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Empire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… for certain special items were reasonable in relation to the hospitals' actual purchase and acquisition costs. … district employees and their dependents. The Department of Civil Service (Department) contracts with Empire to … for special items, while agreements with other hospitals do not have such limitations. From January 1, 2011 to March …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughNew York State Health Insurance Program – Payments by CVS Health for Pharmacy Services for Ineligible Members (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Payments by CVS Health for … CVS have made progress addressing the issues identified in the initial audit. While none of the $30,695,221 in improper payments has been recovered, Civil Service and …
https://www.osc.ny.gov/state-agencies/audits/2023/01/04/new-york-state-health-insurance-program-payments-cvs-health-pharmacy-services-ineligibleNew York State Health Insurance Program – Payments by Empire BlueCross for Hospital Services for Ineligible Members (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Payments by Empire BlueCross for … Finding Civil Service and Empire made significant progress in addressing the problems we identified in the initial audit. In particular, Empire recovered over …
https://www.osc.ny.gov/state-agencies/audits/2021/12/27/new-york-state-health-insurance-program-payments-empire-bluecross-hospital-servicesNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… in our initial audit report, Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Report 2020-S-34 ). About the Program … The Empire Plan is the primary health insurance plan for NYSHIP, covering 1.1 million members. Civil Service …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesMedicaid Program: Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (2021-S-20) 180-Day Response
To determine if Medicaid made inappropriate fee-for-service payments to pharmacies on behalf of recipients who had third-party insurance and, if so, whether appropriate recoveries were made.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s20-response.pdfOpinion 91-54
… McKinney's Unconsolidated Laws, §9447, authorizing New York City to impose a commercial rent or occupancy tax). … impose either of the proposed taxes. December 23, 1991 David J. Gilmartin, Esq., Village Attorney Village of …
https://www.osc.ny.gov/legal-opinions/opinion-91-54Medicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… in hospitals, post-hospital nursing home care, hospice, and home health services. If an individual is enrolled in both Medicaid and Medicare (commonly referred to as "dual-eligible"), Medicare is the primary payer and generally covers most of the eligible costs for health …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… Purpose To determine the extent of implementation of the one … examined whether Medicaid made inappropriate payments to medical providers for services rendered to Medicaid … individual's Medicare benefits. Medicare Advantage Plans have networks of participating providers that the plans …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followContracts for Personal and Miscellaneous Services (Follow-Up)
… We also found that the Port Authority's business model does not require the departments requesting these contracts …
https://www.osc.ny.gov/state-agencies/audits/2014/01/07/contracts-personal-and-miscellaneous-services-followAssessment Roll Verification (ARV) for School Districts
… File Assessment Roll Verification Form Enrollment Instructions [pdf] Background The Office of the State Comptroller (OSC) … by parcel on a School District Assessment Adjustment Form [pdf] . Instructions for completing the form are found …
https://www.osc.ny.gov/local-government/required-reporting/assessment-roll-verification-arv-school-districtsEmpire BlueCross – Overpayments for Physician-Administered Drugs
… Objective To determine whether Empire BlueCross appropriately … (Civil Service), provides health insurance coverage to over 1.2 million active and retired State, participating …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/empire-bluecross-overpayments-physician-administered-drugsState Health Department Should Improve Enforcement of Nursing Home Violations
… is frequently inspecting nursing homes and acting quickly on serious complaints, auditors found that some facilities … more must be done. Families need to know their loved ones have safe accommodations and providers are being held … in the most egregious of cases, reduces the deterrent effect inherent in penalties and continues the public’s …
https://www.osc.ny.gov/press/releases/2016/02/state-health-department-should-improve-enforcement-nursing-home-violationsSUNY Bulletin No. SU-351
… of this bulletin is to provide instructions to agencies for processing the 2023 $400 UUP Base Salary Increase. … Agreement between the State of New York and UUP, provides for a $400 Base Salary Increase. Effective Dates: SUNY System … employees whose Payroll Status is Terminated, Retired or Deceased will be automatically canceled by OSC with the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-351-2023-400-discretionary-base-salary-increase-professionalWorkers’ Compensation Program: Statement of Assessable Expenses for the Three Fiscal Years Ended March 31, 2011 (2012-S-71)
To express an opinion on the fair presentation of the Report of Workers’ Compensation Program Statement of Assessable Expenses for the three fiscal years ended
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s71.pdfDiNapoli Op-Ed: New York Needs to Boost Financial Education in Our Schools
… P. DiNapoli. The full op-ed is below: New York needs to boost financial education in our schools Young people in … high school. New York should get with the program. I issued an Executive Order on Financial Literacy in 2019 … finance as a requirement to obtain a high school diploma. I’m encouraged that the issue of personal finance was …
https://www.osc.ny.gov/press/releases/2023/11/dinapoli-op-ed-new-york-needs-boost-financial-education-our-schoolsContracts for Personal and Miscellaneous Services (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Contracts for Personal and … are required to determine whether services can be provided in-house before proceeding to contract, the agencies were not … and we found such documentation was often not prepared. In addition, the MTA did not have a requirement to …
https://www.osc.ny.gov/state-agencies/audits/2015/01/06/contracts-personal-and-miscellaneous-services-followMedicaid Payments for Excessive Dental Services (Follow-Up)
… Purpose To determine the extent of implementation of the six recommendations included in our initial audit … through August 31, 2009. Our audit identified $40 million of excessive dental services that exceeded certain frequency …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-followDetails About the Audit Process
… with handling public resources, you are responsible for using those resources effectively, efficiently, … to the final report. It describes what auditors look for and their professional auditing standards. Our staff will … conduct financial, compliance, and performance audits of all State and New York City agencies, including their …
https://www.osc.ny.gov/state-agencies/audits/details-about-audit-processDivision of Housing and Community Renewal Bulletin No. DH-142
… Renewal of OSC’s automatic processing of the April 2025 DC 37 3% Salary Increases and provide instructions for … Unit (RRSU) and includes the April 1, 2025 RRSU Salary Schedule Effective Dates: April 2025 DC 37 3% Salary … will become eligible for the salary increase upon the employee’s return from leave. Control-D Report Available …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/housing-and-community-renewal/dh-142-april-2025-district-council-37-dc-37-3-salaryLittle Flower Union Free School District – Fixed Assets (2022M-78)
… officials properly recorded and accounted for fixed assets. Key Findings The Board of Education (Board) and District officials did not ensure fixed assets were recorded and accounted for properly. A physical … the lack of regular inventory checks contributed to: 231 assets that cost $48,700 were not in the District’s inventory …
https://www.osc.ny.gov/local-government/audits/school-district/2022/08/12/little-flower-union-free-school-district-fixed-assets-2022m-78