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DiNapoli: Audits Find $70 Million in Dubious Claims, Persistent Medicaid Billing System Failures
… DiNapoli’s auditors found the state reimbursed providers for excessive services, including 41 dental exams for one patient over three years and identified about a dozen … much as $39.6 million in Medicaid overpayments through a reimbursement method intended to more accurately compensate …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-audits-find-70-million-dubious-claims-persistent-medicaid-billing-system-failuresDiNapoli: Medicaid Audits Find More Than $700 Million in Unnecessary Costs and Overpayments
… or questionable payments and made several recommendations for improving the program. “The state is facing budget gaps … disadvantaged or have special health care needs. For the State Fiscal Year ended March 31, 2019, New York’s … Care DOH uses two methods to pay health care providers for Medicaid pharmacy services: fee-for-service (FFS), where …
https://www.osc.ny.gov/press/releases/2020/09/dinapoli-medicaid-audits-find-more-700-million-unnecessary-costs-and-overpaymentsDiNapoli: New Law Makes It Easier for the Comptroller To Return Your Lost Money
… the Office of the State Comptroller to expedite certain unclaimed funds payments of $250 or less. Proposed by DiNapoli’s office, the measure amends the Abandoned Property Law to authorize the State Comptroller to administer … Luis Sepúlveda and Assemblymember John T. McDonald III. “My office holds over $19 billion in unclaimed funds, and we …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-new-law-makes-it-easier-comptroller-return-your-lost-moneyMedicaid Claims Submitted by Accordis, Inc. on Behalf of the New York City Health and Hospitals Corporation
… Implement eMedNY enhancements that provide a mechanism for linking paid claims with previously denied claims. Formally …
https://www.osc.ny.gov/state-agencies/audits/2013/03/12/medicaid-claims-submitted-accordis-inc-behalf-new-york-city-health-and-hospitalsPoughkeepsie 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.pdfMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended September … The audit found: $31.4 million in potential overpayments for clinic claims that were processed using an incorrect …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Accounts Payable Advisory No. 52
… that agencies receive the goods and services they ordered in the proper condition and in accordance with the terms and conditions of the purchase … of any discounts vendors may offer. Prior to certifying a claim for payment for goods and services, agency staff must …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/52-gfo-receiving-section-xi-a9Town of Owasco – Highway Department (2020M-128)
… did not agree, in writing, to expenditures for highway repair and improvement. The Superintendent did … highway employees’ time worked was accurately accounted for. Key Recommendations Ensure the procurement policy …
https://www.osc.ny.gov/local-government/audits/town/2021/05/28/town-owasco-highway-department-2020m-128Failing To Adhere to Policy and Proper Procedures – Travel and Conference Expense Management
… and they must understand the consequences of the failure to meet these requirements. Your policy should specifically … including among other things: Denial of reimbursement to employees who do not submit required and appropriate documentation of expenses incurred sufficient to enable the proper audit of the claim for reimbursement. …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/failing-adhere-policy-and-proper-proceduresChautauqua Lake Central School District – Procurement (2024M-3)
… Central School District (District) officials procured fuel in compliance with the District’s procurement policies. Key Findings District officials did not procure fuel in compliance with the District’s policies. When District … Conduct a thorough and deliberate audit of each claim before authorizing payment. District officials agreed …
https://www.osc.ny.gov/local-government/audits/school-district/2024/06/07/chautauqua-lake-central-school-district-procurement-2024m-3State Agencies Bulletin No. 837
… (Box 1) is not to be adjusted. Social Security and Medicare Wages (Boxes 3 and 5) will be decreased to reflect … Wages Box 4 – Social Security Tax Withheld Box 5 – Medicare Wages Box 6 – Medicare Tax Withheld The Form W-2c will be mailed to the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/837-change-processing-form-w-2c-corrected-wage-and-tax-statement-andNew York’s Economy and Finances in the COVID-19 Era
… on the State Fiscal Year 2020-21 Enacted Budget Financial Plan Report on the State Fiscal Year 2020-21 Enacted Budget: …
https://www.osc.ny.gov/reports/covid-19-september-16-2020Town of Waterford - Town Clerk Collections (2018M-265)
… report - pdf] Audit Objective Determine if collections in the Town Clerk’s (Clerk) office are adequately accounted for, reported and deposited intact, in a timely manner. Key Findings The former Clerk did not: … Clerk fees intact. Adequately support collections and the form of payment was not always recorded. Receipts for the …
https://www.osc.ny.gov/local-government/audits/town/2019/05/03/town-waterford-town-clerk-collections-2018m-265Examination of Unemployment Insurance Benefits
… we used data analytics to select 69,646 transactions for audit, including: (i) high risk payment requests DOL … year payments related to those 2015 payment requests. For example, we analyzed the daily UI payment file to … employees hired during calendar year 2015 who owe DOL for UI overpayments received in prior years. DOL has …
https://www.osc.ny.gov/state-agencies/audits/2016/09/16/examination-unemployment-insurance-benefitsAlternate Contribution Stabilization Program
… Overview Legislation enacted as part of the State budget (Chapter 57, Part BB, Laws of 2013) established … corporations in Erie, Nassau and Westchester counties. The State could not participate in the Alternate Program. To … paying off amortizations ahead of schedule. To calculate a payoff amount for any amortization based on a payoff date of …
https://www.osc.ny.gov/retirement/employers/alternate-contribution-stabilization-programDiNapoli: Millions in NYC Transit Fines and Fees Uncollected
… division found it did not collect more than $13 million in fines and fees — nearly half of those owed to it — issued … the changes that Transit has already made, as they noted in their response, more can still be done.” The Transit … sufficient or is inaccurate for the necessary follow-up. In a sample of 150 uncollected fines, DiNapoli’s auditors …
https://www.osc.ny.gov/press/releases/2016/08/dinapoli-millions-nyc-transit-fines-and-fees-uncollectedIX.12.N Fund Availability and Interest Liability – IX. Federal Grants
… to make mandated payments from state funds. A CMIA federal interest liability will accrue when it is demonstrated that … purposes prior to receiving federal funds. The federal interest liability on a transaction will generally be based … in a state account. With federal-state matching programs, interest will be calculated on the federal portion of the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix12n-fund-availability-and-interest-liabilityXII.5.K Federally Reportable Payments – XII. Expenditures
… freight, and storage. Certain payments made to a claimant in the settlement of claims for a physical injury . … and whether single or joint payments are being made to the claimant and/or an attorney or law firm (attorney), one or … of the settlement, judgment or award, some payments to the claimant are not reportable and, therefore, will not require …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii5k-federally-reportable-paymentsDeath Benefits
… your beneficiaries may be entitled to receive a death benefit after you die. When you became a NYSLRS member, you … Your beneficiary information is listed in your Retirement Online account and on your Member Annual Statement. Be sure … Plan Publication tool can help. Ordinary Death Benefit If you have at least one year of service credit and …
https://www.osc.ny.gov/retirement/members/death-benefitsState Agencies Bulletin No. 1845
… the following criteria are affected: Home Address is not in New York City but Local Tax Data Indicates New York City … (NTAX702) to report New York City wages on the annual Form W-2s (Wage and Tax Statement) of employees who received … P.O. box may be used in the employee’s Check (CHK) and/or Mail Address. Agency Actions: Update Employee’s Home Address …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1845-correction-employee-addresses-and-local-tax-data