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DiNapoli: Billing and Reimbursement Flaws Allowed $16.6 Million in Inappropriate Payments to Home Health Care Providers
… (DOH) erroneously made $16.6 million in Medicaid payments to 95 home health providers over a 3 1/2-year period, largely … for more days of care than what was provided, according to an audit released today by New York State Comptroller … mechanisms to identify and recover overpayments when CHHAs do not bill according to DOH guidelines. DOH officials …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-billing-and-reimbursement-flaws-allowed-166-million-inappropriate-payments-home-health-careStart a Business and Get Licenses
… Forming a Business in New York State To form a business in New York State or to register an … Office of the Attorney General’s Charities Bureau … To form a business in New York State or to register an …
https://www.osc.ny.gov/state-vendors/resources/start-business-and-get-licensesTaxes – 2023 Financial Condition Report
… State Tax Collections Declined in SFY 2022-23 from $121.1 Billion to $111.7 Billion In SFY 2022-23, reported New York State tax collections decreased by 7.8 percent, …
https://www.osc.ny.gov/reports/finance/2023-fcr/taxesImproper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… Objective To determine the extent of implementation of the two … of Diseases (ICD) code on its Medicaid claim to reflect the diagnosis. Generally, as the severity of the malnutrition diagnosis increases, Medicaid’s payment to a hospital will increase. We issued our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… to enter into an NDRA with the Department of Health and Human Services in exchange for state Medicaid coverage of … (OTC) drugs, certain compound drug ingredients, and physician-administered drugs. Under Medicaid managed … of health care services, including outpatient drugs, and reimburse providers for those services. MCOs are required …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreementMedicaid Program – Inappropriate Payments Related to Procedure Modifiers
… use modifier codes properly. The audit covered the period from January 1, 2012 to March 31, 2017. Background The … inappropriate payments made to providers for E/M services from January 1, 2012 to March 31, 2017. Specifically, the …
https://www.osc.ny.gov/state-agencies/audits/2018/04/17/medicaid-program-inappropriate-payments-related-procedure-modifiersDrug and Alcohol Treatment Program – Provider Claiming of Depreciation Expenses
… January 1, 2010 through June 30, 2014. Background The New York State Office of Alcoholism and Substance Abuse Services (OASAS) oversees the nation’s largest and most diverse addiction treatment system. Its …
https://www.osc.ny.gov/state-agencies/audits/2016/06/08/drug-and-alcohol-treatment-program-provider-claiming-depreciation-expensesNew York Youth Jobs Program (Follow-Up)
… Taxation and Finance – from our initial audit report, New York Youth Jobs Program ( 2017-S-69 ) . About the Program The … established in 2011, is intended to create jobs and spur economic growth in the State by establishing incentives for …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/new-york-youth-jobs-program-followMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… claims for ancillary services in accordance with Medicaid reimbursement policies. The audit covers the period April 1, … service claims for recipients who were also covered by Medicare. Key Recommendations Recover the $1 million in … ancillary services provided to recipients also covered by Medicare. Enhance existing eMedNY edits or implement new …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientCredit for Military or Additional Service – State Police Plan
… benefit, you must request credit while you are on the payroll of a participating employer. If you receive a statement of cost after you leave payroll, you must make payment within 30 days of the date of …
https://www.osc.ny.gov/retirement/publications/1518/credit-military-or-additional-serviceCredit for Military or Additional Service – Special 20- and 25-Year Plans
… benefit, you must request credit while you are on the payroll of a participating employer. If you receive a statement of cost after you leave payroll, you must make payment within 30 days of the date of …
https://www.osc.ny.gov/retirement/publications/1517/credit-military-or-additional-servicePersonal Income Tax Refunds
… (Department) for payment were appropriate and processed in accordance with applicable New York State tax laws and … State personal income tax returns. All returns that result in refunds are subject to audit by the State Comptroller … social security number 987 2,425,354 Taxpayer failed to claim correct New York State income 225 4,773,348 Taxpayer …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/personal-income-tax-refundsState Agencies Bulletin No. 1071
… of the change in the Yonkers resident personal income tax surcharge and supplemental tax withholding rates and of … of Taxation and Finance, and the new publication, NYS-50-T-Y , new withholding tables went into effect for … tax rate table with the rates prescribed in publication NYS-50-T-Y . Agency Actions Inform affected employees of the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1071-yonkers-resident-tax-withholding-rate-changeWithdrawing Your Contributions and/or Your Membership – Special 20- and 25-Year Plans
… Leave your contributions in your account and qualify for a retirement benefit when you are 55. To help you decide which … calculator to estimate your pension using the “vested retirement” choice. You can also contact our Call Center to … days after you leave public employment. Sign in to your Retirement Online account , go to the ‘My Account Summary’ …
https://www.osc.ny.gov/retirement/publications/1517/withdrawing-your-contributions-andor-your-membershipLetter of Authorization and Fee Agreement
All Location Service Providers must submit claims by mail. You’ll need to provide an agreement that is signed by the owner and witnessed and acknowledged by a n
https://www.osc.ny.gov/files/unclaimed-funds/claimants/pdf/authorization-fee-agreement.pdfCUNY Bulletin No. CU-415
… for non-benefit eligible Hourly employees represented by District Council 37 Local 384. Affected Employees Hourly EOC employees in Bargaining Unit CC represented by District Council 37 Local 384 Effective Date(s) Checks dated …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-415-establishment-new-bargaining-unit-and-new-benefit-programMedicaid Program – Mainstream Managed Care Organizations: Administrative Costs Used in Premium Rate Setting
… is appropriately applying the administrative costs in determining mainstream managed care premium rates. Our … pharmacy benefits, and many others. Of the $53 billion in Medicaid costs, MCOs received $17.8 billion in mainstream managed care premiums for nearly 5.2 million …
https://www.osc.ny.gov/state-agencies/audits/2016/10/13/medicaid-program-mainstream-managed-care-organizations-administrative-costs-used-premiumModel Code of Ethics for Local Governments - Frequently Asked Questions
… Print PDF Version Must all provisions of the Model Code of Ethics for Local Governments ("Model Code"”) be … officer or employee will be required to disclose an investment (Section 5), and recuse and abstain from any … a case-by-case basis, and in view of any municipal travel policy. For example, a municipal officer or employee …
https://www.osc.ny.gov/local-government/publications/model-code-ethics-local-governments-frequently-asked-questionsAccounts Payable Advisory No. 48
… efficiencies for the State. Also, in the event of unclaimed funds, a standard name format increases the likelihood of …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/48-paying-single-payment-vendorFranklin Square Public Library - Claims Audit (2018M-48)
… Instead, two of the Board members audit the claims prior to the monthly Board meetings. Key Recommendation The Board … audit each individual claim before directing the Treasurer to pay them. Library officials generally agreed with our recommendation and indicated they planned to initiate corrective action. … Franklin Square Public …
https://www.osc.ny.gov/local-government/audits/library/2018/08/24/franklin-square-public-library-claims-audit-2018m-48