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Selected Payments for Special Items Made to Albany Medical Center from January 1, 2011 through March 31, 2011
… AMC. Empire’s payments to AMC are generally based on standard fee schedules. However, AMC is entitled to … as implants, drugs, and blood) that are not covered by the standard fee schedules. Per Empire’s agreement with AMC, the …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-albany-medical-center-january-1-2011-through-march-31Selected Payments for Special Items Made to Mount Sinai Hospital from January 1, 2011 through March 31, 2011
… determine if BlueCross BlueShield's (Empire's) payments to Mount Sinai Hospital (Mount Sinai) for special items were made according to the provisions of … To determine if BlueCross BlueShields Empires payments to Mount Sinai Hospital Mount Sinai for special items were made …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-mount-sinai-hospital-january-1-2011-through-march-31Selected Payments for Special Items Made to St. Peter's Hospital from January 1, 2011 through March 31, 2011
… determine if BlueCross BlueShield's (Empire's) payments to St. Peter's Hospital (St. Peter's) for special items were made according to the provisions of the agreement between Empire and St. Peter's. Background The New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-peters-hospital-january-1-2011-through-march-31Assessment of Costs to Administer the Workers’ Compensation Program for the Fiscal Year Ended March 31, 2014
… Purpose The purpose of this performance audit is to determine whether the Workers’ Compensation Board (Board) has adequate procedures in place to accurately report its assessable expenses related to the … The purpose of this performance audit is to determine whether the Workers Compensation Board Board has …
https://www.osc.ny.gov/state-agencies/audits/2016/10/26/assessment-costs-administer-workers-compensation-program-fiscal-year-ended-march-31-2014Identifying, Reporting, and Providing Services for Youth at Risk of Sexual Human Trafficking in New York City
… for Children’s Services and the New York City Department of Youth and Community Development identify, report on, and provide services for victims of child sex trafficking and those at risk of child sex trafficking. The audit covered the period from … for Childrens Services and the New York City Department of Youth and Community Development identify report on and …
https://www.osc.ny.gov/state-agencies/audits/2022/06/06/identifying-reporting-and-providing-services-youth-risk-sexual-human-trafficking-new-yorkMedicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… Objective To determine whether Medicaid overpayments for pharmacy … enrolled recipient, and in turn, the MCOs are required to pay for the Medicaid services their recipients require, … have other third-party health insurance (TPHI) in addition to Medicaid (e.g., employer-based coverage or Medicare Part …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsNew York City Department of Homeless Services – Oversight of Contract Expenditures of Institute for Community Living, Inc.
… Objective To determine whether the New York City Department of Homeless Services is effectively monitoring its contract … 30, 2019. About the Program The New York City Department of Homeless Services (DHS), an administrative unit of the New York City Department of Social Services (DSS), is …
https://www.osc.ny.gov/state-agencies/audits/2022/09/16/new-york-city-department-homeless-services-oversight-contract-expenditures-instituteSelected Aspects of Leasing Practices for Real Estate Department, Aviation, World Trade Center, and Leasing of Properties
… $8.3 million from four leases at the World Trade Center (WTC) during the period June 2014 through November 2019. This …
https://www.osc.ny.gov/state-agencies/audits/2021/05/04/selected-aspects-leasing-practices-real-estate-department-aviation-world-trade-center-andMedicaid Program – Improper Medicaid Payments for Claims Not in Compliance With Ordering, Prescribing, Referring, and Attending Requirements
… and State regulations that require an appropriate National Provider Identifier (NPI) for ordering, prescribing, … and enrolled in Medicaid. Through the screening and provider enrollment process, the Department gains a level of assurance over the OPRA provider’s validity to provide Medicaid services. It further …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-claims-not-compliance-ordering-prescribingInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… of the five recommendations made in our initial audit report, Inappropriate Premium Payments for Recipients No … in Mainstream Managed Care and Family Health Plus (Report 2015-S-47 ). About the Program Most Medicaid … enrolled recipients. We issued our initial audit report on July 11, 2017. The audit objective was to determine …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… included in our initial audit report, Excessive Premium Payments for Dual-Eligible Recipients Enrolled in … effective April 1, 2021. IB-Dual pays lower MMC and HARP premium rates for Medicaid recipients in MMC or HARP who … included in our initial audit report Excessive Premium Payments for DualEligible Recipients Enrolled in …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andMedicaid Program – Recovering Managed Care Payments for Inpatient Services on Behalf of Recipients With Third-Party Health Insurance
… whether Medicaid overpayments for inpatient services on behalf of managed care recipients who had third-party … Gainwell’s recovery efforts by comparing claims MCOs paid on behalf of recipients with TPHI inpatient coverage with the … Review the $52.2 million in claims for inpatient services on behalf of recipients with TPHI inpatient coverage and …
https://www.osc.ny.gov/state-agencies/audits/2023/09/27/medicaid-program-recovering-managed-care-payments-inpatient-services-behalf-recipientsIFB #0001 – Disaster Recovery Services for the Printing, Sorting and Mailing of Payroll Checks and Tax Forms
… through the following links: Invitation for Bids , in PDF Forms Only , in MS Word format Cost Proposa l, in MS Excel format Responses to … Note: the solicitation has been posted in Adobe Acrobat PDF format and may be opened with the free Acrobat reader, …
https://www.osc.ny.gov/procurement/ifb0001NYS Comptroller DiNapoli and Church of England Call on ExxonMobil to Set Targets for Lowering GHG Emissions
… calling on ExxonMobil to set and disclose greenhouse gas (GHG) reduction targets, covering emissions from both its … and the use of its products. "ExxonMobil's lack of GHG emissions reduction targets puts it at odds with its … asks the company to set short-, medium- and long-term GHG targets aligned with the goals established by the Paris …
https://www.osc.ny.gov/press/releases/2018/12/nys-comptroller-dinapoli-and-church-england-call-exxonmobil-set-targets-lowering-ghg-emissionsDiNapoli: 33.55 Percent Annual Investment Return for New York State Pension Fund Is Largest in Its History
… New York State Comptroller Thomas P. DiNapoli today announced that the New York State Common Retirement Fund’s (Fund) estimated overall … State Comptroller DiNapoli announced that the New York State Common Retirement Funds estimated overall …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-33-point-55-percent-annual-investment-return-new-york-state-pension-fund-largest-its-historyReview of the Financial Plan of the City of New York - May 2016
On April 26, 2016, the Mayor of the City of New York released his executive budget for FY 2017 and a financial plan for fiscal years 2016 through 2020.
https://www.osc.ny.gov/files/reports/osdc/pdf/report-1-2017.pdfBenefits Advisement Services for Individuals With Disabilities Seeking Employment (Follow-Up) (2023-F-11) 30-Day Response
To assess the extent of implementation of the four recommendations included in our initial audit report, Benefits Advisement Services for Individuals With Disabilities Seeking Employment (2020-S-41).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-23f11-response.pdfImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up) (2022-F-37) 30-Day Response
To assess the extent of implementation of the five recommendations included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f37-response.pdfNew York City Department for the Aging: Oversight of the Home Delivered Meals Program (2020-N-5)
To determine whether the New York City Department for the Aging (DFTA) effectively oversees the provision of home delivered meals.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20n5.pdfUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs (2021-S-32) 180-Day Response
To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed physician-administered drugs.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s32-response.pdf