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DiNapoli: Audit Shows Health Department Overpaid Certain Medicaid Managed Care Premiums
… nearly $19 million for the state fiscal year 2014-15, in part, because of a flaw in how it calculated premiums, according to an audit released … cost reporting guidance, is missing out on millions in annual savings it is supposed to realize through reforms … nearly $19 million for the state fiscal year 201415 in part because of a flaw in how it calculated premiums …
https://www.osc.ny.gov/press/releases/2016/10/dinapoli-audit-shows-health-department-overpaid-certain-medicaid-managed-care-premiumsChange of Address Form (RS5512)
To notify NYSLRS of a change in your address, NYSLRS members use form RS5512.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5512.pdfOperational Advisory No. 36
… titled Shipping has been renamed to Shipping, Postage and Mail Services and should be used when shipping any type of … using any carrier. Account 55203, Postage, now appears in the Supplies and Materials, Non-Personal Service budget … to reflect the proper classification and treatment in the Statewide Financial System. Account 55203 will not be …
https://www.osc.ny.gov/state-agencies/advisories/operational-advisory/36-gfo-updates-postageshipping-account-codesEast Quogue Union Free School District - Claims Auditing (2019M-78)
… policy was always followed. Key Recommendations Ensure no claim, other than those allowed by law, is paid before audit … to ensure it is accurate and properly supported, and in compliance with required statutes and policies. … Periodically report to the Board any deficiencies noted in the claims process. District officials agreed with our …
https://www.osc.ny.gov/local-government/audits/school-district/2019/06/21/east-quogue-union-free-school-district-claims-auditing-2019m-78Labor Investigations in New York City
… is adequately conducting labor violation investigations in New York City. The audit covered the period from January … violations, and child labor violations, have increased in the wake of the COVID-19 pandemic. In fiscal year 2021, for example, the U.S. Department of …
https://www.osc.ny.gov/state-agencies/audits/2024/01/31/labor-investigations-new-york-cityUnited HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… 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/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerMedicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
… payments are made: a payment for the first hospital’s claim and a payment for the second hospital’s claim. However, … episode of care. Key Findings Medicaid made $1.6 million in actual overpayments and up to $5.3 million in potential overpayments because separate payments were made …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilitiesOperational Advisory No. 33
… titled Shipping has been renamed to Shipping, Postage and Mail Services and should be used when shipping any type of … titled Shipping has been renamed to Shipping Postage and Mail Services and should be used when shipping any type of …
https://www.osc.ny.gov/state-agencies/advisories/operational-advisory/33-gfo-updates-postageshipping-account-codesWillsboro Central School District – Student State Aid (2023M-119)
… aid for special education students who received services in summer placements. Key Findings District officials did … aid for special education students who received services in summer placements. As a result, as of June 30, 2023, the District had not claimed $55,771 in State aid to which it was entitled, of which $52,640 would …
https://www.osc.ny.gov/local-government/audits/school-district/2024/02/02/willsboro-central-school-district-student-state-aid-2023m-119United HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… 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/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… 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/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryTown of Boonville – Claims Auditing and Conflict of Interest (2014M-373)
… June 30, 2014. Background The Town of Boonville is located in Oneida County, has a population of approximately 4,600 … audit process. A Board member has a prohibited interest in Town contracts. Key Recommendations Ensure that deliberate and thorough audits are conducted and that each claim approved is properly supported by original invoices, …
https://www.osc.ny.gov/local-government/audits/town/2015/03/06/town-boonville-claims-auditing-and-conflict-interest-2014m-373Hillside Public Library of New Hyde Park – Claims Processing (2017M-175)
… (Library) is a school district public library is located in Nassau County. The Library, which is governed by a … was created by a special act of the State Legislature in 1961. Budgeted appropriations for the 2015-16 fiscal year … and deliberate audit of claims, ensuring that each claim contains sufficient supporting documentation, before …
https://www.osc.ny.gov/local-government/audits/library/2017/12/08/hillside-public-library-new-hyde-park-claims-processing-2017m-175Town of Hounsfield - Claims Auditing (2019M-215)
… did not audit claims before approving payments. Of 166 claim vouchers reviewed, totaling $783,400, the Supervisor paid $124,000 in claims (16 percent) that were either not presented to the … prior to Board audit. Ensure that Town personnel involved in the procurement process are aware of, and comply with, …
https://www.osc.ny.gov/local-government/audits/town/2020/01/24/town-hounsfield-claims-auditing-2019m-215Opinion 90-49
… or statutory amendments that bear on the issues discussed in the opinion. PUBLIC OFFICERS AND EMPLOYEES -- Compensation … such as, among other circumstances, the mere receipt of mail or engaging in a brief telephone conversation (see also, … determine, based upon the particular facts supporting the claim in each case and applying the standards discussed …
https://www.osc.ny.gov/legal-opinions/opinion-90-49Borrowing Against Your Contributions – Special 20- and 25-Year Plans
… eligibility requirements and have member contributions in your account, you can take a loan from NYSLRS. If you … to see the available self-service loan features. By Mail: Print a loan application from our Forms page and mail your completed and notarized application to NYSLRS. …
https://www.osc.ny.gov/retirement/publications/1517/borrowing-against-your-contributionsOpinion 91-32
… or statutory amendments that bear on the issues discussed in the opinion. CLAIMS -- Compromise or settlement of … (expenditures to compensate property owners for decrease in market value) STATE CONSTITUTION, ART. I, §7(a), ART. … eminent domain on behalf of the OCRRA or the county's role in the siting of OCRRA facilities were found to be in the …
https://www.osc.ny.gov/legal-opinions/opinion-91-32Accounts Payable Advisory No. 64
… was stolen and cashed by a party other than the payee. In such instances, the vendor must complete an affidavit. The … the affidavit and collaborate to render a decision on the claim. If the banks determine the claim is a valid forgery, a check will be mailed to New York …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/64-forgery-checksEfforts to Collect Tolls and Fees Using License Plate Images and Law Firms
… tunnels that interconnect parts of New York City. Created in 1933, TBTA serves more than 310 million vehicles per year … systems, tolls are collected through E-ZPass and Tolls by Mail. (All vehicles traveling through a crossing without an … will be sent a toll bill for facility usage.) For Tolls by Mail, the license plate images are used to retrieve the …
https://www.osc.ny.gov/state-agencies/audits/2018/07/11/efforts-collect-tolls-and-fees-using-license-plate-images-and-law-firmsDiNapoli: Three Syracuse School District Employees Charged With Fraud in Scheme
… after-school Twilight Program were arrested for engaging in several schemes to defraud the program following a joint … (Penal Law §195.20(a)(i)) and Corrupting the Government in the Third Degree (Penal Law §496.03). “Cecile, DeCarlo and … services that never occurred. My office will not relent in its commitment to rooting out corruption. Thanks to …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-three-syracuse-school-district-employees-charged-fraud-scheme