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Medicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… live in New York State; and Improper claims for certain clinic services, physician-administered drugs, and vision …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid claims were … which eMedNY did not properly factor Medicare coverage or a lower level of care into the payment; $682,022 in … improper payments for duplicate billings and hospital, clinic, transportation, and eye care services. By the end of …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014DiNapoli: Central NY Village Official Stole More Than $100K
… than $117,000 in public funds. The New York State Police yesterday arrested Margaret Bailey and charged her with … For a copy of the report, visit: http://www.osc.state.ny.us/localgov/audits/villages/2014/altmar.pdf DiNapoli … by filing a complaint online at [email protected].ny.us , or by mailing a complaint to: Office of the State …
https://www.osc.ny.gov/press/releases/2014/03/dinapoli-central-ny-village-official-stole-more-100kOverpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (Follow-Up)
… in our audit report, Overpayments of Hospitals’ Claims for Lengthy Acute Care Admissions (2010-S-30). Background … have special health care needs. When billing Medicaid for inpatient services, hospitals must indicate a patient’s … occurred primarily because hospitals billed Medicaid for higher (and more costly) levels of care when, in fact, …
https://www.osc.ny.gov/state-agencies/audits/2015/07/07/overpayments-hospitals-claims-lengthy-acute-care-admissions-followModel Code of Ethics for Local Governments - Frequently Asked Questions
… a discretionary function requires the exercise of judgment. Examples of discretionary functions include: … is an officer of the organization (Section 2[c]). In this case, as an officer of the non-profit, the town board member … against the municipality on behalf of his or her spouse or minor children. For example, a municipal officer or employee …
https://www.osc.ny.gov/local-government/publications/model-code-ethics-local-governments-frequently-asked-questionsOperational Advisory No. 8
… will result in Agencies receiving requests to replace or cancel checks throughout the year rather than once a year. … that Agencies reissue any checks due to recipients or cancel any inappropriate payments upon returned letter from …
https://www.osc.ny.gov/state-agencies/advisories/operational-advisory/8-state-check-outreachImproper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… Objective To determine the extent of implementation of the two recommendations made in our initial audit report, … Malnutrition can result from the general deterioration of an individual’s health, inadequate treatment or neglect, … We have followed up on the actions taken by by officials of the Department of Health to implement the recommendations …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followTaxes – 2023 Financial Condition Report
… reflecting the one-time homeowner’s property tax relief credit, and enhanced earned income and child tax credits. … of the business entities are authorized to claim a PIT credit for their shares of the PTET paid. Approximately $11.5 … reflecting the onetime homeowners property tax relief credit and enhanced earned income and child tax credits …
https://www.osc.ny.gov/reports/finance/2023-fcr/taxesDiNapoli: Billing and Reimbursement Flaws Allowed $16.6 Million in Inappropriate Payments to Home Health Care Providers
… a great need by allowing patients to stay in their homes and avoid costly placement in hospitals or rehabilitation … home health aide services, physical therapy, social work and nutrition services. The payment system is based on 60-day … construction of the EPS. However, insufficient resources and the EPS billing configuration prevented the development …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-billing-and-reimbursement-flaws-allowed-166-million-inappropriate-payments-home-health-careMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… for drugs from manufacturers that did not enter into a national drug rebate agreement (NDRA). The audit covered the … for drugs from manufacturers that did not enter into a national drug rebate agreement NDRA …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreementState Agencies Bulletin No. 1462
… Purpose To inform agencies of the content information for the 2015 Form 1042-S. Background … Administration: 01/14/15through 12/30/15 2015 Form Content The information which will appear on the Form 1042-S … To inform agencies of the content information for the 2015 Form 1042S …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1462-form-1042-s-foreign-persons-us-source-income-subject-withholdingMedicaid Program – Inappropriate Payments Related to Procedure Modifiers
… modifier code on the claim to further describe the service(s) provided. Medicaid payments for surgical procedures … known as the global surgery period. All routine services related to the surgery, such as evaluation and management … was performed. The payments were inappropriate because the costs of the services were already included in Medicaid’s …
https://www.osc.ny.gov/state-agencies/audits/2018/04/17/medicaid-program-inappropriate-payments-related-procedure-modifiersState Agencies Bulletin No. 1729
… Purpose To inform agencies of the content information for the 2018 Form 1042-S Affected … Administration: 1/10/18 through 12/26/18 2018 Form 1042-S Content The information which will appear on the Form 1042-S … To inform agencies of the content information for the 2018 Form 1042S …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1729-form-1042-s-foreign-persons-us-source-income-subject-withholdingDrug and Alcohol Treatment Program – Provider Claiming of Depreciation Expenses
… Abuse Services (OASAS) is effectively monitoring Drug and Alcohol Treatment program contracts to ensure provider claims … that strengthen communities, schools, and families through alcohol and drug prevention and treatment and to meet … into agreements with providers for delivery of specific alcohol- and drug-related services. OASAS reimburses the …
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)
… Objective To assess the extent of implementation of the five recommendations – three addressed to the Department of Labor and two addressed to the Department of Taxation and … To assess the extent of implementation of the five recommendations three addressed to the Department …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/new-york-youth-jobs-program-followPersonal Income Tax Refunds
… by the Department of Taxation and Finance (Department) for payment were appropriate and processed in accordance with … prior to payment. We selected Department-approved refunds for examination using filters to identify high-risk … we selected 33,175 refunds totaling over $712.5 million for examination. Key Findings Of those transactions selected, …
https://www.osc.ny.gov/state-agencies/audits/2014/04/16/personal-income-tax-refundsMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… Medicaid claims for ancillary services in accordance with Medicaid reimbursement policies. The audit covers the … eMedNY designed to pay Medicaid claims in accordance with the Department's Medicaid reimbursement policies. Some … Medicaid claims for ancillary services in accordance with Medicaid reimbursement policie …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientIV.5.B Bond and Debt Proceeds – IV. Accounting Codes - Uses and Descriptions
… are used to offset future interest payments. 36432 Discount on Bonds Issued Discount (bond sale price is lower than par value) received …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv5b-bond-and-debt-proceedsIV.4 Overview – IV. Accounting Codes - Uses and Descriptions
… follow. Department Operations: Personal Service (PS): PS – Regular PS – Temporary Service PS – Holiday/Overtime Compensation …
https://www.osc.ny.gov/state-agencies/chapter-iv/iv4-overviewState Agencies Bulletin No. 2054
… Purpose The purpose of this bulletin is to provide agencies with information for processing the … the eligibility criteria are affected. Background Pursuant to a side letter contained in the 2019-2023 Agreement between … employees with peace officer status shall be eligible to receive an incentive payment in return for participating …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2054-2019-2020-and-2020-2021-public-employees-federation-pef-firearms