ask candidates about their specific OMIG experience! This is a niche area, so you want someone who knows the ins and outs.

I hope this overview gives you a good sense of what an OMIG investigation involves and why working with an experienced OMIG lawyer is so important. Let me know if you have any other questions!


[1] Laws and Regulations | Office of the Medicaid Inspector General – New York State [2] New York OMIG Lawyer – Federal Criminal Lawyers [3] Healthcare Law Alert: OMIG Finalizes Regulations Overhauling Mandatory Compliance Program Requirements – Hancock Estabrook [4] New York Medicaid Providers Now Have Two Pathways to Self-Disclose Overpayments to the Office of the Medicaid Inspector General | Healthcare Law Blog [5] Matter of Cameron Transp. Corp. v New York State Dept. of Health & Off. of Medicaid Inspector Gen. – Justia Law [6] OMIG 2012-2013 Work Plan: A Brief Overview – OA Law

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