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Medicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Follow-Up)

… Medicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Report 2009-S-35). Background Our initial … payment and prior approval of out-of-state non-emergency inpatient services. Key Finding Department officials made … Medicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (2009-S-35) …

https://www.osc.ny.gov/state-agencies/audits/2013/03/11/medicaid-overpayments-non-emergency-out-state-inpatient-services-follow

Medicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)

… report, Medicaid Overpayments for Out-of-State Ambulatory Surgery Services (Report 2009-S-29). Background Our initial … appropriately paying out-of-state providers for ambulatory surgery services provided to New York State Medicaid … overpayments to out-of-state providers for such ambulatory surgery services. The overpayments happened because …

https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-follow

Review of Real Property Holdings for Disposal (Follow-Up)

… Purpose To determine the extent of implementation of the five recommendations made in our initial report, Review of … We determined that the Department implemented each of the five recommendations from our initial report. Key … To determine the extent of implementation of the five recommendations made in our initial report Review of …

https://www.osc.ny.gov/state-agencies/audits/2015/04/07/review-real-property-holdings-disposal-follow

Overpayments of Claims for Selected Professional Services (Follow-Up)

… were billed for selected professional services such as podiatry, physical therapy, and occupational therapy during … Other Related Audit/Report of Interest Department of Health: Overpayments of Claims for Selected Professional …

https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-follow

Medicaid Program – Payments for Death-Related One-Day Inpatient Admissions

… inpatient payment system for Medicaid services when patient deaths occur within one day of admission. The audit … inpatient medical care. The new methodology, based on All Patient Refined Diagnosis Related Groups (APR DRG), was … reflect the variable costs associated with individual patient treatment. Key Findings Since the implementation of …

https://www.osc.ny.gov/state-agencies/audits/2013/08/15/medicaid-program-payments-death-related-one-day-inpatient-admissions

Selected Aspects of Accommodations for Passengers With Disabilities

… determine whether the Port Authority of New York and New Jersey (PANYNJ) has complied with selected requirements of … created to control the port district of New York and New Jersey, maintaining the trade and travel infrastructure of … To determine whether the Port Authority of New York and New Jersey complied with selected requirements of the Americans …

https://www.osc.ny.gov/state-agencies/audits/2021/07/29/selected-aspects-accommodations-passengers-disabilities

UnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services

… the same time as other services, including heat therapy, massage therapy, electrical stimulation, and evaluation and …

https://www.osc.ny.gov/state-agencies/audits/2021/10/27/unitedhealthcare-improper-payments-acupuncture-and-acupuncture-related-services

Medicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)

… in our initial audit report, Medicaid Overpayments for Medicare Advantage Plan Services (Report 2017-S-46 ). … is generally the secondary payer and reimburses providers for financial balances not covered by the Plan (typically … Department overpaid health care providers’ Medicaid claims for services also covered by Plans. The audit covered the …

https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-follow

Medicaid Program – Improper Medicaid Payments for Terminated Drugs

… level by the Centers for Medicare & Medicaid Services (CMS). The Medicaid program covers medically necessary … ensure terminated drugs will not be dispensed or paid for, CMS requires state Medicaid programs to reject these claims … was recalled for health and safety reasons). Pursuant to CMS guidelines, the Department maintains drug termination …

https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugs

Medicaid Program – Improper Payments for Brand Name Drugs

… by directing pharmacies to “dispense as written” either in writing or electronically; otherwise, a generic drug should be dispensed. Usually, brand name drugs are more expensive than generic … in Medicaid overpayments for brand name prescription drugs where generic drugs were available. Our review found: …

https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-improper-payments-brand-name-drugs

Improper Medicaid Payments for Misclassified Patient Discharges (Follow-Up)

… we identified in the initial audit report, but additional action is still required. Of the initial report’s four audit …

https://www.osc.ny.gov/state-agencies/audits/2023/01/18/improper-medicaid-payments-misclassified-patient-discharges-follow

Office for People With Developmental Disabilities Fuel Card

… State Operations Office (Metro) employees of the Office for People With Developmental Disabilities during the period … officials are required to maintain vehicle use logs (logs) and review and approve the logs for completeness and accuracy … drivers are required to (i) enter their PIN at the fuel pump, (ii) document details pertaining to the fuel purchase …

https://www.osc.ny.gov/state-agencies/audits/2019/04/10/office-people-developmental-disabilities-fuel-card

Medicaid Program – Improper Medicaid Payments for Childhood Vaccines

… enrolled in Medicaid, the Medicaid program pays the vaccine administration fee. Key Findings Auditors identified …

https://www.osc.ny.gov/state-agencies/audits/2018/12/06/medicaid-program-improper-medicaid-payments-childhood-vaccines

Implementation of the Dignity for All Students Act

… Purpose To determine whether the New York City Department of Education (DOE) is ensuring that Dignity for All Students … properly and investigated timely. Our audit scope covered the period from July 1, 2015 through June 28, 2018. We also … To determine whether the New York City Department of Education is ensuring that …

https://www.osc.ny.gov/state-agencies/audits/2019/03/13/implementation-dignity-all-students-act

DiNapoli: Despite Progress, Pay Gap for Women Persists

… Median earnings for full-time working women in New York were 86 cents for every dollar earned by men in 2019, an annual wage gap of … national wage gap of $10,150, with women earning 81 cents for every dollar paid to men on average. New York ranked 11 … Median earnings for fulltime working women in New York were 86 cents for …

https://www.osc.ny.gov/press/releases/2022/03/dinapoli-despite-progress-pay-gap-women-persists

DiNapoli Announces State Contract & Payment Actions for December

… Program that allows LIPA to maximize the operation of its electric system by reducing customer consumption at peak …

https://www.osc.ny.gov/press/releases/2014/01/dinapoli-announces-state-contract-payment-actions-december

DiNapoli: Trouble Ahead for Local Governments and Schools

… the federal government has stepped in with financial assistance to help states and local governments weather … provide revenue stability for local governments, the tax cap and other constraints will likely limit their use to … During the COVID-19 Pandemic Find out how your government money is spent at Open Book New York . Track municipal …

https://www.osc.ny.gov/press/releases/2020/07/dinapoli-trouble-ahead-local-governments-and-schools

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