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State Comptroller DiNapoli Releases Audits
… monitoring systems, and managing the risks of security exposure or compromise; as well as the Data Security …
https://www.osc.ny.gov/press/releases/2024/01/state-comptroller-dinapoli-releases-auditsState Contract and Payment Actions in April
… and Markets $2.7 million with Triangle Talent, LLC for Entertainment Booking Services for the 2019 Great New … and Oyster Bay in Nassau County. $3.7 million with D & H Excavating, Inc. to improve the intersection of Routes 20 and … Clinton, Essex, Franklin, Hamilton, Jefferson, Warren, and St. Lawrence counties. Office of General Services $7.6 …
https://www.osc.ny.gov/press/releases/2019/05/state-contract-and-payment-actions-aprilState Contract and Payment Actions in June
… New York State Industries for the Disabled, Inc. for data imaging services. $2.3 million with Lexington Vocational Services Center, Inc. for a communication skills program. Department … establish a research and software development innovation center in Rochester. Office of General Services $11.7 million …
https://www.osc.ny.gov/press/releases/2019/07/state-contract-and-payment-actions-juneState Agencies Bulletin No. 2240
… The purpose of this bulletin is to notify agencies that employee participation in tax-sheltered annuity plans must be suspended while an employee is receiving paid Workers’ Compensation benefits. … for end dating payroll deductions in PayServ to suspend an employee’s 403(b) tax-sheltered annuity plan contribution …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2240-suspension-403b-tax-sheltered-annuity-plans-employees-workersNursing Home Surveillance (Follow-Up)
… included in our initial audit report, Nursing Home Surveillance ( 2015-S-26 ). Background The Department of Health (Department) oversees nursing home facilities in New York State through its Division of … State regulations and procedures for conducting nursing home surveys and whether survey processes, including the …
https://www.osc.ny.gov/state-agencies/audits/2018/03/08/nursing-home-surveillance-followMedicaid Program – Improper Medicaid Payments for Terminated Drugs
… or paid for, CMS requires state Medicaid programs to reject these claims on the basis of the drug’s termination … recovery where feasible. Formally instruct MCOs to reject the payment of claims for terminated drugs. Monitor …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsMedicaid Program – Improper Medicaid Payments for Recipients in Hospice Care
… elect hospice care, they waive their right to use Medicaid for curative services, and a hospice organization assumes responsibility for all … Other Related Audits/Reports of Interest Department of Health: Managed Care Premium Payments for Recipients With …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-improper-medicaid-payments-recipients-hospice-careMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (2020-F-4)
To determine the extent of implementation of the five recommendations included in our initial audit report, Medicaid Overpayments for Medicare Part B...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-20f4.pdfMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services (2017-S-46) 90-Day Response
To determine if the Department of Health overpaid health care providers’ Medicaid claims for services also covered by Medicare Advantage plans.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s46-response.pdfMedicaid Program - Medicaid Overpayments for Medicare Advantage Plan Services (2017-S-46)
To determine if the Department of Health overpaid health care providers’ Medicaid claims for services also covered by Medicare Advantage plans.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2019-17s46.pdfCost Saving Opportunities on Payments of Medicare Part C Claims (2020-S-65)
To determine whether Medicaid cost savings can be achieved by modifying the reimbursement methodology for Medicare Part C cost-sharing claims in accordance with federal requirements.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s65.pdfImproper Payments Related to the Medicare Buy-In Program (Follow-Up) (2014-F-12)
We have followed up on the actions taken by officials of the Department of Health to implement the recommendations contained in our audit report, Improper
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-14f12.pdfDiNapoli: Middletown Chiropractor Sentenced to Nine Years for Insurance Fraud
… to serve 108 months (nine years) in federal prison, plus three years of probation and pay $9.7 million in … Division of Investigations, 14th Floor, 110 State St., Albany, NY 12236. …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-middletown-chiropractor-sentenced-nine-years-insurance-fraudMedicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period … incorrect information pertaining to other health insurance coverage that recipients had; $937,424 in overpayments for … in improper payments for inpatient, clinic, durable medical equipment, transportation, and eye care services; …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… improper payments for duplicate billings and hospital, clinic, transportation, and eye care services. By the end of …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Improper Medicaid Payments for Terminated Drugs (Follow-Up)
… Medicaid Payments for Terminated Drugs (Report 2019-S-45 ). About the Program The State’s Medicaid program is …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-terminated-drugs-followMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… MDRP to reduce state and federal expenditures for Medicaid prescription drugs. The program was later expanded to require …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programState Comptroller DiNapoli Releases Audits
… Health (DOH): Medicaid Claims Processing Activity April 1, 2017 through Sept. 30, 2017 (2017-S-23) Auditors identified approximately $10.2 million in …
https://www.osc.ny.gov/press/releases/2018/08/state-comptroller-dinapoli-releases-auditsState Contract and Payment Actions in February
… for remediation cleanup at the American Thermostat site in South Cairo, Greene County. Department of Health $57 million … Davidson motorcycles. State University of New York at Buffalo $3 million to FNUB, Inc., a not-for-profit affiliated with the University at Buffalo, to purchase land and air rights for the University …
https://www.osc.ny.gov/press/releases/2018/03/state-contract-and-payment-actions-februaryState Contract and Payment Actions in April
… Empire State Plaza in Albany. $2.6 million with Carrier Corporation for chiller maintenance testing and repair at the … in Madison, Oneida County. $1.8 million with Modular Space Corporation for office trailer rentals. Major Payments … local governments from Tioga Downs, Rivers, Montreign, and Del Lago casinos for gaming revenue distributions. $1.7 …
https://www.osc.ny.gov/press/releases/2018/05/state-contract-and-payment-actions-april