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Medicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … 2015 through March 31, 2016. Background The Department of Health (Department) administers the State’s Medicaid program. … weights; $389,813 in improper payments for inpatient, clinic, durable medical equipment, transportation, and eye …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Examination of Travel Expenses
This is a continuation of our examination detailed in Report 2015BSE104 which outlined our findings regarding travel expenses incurred by a Department employ
https://www.osc.ny.gov/state-agencies/audits/2018/07/26/examination-travel-expensesMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… providers. The audit covered the period October 1, 2011 through March 31, 2012. Background The Department of Health … Medicaid Claims Processing Activity October 1, 2010 Through March 31, 2011 (2010-S-65) …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012Medicaid Program – Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured … were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period April 1, 2011 …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Medicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… Purpose To determine whether the Department of Health’s eMedNY system … Medicaid requirements, and resulted in correct payments to the providers. The audit covered the period April 1, 2013 … claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… claims for which eMedNY did not properly factor Medicare coverage or a lower level of care into the payment; $682,022 … with incorrect information pertaining to other health insurance coverage that recipients had; $112,981 in overpayments for nursing home claims for which eMedNY did not correctly deduct the …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Overpayments to Cabrini Medical Center (Follow-Up)
… reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in … The overpayments occurred because a billing company (hired by Cabrini) incorrectly altered information on Cabrini's …
https://www.osc.ny.gov/state-agencies/audits/2013/11/07/overpayments-cabrini-medical-center-followMedicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… procedure code; and Claims with improper payments for HIV tests, duplicate billings, and clinic, practitioner, and …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Medicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid claims were submitted … State's Medicaid program. The Department's eMedNY computer system processes Medicaid claims submitted by providers for … To determine whether the Department of Healths eMedNY system reasonably ensured that Medicaid claims were submitted …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Medicaid Claims Processing Activity April 1, 2012 Through September 30, 2012
… the providers. The audit covered the period April 1, 2012 through September 30, 2012. Background The Department of … Health: Medicaid Claims Processing Activity April 1, 2011 Through September 30, 2011 (2011-S-9) …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012State Police Bulletin No. SP-262
… Purpose: The purpose of this bulletin is to notify agencies of an automatic dues increase for … for payroll checks dated January 14, 2026. OSC Actions: At the request of the NYSPIA, OSC will automatically increase … The purpose of this bulletin is to notify agencies of an …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-police/sp-262-new-york-state-police-investigators-association-nyspia-dues-increaseOpinion 2010-4
… SERVICE -- Contracts (by fire district for "back up" services with private ambulance company) -- Fees (imposition … treatment if: (1) the fire district, as a part of a fire protection contract, provides general and/or emergency … partnership, association, corporation, municipality or any legal or public entity or subdivision thereof engaged in …
https://www.osc.ny.gov/legal-opinions/opinion-2010-4CVS Health – Accuracy of Empire Plan Medicare Rx Drug Rebate Revenue Remitted to the Department of Civil Service (Follow-Up)
… two recommendations included in our initial audit report, CVS Health: Accuracy of Empire Plan Medicare Rx Drug Rebate … for NYSHIP. Since 2014, Civil Service has contracted with CVS Caremark to administer the prescription drug coverage … $2.5 billion per year. In accordance with the contracts, CVS Caremark was required to negotiate agreements with drug …
https://www.osc.ny.gov/state-agencies/audits/2025/08/27/cvs-health-accuracy-empire-plan-medicare-rx-drug-rebate-revenue-remitted-department-civilOpinion 90-27
… that bear on the issues discussed in the opinion. FIRE COMMISSIONERS -- Appointment (in joint fire district) FIRE DISTRICTS -- Establishment of (joint fire district) TOWN … how the town and village may proceed to establish a joint fire district …
https://www.osc.ny.gov/legal-opinions/opinion-90-27DiNapoli: Village of Waverly Recreation Director Pleads Guilty to Altering and Destroying Village Records
… Attorney Kirk Martin and the New York State Police, today announced that David Shaw, the former parks and … Attorney Kirk Martin and the New York State Police today announced that David Shaw the former parks and …
https://www.osc.ny.gov/press/releases/2022/12/dinapoli-village-waverly-recreation-director-pleads-guilty-altering-and-destroying-village-recordsReview of the Financial Plan of the City of New York, August 2023
While May marked the end of the public health emergency in the United States, New York City continues to face the residual effects of the pandemic and the many unanticipated consequences on its finances, operations and economy.
https://www.osc.ny.gov/files/reports/osdc/pdf/report-6-2024.pdfEast Ramapo Central School District – Budget Review (B25-5-2)
… the New York State (NYS) Department of Education (SED) is required to appoint up to two monitors to the East Ramapo … the District’s 11 collective bargaining agreements (CBAs) have expired or will expire soon, and three CBAs were settled … based on historical trends or other known factors, such as recent settlement of contracts. Develop a plan to …
https://www.osc.ny.gov/local-government/audits/school-district/2025/04/03/east-ramapo-central-school-district-budget-review-b25-5-2Opinion 98-20
… to the provisions of General Municipal Law, §209. In the case of a fire district, the board of fire commissioners …
https://www.osc.ny.gov/legal-opinions/opinion-98-20Errors in Identification of 340B Providers in the Medicaid Drug Rebate Program (Follow-Up)
… Purpose To determine the implementation status of the four recommendations made in our initial audit … To determine the implementation status of the four recommendations made in our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2018/10/23/errors-identification-340b-providers-medicaid-drug-rebate-program-followMedicaid Program – Claims Processing Activity April 1, 2019 Through September 30, 2019 (2019-S-12)
To determine if eMedNY reasonably ensured that Medicaid claims were submitted by approved providers, properly processed, and resulted in correct payments ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-19s12.pdf