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Errors in Identification of 340B Providers in the Medicaid Drug Rebate Program (Follow-Up)
… Purpose To determine the implementation status of the four recommendations made in our initial audit report, Errors in Identification of 340B … Providers in the Medicaid Drug Rebate Program (Report 2016-S-6 ). Background We issued our initial audit report on June …
https://www.osc.ny.gov/state-agencies/audits/2018/10/23/errors-identification-340b-providers-medicaid-drug-rebate-program-followProblem Claims – Improving the Effectiveness of Your Claims Auditing Process
… If the answer to any question posed in the earlier section (Claims Auditing) is no, then some type of action should be taken in most cases. Obviously, this will depend on the specific … purchase orders or receiving slips) is missing, the claim should be held until the supporting documentation is …
https://www.osc.ny.gov/local-government/publications/claims-auditing-process/problem-claimsUpdate Vendor Information and Access
… to do so online 24/7 through the Vendor Self-Service Portal or manually by mailing in forms AC-3326-S or … or Update Locations We added a new feature in the Vendor Portal in SFS to make it easier for you to specify how you … your vendor locations through the Vendor Self-Service Portal, which is a portion of your vendor record that …
https://www.osc.ny.gov/state-vendors/portal/update-vendor-information-and-accessOneida-Herkimer-Madison BOCES – Claim Payments (2015M-350)
… of Audit The purpose of our audit was to review the BOCES’ claim payments for the period July 1, 2014 through August 31, … the claims for payment. … OneidaHerkimerMadison BOCES Claim Payments 2015M350 …
https://www.osc.ny.gov/local-government/audits/boces/2016/03/11/oneida-herkimer-madison-boces-claim-payments-2015m-350XII.6.F Paying Deceased Legislator Benefits – XII. Expenditures
Legislation provides that when a New York State Senator or Member of Assembly dies in Office New York State will provide the beneficiary with a benefit equal to the remainder of the legislators annual salary
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii6f-paying-deceased-legislator-benefitsMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Medicaid Overpayments for … Program. Many Medicaid recipients are also enrolled in Medicare Part B (Part B), which provides supplemental … appropriate; formally advise providers to report accurate claim information when billing Medicaid for Part B …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followRepaying Your NYSLRS Loan after Retirement
… — Member page for information about taking a NYSLRS loan. How Much Do I Need to pay? If you retired with an outstanding … repaying your outstanding loan balance. In order to pay back your loans, you must pay the full balance of the loan … loan balance. If you don’t have the letter, you can contact us to find out how much you would have to repay …
https://www.osc.ny.gov/retirement/retirees/repaying-your-nyslrs-loan-after-retirementDiNapoli Halts $24 Million in Suspicious Tax Refunds
… 625 1,709,045 Taxpayer failed to claim correct income 467 1,216,845 Taxpayer had questionable itemized deductions …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-halts-24-million-suspicious-tax-refundsCitywide Payment Services and Standards – Controls Over Payments
… Objectives To determine whether the New York City Department of Finance … Services and Standards (CPSS) unit has controls in place to ensure that payments received by and processed on behalf … inconsistencies, including a difference of $118.6 million where the Business Dashboard (Dashboard) (an Excel …
https://www.osc.ny.gov/state-agencies/audits/2024/08/01/citywide-payment-services-and-standards-controls-over-paymentsDiNapoli: State Missed Out on Over $180 Million in Medicaid Drug Rebates
… The state Department of Health can do more to control costs and save taxpayers money by making sure it gets the drug rebates that it is entitled to under federal regulations, according to an audit by State Comptroller Thomas P. DiNapoli. …
https://www.osc.ny.gov/press/releases/2023/04/dinapoli-state-missed-out-over-180-million-medicaid-drug-rebatesDiNapoli: Thruway Authority Owed More Than $275 Million in Unpaid Tolls and Fees
