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Empire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… June 30, 2019. About the Program The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, covering … for special items, such as implants, which are not covered by fee schedules. Intraocular lenses are used in the …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsRoslyn Union Free School District – Information Technology Equipment Inventory Records (2024M-91)
… District officials disagreed with certain aspects of our findings and recommendations but indicated they have …
https://www.osc.ny.gov/local-government/audits/school-district/2025/02/21/roslyn-union-free-school-district-information-technology-equipmentState Comptroller DiNapoli Releases School District Audit
… another $367,963 if officials invested available funds in a financial institution that offered higher interest … spending, the state's 180,000 contracts, billions in state payments and public authority data. Visit the …
https://www.osc.ny.gov/press/releases/2021/02/state-comptroller-dinapoli-releases-school-district-auditEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… plan for NYSHIP. Empire BlueCross (Empire) administers the hospital portion of the Empire Plan. Empire processes claims for hospital services according to contracts it negotiates with … rate schedules for the payment of inpatient and outpatient hospital services. Hospitals may be entitled to additional …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followComptroller DiNapoli Releases School Audits
… school finances and operations, my office continues to provide taxpayers the assurance that their money is being … over the claims processing function that allow claims to be audited in a timely manner and in accordance with BOCES … County) Adequate records and reports were not maintained to enable the board to appropriately manage the district’s …
https://www.osc.ny.gov/press/releases/2015/10/comptroller-dinapoli-releases-school-audits-0DiNapoli: State Needs To Do More for Growing Mental Health Crisis in Schools
… Prevention reported that in 2020, mental health emergency room visits rose 24% among 5- to 11-year-olds and 31% among … department does not require districts to verify they’re meeting mandated mental health education standards, so it …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-state-needs-do-more-growing-mental-health-crisis-schoolsDiNapoli: New York City's Budget Outlook Improves
… revenues and planned cost savings benefited New York City’s budget outlook for Fiscal Year (FY) 2025, but … DiNapoli’s analysis of the city’s latest financial plan . “New York City’s finances were boosted by … track. Report Review of the Financial Plan of the City of New York (2024) Related Reports and Analysis Review of the …
https://www.osc.ny.gov/press/releases/2024/02/dinapoli-new-york-citys-budget-outlook-improvesNursing Home Surveillance
… of fines and other enforcement actions, are effective in improving the quality of care and safety in nursing homes. … impaired its ability to assess fines timely, in some cases resulting in delays of up to six years between when the … correcting the deficiencies, particularly in addressing cases of repeated non-compliance. Key Recommendations …
https://www.osc.ny.gov/state-agencies/audits/2016/02/19/nursing-home-surveillanceFood Insecurity Persists Post-Pandemic
… Introduction In March 2023, the Office of the State Comptroller reported that the … declined due to federal actions. 1 Nevertheless, one in ten, or about 800,000, New York households experienced … In March 2023 the Office of the State Comptroller reported that the …
https://www.osc.ny.gov/reports/food-insecurity-persists-post-pandemicAmusement Park and Fair Ride Safety
… monitoring and enforcing safety conditions of amusement park and fair rides. The audit covered the period January 1, … monitoring and enforcing safety conditions of amusement park and fair rides …
https://www.osc.ny.gov/state-agencies/audits/2014/08/12/amusement-park-and-fair-ride-safetyOversight of Hazardous Materials and Waste
… from January 1, 2015 through May 4, 2018. Background The State University of New York (SUNY) is the largest … faculty and staff. Campuses are located throughout the State, and SUNY maintains a central administrative office in … tools, training, and communication for the campuses on best practices and compliance issues, including compliance …
https://www.osc.ny.gov/state-agencies/audits/2018/12/03/oversight-hazardous-materials-and-wasteContract Participation of Minority- and Women-Owned Business Enterprises
… and $1.2 billion for fiscal year 2013-14. MTA reported MWBE utilization of $158.6 million (14.4 percent), $260.7 … Civil Rights (DDCR) is responsible for administering the MWBE program and the Disadvantaged Business Enterprise (DBE) … contracts. In 2011, OSC issued a report ( 2010-S-9 ) on MWBE reporting by the MTA and found that the Authority had …
https://www.osc.ny.gov/state-agencies/audits/2015/09/10/contract-participation-minority-and-women-owned-business-enterprisesState Agencies Bulletin No. 2138
… Purpose: The purpose of this bulletin is to inform agencies of OSC’s automatic processing of the April … payment of performance advances effective April 1, 2023, to eligible M/C employees based on the April 2022 Salary … 603-667) and NS positions (Grade 600), which are equated to a grade (Grade 603-667), and whose annual salary is below …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2138-april-2023-managementconfidential-mc-performance-advancesState Agencies Bulletin No. 2234
… Advances. The report is sorted by Department ID, then by employee name in alphabetical order. NHRP708 – Mass … processed. All reports will be sorted by Department ID, then by employee name in alphabetical order. NHRP704 – Mass …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2234-april-2024-managementconfidential-mc-performance-advancesCity of Lockport -- Budget Review (B18-1-10)
… of Budget Review The purpose of our budget review was to provide an independent evaluation of the City’s proposed … 147 of the Laws of 2015 (the “Act”), authorized the City to issue debt to liquidate the accumulated deficits in the City’s general, …
https://www.osc.ny.gov/local-government/audits/city/2018/11/08/city-lockport-budget-review-b18-1-10Medicaid Program – Improper Managed Care Payments for Recipients With Duplicate Client Identification Numbers
… (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay for services their members require. … referred to as “duplicate CINs”) during the time they are in receipt of benefits. Consistent with the Department’s … at a time. Individuals have several options for enrolling in Medicaid, including through Local Departments of Social …
https://www.osc.ny.gov/state-agencies/audits/2019/07/29/medicaid-program-improper-managed-care-payments-recipients-duplicate-client-identificationRecord of Activities: Elected and Appointed Officials Webinar Presentation
The purpose of an ROA is to establish an Official’s service credit in NYSLRS. During this training, we will go over what is required on an ROA, as well as walk you through how to complete an ROA utilizing a template, available on the NYSLRS website.
https://www.osc.ny.gov/files/local-government/academy/2022/pdf/roa-presentation-may-22.pdfBedford Central School District - Information Technology (2018M-164)
… designed and operating effectively. Key Findings Access to the District’s financial application was not properly … IT control weaknesses were communicated confidentially to District officials. Key Recommendations Ensure that user access to the financial application is properly segregated. Limit …
https://www.osc.ny.gov/local-government/audits/school-district/2018/10/26/bedford-central-school-district-information-technology-2018m-164Medicaid Program – Claims Processing Activity April 1, 2021 Through September 30, 2021
… reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with … eMedNY computer system processes claims submitted by providers for services rendered to Medicaid-eligible … inpatient claims that should have been paid by managed care or that were also reimbursed by managed care; …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-claims-processing-activity-april-1-2021-through-september-30-2021State Comptroller DiNapoli Releases Municipal & School Audits
… also did not develop a written vehicle and equipment replacement plan, and three board members did not know when these items needed to be replaced or their estimated replacement costs. Although the district had a capital … the board chair’s original estimated vehicle and equipment replacement needs indicated the district would need $2.7 …
https://www.osc.ny.gov/press/releases/2024/11/state-comptroller-dinapoli-releases-municipal-school-audits