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Medicaid Program – Improper Payments to a Dentist
… 2009 through September 30, 2012. Background The Department of Health administers New York State's Medicaid program. The … fee for emergency treatment provided between the hours of 10:00 p.m. and 8:00 a.m. Payments for behavior management … Dr. Bonsi about $593,000 for the claims he submitted. Many of these payments were for claims for behavior management and …
https://www.osc.ny.gov/state-agencies/audits/2013/07/15/medicaid-program-improper-payments-dentistNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members
… Objective To determine whether UnitedHealthcare Insurance Company of … Program (NYSHIP) provides health insurance coverage to over 1.2 million active and retired State, local …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesThe Norman Howard School – Compliance With the Reimbursable Cost Manual
… the CFR. The disallowances for personal services consisted of $170,325 in compensation for uncertified teachers and … the required professional certifications during portions of our audit period. Further, we questioned $21,729 in other … as appropriate. NHS should ensure that the reporting of reimbursable expenses complies with SED requirements and …
https://www.osc.ny.gov/state-agencies/audits/2013/07/15/norman-howard-school-compliance-reimbursable-cost-manualOverview – Membership and Enrollment
… About NYSLRS The New York State and Local Retirement System (NYSLRS) is one of the … benefit . New members will lock in the benefits of Tier 6. Other advantages of membership include: Death …
https://www.osc.ny.gov/retirement/employers/membership-enrollment/overviewUser Access Controls Over Selected System Applications
… the Program Upstate, the only academic medical center in Central New York, consists of four colleges, a research … and inappropriate access to applications due to a change in the users’ status (e.g., employment separation, death). 61 … to be removed. Although Upstate has certain measures in place to review the appropriateness of user access, we …
https://www.osc.ny.gov/state-agencies/audits/2020/06/10/user-access-controls-over-selected-system-applicationsMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… the Department regularly monitor the activities of its new rebate contractor to help ensure the accuracy of the drug …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… The audit covered the period from April 2018 through March 2022 and certain claims going back to January 2017. About the …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
… (Report 2019-S-51 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over 1.2 million active and …
https://www.osc.ny.gov/state-agencies/audits/2021/11/16/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service-followIII.7 Data Quality – III. Statewide Financial System (SFS)
… As a result, the data from transactions needs to be of high quality. To maintain accurate data, it is the responsibility of the agencies to periodically clean up transactions. For transactions that have not been cleaned up, the Office of the State Comptroller (OSC) will occasionally request SFS …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iii/iii7-data-qualityMedicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
… different hospitals, two separate payments are made: a payment for the first hospital’s claim and a payment for the second hospital’s claim. However, according … between merged or consolidated facilities only one payment should have been made – to the first hospital. The …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilitiesHate Crime Reporting
… victim and offender demographics. The Division submits this data to the Federal Bureau of Investigation (FBI) for its collection and publication. Hate crimes are … Determine the feasibility of amending the database program code to allow for reporting of multiple biases. Other Related …
https://www.osc.ny.gov/state-agencies/audits/2014/09/25/hate-crime-reportingOpinion 90-17
… the opinion. FIRE DISTRICTS -- Dissolution (disposition of surplus moneys) TOWN LAW, §185(1): Absent a provision to the … has been paid must be credited to the taxable real property located in such district in the next succeeding … that, upon the dissolution of a fire district, all property of such district be sold a public sale and that the …
https://www.osc.ny.gov/legal-opinions/opinion-90-17Cyber Incident Response Team (Follow-Up)
… 2020-S-58 ). About the Program Cybercrimes continue to rise. According to the Federal Bureau of Investigation (FBI), … coordination, and support for efforts to prevent, protect against, prepare for, respond to, and recover from terrorism …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/cyber-incident-response-team-followMedicaid Program – Claims Processing Activity October 1, 2022 Through March 31, 2023
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … back to June 2022. About the Program The Department of Health (Department) administers the State’s Medicaid program. … who had other concurrent comprehensive third-party health insurance; $5.6 million was paid for claims that were billed …
https://www.osc.ny.gov/state-agencies/audits/2023/10/25/medicaid-program-claims-processing-activity-october-1-2022-through-march-31-2023New York State Health Insurance Program – Empire Plan Members With Dual Family Coverage (Follow-Up)
… included in our initial audit report, New York State Health Insurance Program: Empire Plan Members With Dual Family … (Report 2019-S-23 ). About the Program The New York State Health Insurance Program (NYSHIP), administered by the …
https://www.osc.ny.gov/state-agencies/audits/2022/09/26/new-york-state-health-insurance-program-empire-plan-members-dual-family-coverage-followEmpire BlueCross – Overpayments for Physician-Administered Drugs
… January 2017 through December 2021. About the Program The New York State Health Insurance Program (NYSHIP), …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/empire-bluecross-overpayments-physician-administered-drugsUnified Court System Bulletin No. UCS-319.1
… of new eligibility criteria. Affected Employees: Employees in the following Bargaining Units: 87, 86, DR, F8, SR and SY … 86, DR, F8, SR and SY provides for a retroactive increase in SLED payments (Earnings Code JSD) effective March 31, 2022, for all eligible members. In addition, the agreements retroactively removed the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-3191-retroactive-april-2022-ucs-sled-payment-increaseOpinion 91-10
… or statutory amendments that bear on the issues discussed in the opinion. WORDS AND PHRASES -- "In the same manner and … of park district commissioners in certain towns in Westchester County. You ask generally about the nature of the district in …
https://www.osc.ny.gov/legal-opinions/opinion-91-10State Pension Employer Contribution Rates Announced for 2020-21, Assumed Rate of Return Lowered
… Retirement System (NYSLRS) employer contribution rates for State Fiscal Year 2020-21 will remain the same as the previous year for the Employees’ Retirement System (ERS) with a small increase in rates for the Police and Fire Retirement System (PFRS). DiNapoli is …
https://www.osc.ny.gov/press/releases/2019/08/state-pension-employer-contribution-rates-announced-2020-21-assumed-rate-return-loweredDiNapoli: New York City Projects Surplus in 2017 Despite Slower Tax Collections
… New York City projects a surplus of $439 million in the 2017 … slowing, according to a report released today by New York State Comptroller Thomas P. DiNapoli. "The city’s economy is … recent years," DiNapoli said. "Additionally, a number of budget risks could increase the size of the out-year budget …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-new-york-city-projects-surplus-2017-despite-slower-tax-collections