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Overview – Special 20- and 25-Year Plans
… your survivors may receive if you die while working for a public employer. If you die before retiring, your …
https://www.osc.ny.gov/retirement/publications/1517/death-benefits/overviewMedicaid Program – Improper Payments for Certain Third-Party Cost-Sharing Claims
… Group codes include PR (patient responsibility) and CO (contractual obligation). CARC 45 occurs when the charge … configured to pay in eMedNY, while claims with a CARC CO 45 are not. All claims submitted for Medicaid members with Medicare and/or other third-party insurance must accurately reflect payments, adjustments …
https://www.osc.ny.gov/state-agencies/audits/2025/11/05/medicaid-program-improper-payments-certain-third-party-cost-sharing-claimsPoughkeepsie City School District - Procurement and Claims Auditing (2019M-16)
… Key Findings The Board did not: Seek competition for professional services totaling approximately $1.6 million … a total of $968,545 during the audit period. The Director for Technology: Circumvented the procurement policy and … totaling $71,226 during the audit period, including $4,596 for shipping costs. Key Recommendations Ensure purchases …
https://www.osc.ny.gov/local-government/audits/school-district/2019/12/20/poughkeepsie-city-school-district-procurement-and-claims-auditing-2019mUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… October 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … covering a range of services from inpatient hospital care to outpatient surgical procedures and physician office … Members pay a nominal co-payment to the participating provider for the services rendered. Members may also choose …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpDiNapoli: Audit Finds More Than $16 Million in Medicaid Cost Savings
… provides a wide range of medical services to those who are economically disadvantaged or have special health care … transplant to stay alive. Medicaid recipients with ESRD are eligible for Medicare coverage if they receive regular … certain requirements. When Medicaid recipients with ESRD are also enrolled in Medicare, Medicare becomes the primary …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsFinancial Data: How can we submit a data request?
… phone the Local Government and School Accountability (LGSA) Help Line at 1-866-321-8503 or 518-408-4934 or e-mail requests to the LGSA’s Service Request mail box . When possible, it is … timeframe by which data is needed. As necessary, LGSA staff will contact customers to discuss requests. …
https://www.osc.ny.gov/local-government/data/financial-data-how-can-we-submit-data-requestOpinion 88-71
… and Duties (waiver of penalties arising from nonpayment of water rents to compromise a claim) CLAIMS -- Compromise or … of (waiver of penalties arising from nonpayment of water rents) GENERAL CITY LAW, §20(1): Under its general … of penalties arising from a property owner's nonpayment of water rents in the context of compromising a claim asserted …
https://www.osc.ny.gov/legal-opinions/opinion-88-71College of Staten Island - Examination of Fast Track MK LLC
… Purpose The objective of our examination was to determine if the College conducted an appropriate procurement for the goods provided by Fast Track and submitted an appropriate claim for payment to … The objective of our examination was to determine if the …
https://www.osc.ny.gov/state-agencies/audits/2016/02/05/college-staten-island-examination-fast-track-mk-llcMedicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… drugs, hospital services, medical equipment, and dental services. By the end of the audit fieldwork, auditors …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Granville Central School District – Medicaid Reimbursements (2021M-90)
… revenues totaling $9,011, from 50 percent reimbursement of eligible costs. Key Recommendations Establish procedures …
https://www.osc.ny.gov/local-government/audits/school-district/2021/08/27/granville-central-school-district-medicaid-reimbursements-2021m-90Opinion 89-40
… defendant, unless the commissioner is a member of a fire company and, in that capacity, eligible for reimbursement … position of employer and employee ( Graphic Arts Mutual Insurance Company v Monello , 41 Misc 2d 943, 246 NYS2d 645; …
https://www.osc.ny.gov/legal-opinions/opinion-89-40Poughkeepsie City School District - Procurement and Claims Auditing (2019M-16)
Determine whether the Board provided adequate oversight of procurement and claim processing.
https://www.osc.ny.gov/files/local-government/audits/pdf/poughkeepsie-2019-16.pdfSelected Aspects of Collection of Bridge and Tunnel Tolls and Fees
… TBTA also did not fully utilize the new DMV registration suspension program, as evidenced by submitting only a limited number of registrations for suspension each week after the initial introductory period. … (23 weeks), TBTA submitted 225 plates for registration suspension. During this period, the total number of plates …
https://www.osc.ny.gov/state-agencies/audits/2017/11/14/selected-aspects-collection-bridge-and-tunnel-tolls-and-feesDeath Benefits
… us as soon as possible. Survivors can report the death of a member using our online death report form or they can … Ordinary Death Benefit If you have at least one year of service credit and die while in active service, and your death is not the result of an on-the-job accident, your beneficiary may be entitled …
https://www.osc.ny.gov/retirement/members/death-benefitsDiNapoli: Audits Find More Than $1 Million of Waste in New York's Medicaid Program
… A second audit released today found another $61,711 in overpayments to providers because of incorrect Medicare … appropriate treatments. Taxpayers have invested heavily in the Medicaid system and have a right to expect that health … had approximately 6.5 million enrollees and Medicaid claim costs totaled about $50.5 billion. DOH generally uses …
https://www.osc.ny.gov/press/releases/2015/01/dinapoli-audits-find-more-1-million-waste-new-yorks-medicaid-programCredit Cards – Travel and Conference Expense Management
… may authorize designated employees to use a credit card issued in the name of the local government or school … to have a local government or school district credit card issued in both the name of the local government or … by allowing authorized employees to sign out a credit card when they need to travel, or by allowing the business or …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/credit-cardsXIII.2 Overview – XIII. Employee Expense Reimbursement
… employees adhere to all employee expense policies outlined in this guide, as well as all relevant rules and regulations. … to Section 9 – Allowed Values for Processing Payments in the SFS of this Chapter for a complete listing of expense … To ensure the timely processing of bulkload transactions in the Travel and Expense module, each expense report must …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii2-overviewTown of Owasco – Highway Department (2020M-128)
Determine whether Town of Owasco Town officials adequately oversaw highway purchasing planning and interfund charges
https://www.osc.ny.gov/local-government/audits/town/2021/05/28/town-owasco-highway-department-2020m-128Student Achievement Program
… begin nomination(s), please use the 4-digit PIN provided in this letter. Once submitted, you'll receive the award(s) in the mail within the next two weeks. If you did not receive a …
https://www.osc.ny.gov/student-achievementAlternate Contribution Stabilization Program
… Stabilization Program provides short-term cash relief for employers by allowing them to amortize a portion of their … following the fiscal year of approval. For example, if you withdraw in fiscal year 2024 (April 1, 2023 – March 31, … of that 12-year payment period. Amounts amortized in other years will be at the interest rate set for the year of …
https://www.osc.ny.gov/retirement/employers/alternate-contribution-stabilization-program