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State Agencies Bulletin No. 1190
… Purpose To explain changes made in PayServ prior to the conversion of SSN as EMPLID to the … Payroll System Effective Date(s) The changes described in this Bulletin will be available in PayServ on October 5, … of the NYS EMPLID as EMPLID in PayServ is scheduled for November 9 – 12, 2012. Background In order to assist …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1190-changes-payserv-preparation-ssn-decoupling-conversionMedicaid 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-reportingMedicaid 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-programNew York State Health Insurance Program – Payments by UnitedHealthcare for Medical/Surgical Services for Ineligible Members (Follow-Up)
… Our initial audit report, issued on September 29, 2021, sought to determine whether United paid … covered the period January 1, 2014 through December 31, 2019. We identified $5.7 million that was paid for medical/surgical services for …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/new-york-state-health-insurance-program-payments-unitedhealthcare-medicalsurgical-servicesOpinion 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-90-17Medicaid 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-31-2023Cyber 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 – 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-servicesMaximizing 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-followThe 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-manualCVS 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-qualityOverview – 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-applicationsNew 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-followComptroller DiNapoli Releases School Audits
… New York State Comptroller Thomas P. DiNapoli today announced … Cherry Valley-Springfield Central School District – School Lunch Operations (Otsego County) The district is serving …
https://www.osc.ny.gov/press/releases/2015/11/comptroller-dinapoli-releases-school-auditsEmpire 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-167
… OSC’s automatic processing and to provide instructions for payments not processed automatically. Affected Employees Eligible graded salaried employees in the following bargaining units: SR , SY , SN , SG , S9 , … increments (longevity payments) for certain employees in the Unified Court System (UCS). The Laws of 2008 Chapter …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-167-april-2011-service-increments-longevity-payments-and-longevity