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Improper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care
… billed as inpatient services for recipients enrolled in managed care. The audit covered the period from July 2019 … & Medicaid Services (CMS) defines outpatient care provided in a hospital as care that a patient receives, typically in … to assist them with determining whether a short-stay claim should be billed as inpatient or outpatient, which …
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)
… inaccurate or incomplete claim information submitted by MCOs and providers, exclusions of Program of All-Inclusive … from the rebate process, and claim processing errors made by DOH and the rebate contractor. Key Findings DOH made …
https://www.osc.ny.gov/state-agencies/audits/2024/12/20/maximizing-drug-rebates-under-federal-medicaid-drug-rebate-program-followRetiree Annual Statement
… when your Statement is available. Use Retirement Online to Get Your Statement To view, save or print your Statement: … by State law. For information about COLA eligibility and how it’s calculated, visit our Cost-of-Living Adjustment …
https://www.osc.ny.gov/retirement/retirees/retiree-annual-statementIrvington Union Free School District – Information Technology (2016M-266)
… February 22, 2016. Background The Irvington Union Free School District is located in the Towns of Greenburgh and Tarrytown …
https://www.osc.ny.gov/local-government/audits/school-district/2016/11/18/irvington-union-free-school-district-information-technology-2016m-266Selected Aspects of Parking Violations Operations to Collect Fines and Fees (Follow-Up)
… Aspects of Parking Violations Operations to Collect Fines and Fees (Report 2017-N-8 ). About the Program The New York … issued to vehicles for parking, red light camera, and sanitation violations. In addition, DOF collects parking … under a Memorandum of Understanding between New York City and the U.S. Department of State. For a non-diplomatic plate, …
https://www.osc.ny.gov/state-agencies/audits/2022/01/06/selected-aspects-parking-violations-operations-collect-fines-and-fees-followDiNapoli: Office Has $14.5 Billion in Unclaimed Funds; Urges New Yorkers to Claim Lost Money
… today announced that his office has over $14.5 billion in unclaimed funds and urged New Yorkers to see if any of it belongs to …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-office-has-145-billion-unclaimed-funds-urges-new-yorkers-claim-lost-moneyEdwards-Knox Central School District – Medicaid Reimbursements (2021M-92)
Determine whether the EdwardsKnox Central School District District claimed all Medicaid reimbursements to which it was entitled
https://www.osc.ny.gov/local-government/audits/school-district/2021/08/20/edwards-knox-central-school-district-medicaid-reimbursements-2021m-92State Agencies Bulletin No. 753
… information.) The addresses may look correct but are not acceptable as determined by the Postal Service. The … The error messages appearing on the NPAY766 Report are listed below along with suggested actions for verifying … ZIP CODE IN ADDRESS Verify the city, state, and zip code are correct and entered in the address field. NO ZIP CODE AND …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/753-new-error-messages-control-d-report-npay766DiNapoli: Audit Finds More Than $16 Million in Medicaid Cost Savings
… New York state's Medicaid system could have saved up to $13.6 million it spent on patients with severe kidney … been covered by the federal Medicare program, according to an audit released today by State Comptroller Thomas P. … The Department of Health should continue its efforts to recoup questionable payments and adjust its systems to …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsEnroll in the VendRep System
… entity in the Office of the State Comptroller’s Online Services. Vendors Before you begin, be sure you have … OSC Helpdesk to request one. How to get started: Go to our Online Services Portal Select “Enroll Now” Select “Business” … Account Authorization See the instructions on the forms for more information. For questions, contact the OSC …
https://www.osc.ny.gov/state-vendors/vendrep/enroll-vendrep-systemOpinion 92-24
… (criteria for designation in towns) GENERAL CONSTRUCTION LAW, §60; PUBLIC OFFICERS LAW, §70-a; TOWN LAW, §64(11): A publication which does not satisfy the …
https://www.osc.ny.gov/legal-opinions/opinion-92-24Medicaid Program – Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus
… void their claims for the improperly paid premiums or refund the inappropriate premiums by check. Key Findings For … improper premiums in the form of checks, we were unable to account for check payments and thus eliminate them from our …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/medicaid-program-inappropriate-premium-payments-recipients-no-longer-enrolled-mainstreamProcurement and Contracting in New York
… to be used when an interested party asserts to the Office of the State Comptroller (OSC) that the Comptroller should … contracting entity. The Comptroller's independent review of bid protests, as well as state contracts, helps ensure … fairness in State contracting and protects the interests of the State and its taxpayers. Resources How to Protest a …
https://www.osc.ny.gov/state-agencies/contractsState Agencies Bulletin No. 1217.1
… Bulletin Supersedes Payroll Bulletin No. 1217 Purpose: To provide clear and consistent requirements for processing … or proceeding under a collective bargaining agreement (i.e., grievance) has begun. For purposes of illustrating the … NOT deduct Deficit Reduction Pay if the employee did not have the opportunity to use the time. Agencies must submit …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/12171-new-requirements-and-procedures-processing-salary-payments-pursuantState Agencies Bulletin No. 1217
… Purpose To provide clear and consistent requirements for processing … or proceeding under a collective bargaining agreement (i.e., grievance) has begun. For purposes of illustrating the … NOT deduct Deficit Reduction Pay if the employee did not have the opportunity to use the time. Agencies must submit …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1217-new-requirements-and-procedures-processing-salary-payments-pursuantUnited HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… provided to Empire Plan members. United contracts with in-network (participating) providers who agree to accept … co-insurance) when they use non-participating providers. In accordance with the Empire Plan’s requirements, when … will result in United making an excessive payment on the claim. Our audit focused on claims submitted to United by …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpCollege of Staten Island - Examination of Fast Track MK LLC
… goods provided by Fast Track and submitted an appropriate claim for payment to our Office for those goods. Background … Key Findings The College did not conduct the procurement in accordance with State Finance Law. Specifically, the … to potential offerers; or (iii) advertise the procurement in the New York State Contract Reporter. In addition, the …
https://www.osc.ny.gov/state-agencies/audits/2016/02/05/college-staten-island-examination-fast-track-mk-llcOpinion 88-71
… the property owner relative to the accuracy of his water bill. This is in reply to your letter concerning the waiver … reflected on the city's records. The owner has refused to pay his water bill pending the resolution of the dispute. You … the penalties arising from the property owner's failure to pay water rents ( cf . 1986 Opns St Comp No. 86-87, p 133, in …
https://www.osc.ny.gov/legal-opinions/opinion-88-71Waiver Request Form
To request a waiver from completing publication activities relative to your abandoned property filing as described in Section 1411 of the New York State Abandon
https://www.osc.ny.gov/files/unclaimed-funds/reporters/pdf/waiver-request.pdfState Agencies Bulletin No. 887
… Purpose To inform agencies of the new changes to Federal tax withholding rates for 2009. Affected Employees Employees who claim single with a gross income of $75,000 or less, employees who claim married and have a …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/887-changes-federal-tax-withholding-tables