… "This audit has identified ways in which the Thruway can improve its collection of tolls and fees,” DiNapoli said. … from tolls and related fees. Nearly half (43%) of the unpaid tolls and related fees, $119.3 million, is owed by … their E-ZPass account has a negative balance for over 30 days. If no payment is made in the next 30 days, the account …
https://www.osc.ny.gov/press/releases/2023/05/dinapoli-thruway-authority-owed-more-275-million-unpaid-tolls-and-feesImproper Payments for Brand Name Drugs (Follow-Up)
… generic drugs. DOH uses two methods to pay for Medicaid pharmacy services: fee-for-service (FFS) and managed care. Under the FFS method, Medicaid-enrolled pharmacy providers submit claims through DOH’s claims …
https://www.osc.ny.gov/state-agencies/audits/2024/07/03/improper-payments-brand-name-drugs-followOpinion 2003-4
… Comptroller at the time it was rendered. The opinion may no longer represent those views if, among other things, there … payment of a claim arising from a purchase order issued by one fire commissioner for the purchase of "Holiday … the amounts allowed". Generally, under section 176(4-a), no claim may be audited or ordered paid unless an itemized …
https://www.osc.ny.gov/legal-opinions/opinion-2003-4Efforts to Collect Tolls and Fees Using License Plate Images and Law Firms (Follow-Up)
… system captures up to six images per vehicle (two front and four rear). The system selects the “best” front and rear images and sends them to the NY Customer …
https://www.osc.ny.gov/state-agencies/audits/2021/10/07/efforts-collect-tolls-and-fees-using-license-plate-images-and-law-firms-followVillage of Depew - Purchasing (2018M-158)
… the Board ensured that goods and services were procured in the most economical way and in accordance with the Village’s purchasing policy. Key … or Village officials’ attempts to obtain quotes with the claim. Village officials agreed with our recommendations and …
https://www.osc.ny.gov/local-government/audits/village/2018/11/30/village-depew-purchasing-2018m-158State Agencies Bulletin No. 1073
… addresses that do not meet United States Postal Service (USPS) standards for bar code mailing. The USPS has … concise instruction below. OSC Actions The NPAY766 Report is run weekly for Administration and Institution employees … , to ensure the address is acceptable. Note: A large number of error messages can be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1073-modification-control-d-report-npay766-employee-address-not-barcodeableDiNapoli's Auditors Halt $24.2 Million in Suspicious Tax Refunds
… so far in 2018. "Tax cheats are continuously looking for new ways to beat the system, but my auditors are staying … returns. The majority of questionable refunds stopped were for returns filed by taxpayers who claimed refundable credits … payments and public authority data. Visit the Reading Room for contract FOIL requests, bid protest decisions and …
https://www.osc.ny.gov/press/releases/2018/04/dinapolis-auditors-halt-242-million-suspicious-tax-refundsOpinion 90-21
… RULE LAW, §10(1)(ii)(a)(1): A town, by local law subject to mandatory referendum, may transfer to another town … of audited claims in a town of the second class which has not established the office of town comptroller. You ask … the town may accomplish such a transfer pursuant to its home rule powers. Municipal Home Rule Law, …
https://www.osc.ny.gov/legal-opinions/opinion-90-21Improper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care
… hospitals, MCOs reimburse the hospitals. The Centers for Medicare & Medicaid Services (CMS) defines outpatient care provided in a hospital as care … as an inpatient, even if the care takes place overnight. CMS guidance states inpatient admissions are generally …
https://www.osc.ny.gov/state-agencies/audits/2024/08/28/improper-medicaid-payments-hospitals-outpatient-services-billed-inpatient-servicesMaximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program (Follow-Up)
… in our initial audit report, Medicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program (Report 2021-S-11 ). About the Program …
https://www.osc.ny.gov/state-agencies/audits/2024/12/20/maximizing-drug-rebates-under-federal-medicaid-drug-rebate-program-follow