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UnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… is known as upcoding. Our initial audit report, issued on December 31, 2018, examined whether United sufficiently … issuance of the follow-up report to provide information on any actions that are planned to address any unresolved …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesCongregate Meal Services for the Elderly (Follow-Up)
… Objective To determine the extent of implementation of the seven recommendations included in our initial audit report, Congregate Meal Services for the Elderly (Report 2016-N-5 ). About the Program Our initial … To determine the extent of implementation of the seven recommendations …
https://www.osc.ny.gov/state-agencies/audits/2019/11/19/congregate-meal-services-elderly-followState Agencies Bulletin No. 1797
… of the 2020 maximum salary limit for members of ORP in Tiers 1 through 5. Background In accordance with Section 415 of the Internal Revenue code, … year. Affected Employees Employee who are members of ORP in Tiers 1-5 are affected. Effective Date(s) Institution …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1797-maximum-salary-limit-optional-retirement-plan-orp-retirement-tiers-1Lockport City School District - Procurement (2021M-198)
… officials procured goods and services in accordance with the District’s procurement policy and applicable statutes. … goods and services were procured in accordance with the New York State General Municipal Law (GML) or the District’s procurement policies. District officials could …
https://www.osc.ny.gov/local-government/audits/school-district/2022/04/13/lockport-city-school-district-procurement-2021m-198Selected Performance Measures (Follow-Up)
… are six agencies of the MTA: Bridges and Tunnels, MTA Construction and Development, Metro-North Railroad (Metro-North), Long Island Rail Road (LIRR), New York City Transit (Transit), and MTA Bus Company (MTA Bus). (The latter four are the focus of this …
https://www.osc.ny.gov/state-agencies/audits/2022/04/08/selected-performance-measures-followMembership and Enrollment – Membership and Enrollment
… The benefits of NYSLRS membership can provide your employees financial security in retirement …
https://www.osc.ny.gov/retirement/employers/membership-enrollmentCity of Newburgh – Budget Review (B20-6-12)
… the significant revenue and expenditure projections in the City’s 2021 proposed budget. Background The City of Newburgh, located in Orange County, is authorized by Chapter 223 of the Laws of … to exceed $15 million to liquidate the accumulated deficit in the general fund as of December 31, 2010. During the time …
https://www.osc.ny.gov/local-government/audits/city/2020/11/13/city-newburgh-budget-review-b20-6-12Assessable Expenses of Administering the Motor Vehicle Financial Security Act and Motor Vehicle Safety Responsibility Act for the Four State Fiscal Years Ended March 31, 2018
… To ascertain the total expenses that the Department of Motor Vehicles (Department) incurred in administering the Motor Vehicle Financial Security Act and the Motor Vehicle … To ascertain the total expenses that the Department of Motor Vehicles incurred in administering the Motor Vehicle …
https://www.osc.ny.gov/state-agencies/audits/2019/09/11/assessable-expenses-administering-motor-vehicle-financial-security-act-and-motor-vehicleControls Over Unclaimed Bottle Deposits (Follow-Up)
… certain aspects of the New York State Returnable Container Act (Act), also known as the “Bottle Bill.” The Act requires every deposit initiator to collect a …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/controls-over-unclaimed-bottle-deposits-followOversight of Homeless Shelters
… oversees homeless shelters to ensure they are operating in compliance with applicable laws, rules, and regulations. … to county Departments of Social Services (Local Districts) in the operation of these programs. Through its Bureau of … and ensuring they meet certain standards, as established in New York Codes, Rules and Regulations. In contrast, the …
https://www.osc.ny.gov/state-agencies/audits/2016/02/12/oversight-homeless-sheltersMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… report, Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Report 2010-S-21). Background Our initial … nursing home claims submitted to Medicaid for hospital bed reserve days were appropriate, and if not, to what extent nursing home claims exceeded the bed reserve day limits. During the five year audit period …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followAccounts Receivable Collection and Reporting
… were in compliance with applicable laws and regulations for the period January 1, 2012 through June 30, 2015. … polluting and more reliable and affordable energy system for all New Yorkers. Collectively, the Authority’s efforts … in October 2011 by the Public Service Commission for utility charges associated with its newly enacted Energy …
https://www.osc.ny.gov/state-agencies/audits/2015/08/05/accounts-receivable-collection-and-reportingSelected Aspects of Inactive Hazardous Waste Site Remediation Cost Recovery
… Conservation (Department) has effective systems in place to fully and accurately accumulate State costs … bill for and collect these costs from responsible parties in a timely manner, and identify and pursue parties … (Program), also known as the State Superfund Program, in New York. The purpose of the Program is to identify, …
https://www.osc.ny.gov/state-agencies/audits/2015/01/22/selected-aspects-inactive-hazardous-waste-site-remediation-cost-recoveryPipeline Safety Oversight
… Commission (PSC) is providing oversight of pipeline safety in accordance with State regulations and federal performance … provides partial reimbursement for the costs they incur. In New York, the PSC operates a federally certified safety … with 23 fatalities, 123 injuries, and $77 million in property damage. PHMSA relies on state inspectors as the …
https://www.osc.ny.gov/state-agencies/audits/2016/03/08/pipeline-safety-oversightDiNapoli Seeks Stronger Federal Safety Measures for Oil Trains to Protect New Yorkers
… railways and require oil transporters to carry sufficient insurance to cover cleanup costs and other liabilities … million per occurrence. Canadian Pacific’s filings do not include information on the levels of insurance per … resources and oversight are directed toward track and rail car maintenance; Review the FRA’s Action Plan for the Safe …
https://www.osc.ny.gov/press/releases/2016/04/dinapoli-seeks-stronger-federal-safety-measures-oil-trains-protect-new-yorkersOpinion 2001-9
… the board of directors of the empire zone corporation. 1 Article 18 of the General Municipal Law generally provides … prohibitions (see General Municipal Law §805-a). Article 18 defines "contract" to include "any claim, account … the municipality which such officer or employee serves." Article 18 also provides that a municipal officer or employee …
https://www.osc.ny.gov/legal-opinions/opinion-2001-9Opinion 2003-5
… AND EMPLOYEES -- Death Benefits (line-of-duty presumption for paid firefighter) GENERAL MUNICIPAL LAW §208-b; … death benefits pursuant to General Municipal Law §208-b, for a firefighter who died of cancer prior to retirement. … General Municipal Law §208-b provides, in relevant part, for the payment of death benefits to the "widow" of a regular …
https://www.osc.ny.gov/legal-opinions/opinion-2003-5Medicaid Program – Medicaid Drug Rebate Program Under Managed Care
… NDC is a unique number that serves as a universal product identifier for each medication and is the basis for the …
https://www.osc.ny.gov/state-agencies/audits/2015/02/18/medicaid-program-medicaid-drug-rebate-program-under-managed-careBenefit Eligibility Assessment Process
… Purpose To determine whether the New York City Human Resources Administration's (HRA) public … is responsible for administering these public programs in New York City. As such, its responsibilities include assessing new applicant and existing recipient (Client) eligibility, …
https://www.osc.ny.gov/state-agencies/audits/2014/05/28/benefit-eligibility-assessment-processState Agencies Bulletin No. 942
… Number* as provided in the Certification Letter in the Reg Nbr: field. Enter “Contributing” in the *Contribution …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/942-mandatory-3-retirement-contribution-certain-tier-2-members-new-york