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Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2014, eMedNY processed about 112 million claims, resulting in payments to providers of about $25 billion. The claims are …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Opinion 88-67
… in the opinion. CONFLICTS OF INTEREST -- Legal Services (law partner of village mayor hired as village attorney) … that it is not contemplated that the partner or the law firm would be retained as an independent contractor, but …
https://www.osc.ny.gov/legal-opinions/opinion-88-67Medicaid 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 that Medicaid … through September 30, 2011. Background The Department of Health (Department) administers the State's Medicaid program. … from: Claims billed with information from other health insurance plans that was inaccurate. About $6.4 million in …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-program-medicaid-claims-processing-activity-april-1-2011-through-september-30-2011Purchasing and Procurement Practices (Follow-Up)
… to oversee NYRA’s financial operations. From January 1, 2022 to December 31, 2022, NYRA spent approximately $385 million for the purchase … The objective of our initial audit, issued on March 16, 2022, was to determine whether NYRA procured goods and …
https://www.osc.ny.gov/state-agencies/audits/2024/01/18/purchasing-and-procurement-practices-followDiNapoli: As State Tax Check-Off Options Increase, Spending Lags for Most
… New York state has the highest number of personal income tax … been actually spent on their target purposes each year. “New York state offers many worthy causes for income tax … Related Reports 2021 Tax Check-Off Donations Report … New York state has the highest number of personal income tax …
https://www.osc.ny.gov/press/releases/2024/01/dinapoli-state-tax-check-off-options-increase-spending-lags-mostState Agencies Bulletin No. 2166
… used for such critical tasks as direct employee contact, mailing of Form W-2 statements, mailing of paycheck and direct deposit advices, determining … It is essential that PayServ contains correct and current address information for all NYS employees. In an effort to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2166-new-york-state-payroll-online-nyspo-employee-address-updateMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… in overpayments resulting from: Incorrect retroactive rate changes that caused overpayments totaling $2.4 million; …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012Medicaid Claims Processing Activity April 1, 2012 Through September 30, 2012
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended September … $675,265 in overpayments; Claims with incorrect billings for alternate levels of care, which caused $465,313 in …
https://www.osc.ny.gov/state-agencies/audits/2013/10/09/medicaid-claims-processing-activity-april-1-2012-through-september-30-2012Enhanced Medicaid Payments to Selected Home Health Care Service Providers (Follow-Up)
… of the funds as intended; however, we were unable to fully account for providers' use of RTR funds because these funds …
https://www.osc.ny.gov/state-agencies/audits/2013/09/05/enhanced-medicaid-payments-selected-home-health-care-service-providers-followAmerican Academy of Pediatrics, District II
… Unit, we examined select payments the Department of Health (Department) made to the American Academy of Pediatrics, District II (AAP) under contract C028275.After … Key Findings To date, we found that the Executive Director of AAP falsely certified and submitted to the Department 16 …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiContract with Daytop Village, Inc. (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations included in our initial audit … Village, Inc. (Report 2008-R-1). Background The Office of Alcoholism and Substance Abuse Services (OASAS) oversees …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/contract-daytop-village-inc-followOverpayments of Claims for Selected Professional Services (Follow-Up)
… of the four recommendations included in our initial audit report, Overpayments of Claims for Selected Professional Services (Report 2010-S-73). … claim contained a different provider identification number. We recommended the Department correct the flaw in the …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followEmpire BlueCross BlueShield – Payments to John T. Mather Memorial Hospital (Follow-Up)
… primary health benefits plan for NYSHIP. The Department of Civil Service (Department) contracts with Empire BlueCross … (Empire) to administer the hospitalization benefit portion of the Plan. The Long Island Health Network (Health Network) is comprised of ten hospitals, including John T. Mather Memorial Hospital …
https://www.osc.ny.gov/state-agencies/audits/2013/06/04/empire-bluecross-blueshield-payments-john-t-mather-memorial-hospital-followOversight of Adult Protective Services Programs (Follow-Up)
… Programs ( 2020-S-2 ). About the Program In New York State, the Office of Children and Family Services (OCFS) administers the Adult Protective Services (APS) – a program of State-mandated services for adults (over age 18) who, …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/oversight-adult-protective-services-programs-followCyber Incident Response Team (Follow-Up)
… often used to deliver ransomware increased by 162%, from 114,702 in 2019 to 300,497 in 2022. These attacks can … protect against, prepare for, respond to, and recover from terrorism and other man-made and natural disasters, …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/cyber-incident-response-team-followMonitoring of Select Programs (Follow-Up)
… New Yorkers are currently waiting for services. NYSOFA’s 2021-22 and 2022-23 enacted budgets contained appropriations … served. It covered the period from April 2017 through July 2021. Overall, the audit found that weaknesses in NYSOFA’s … for each of the State fiscal years 2019-20, 2020-21, and 2021-22, NYSOFA based its annual allocations to the AAAs on …
https://www.osc.ny.gov/state-agencies/audits/2023/07/12/monitoring-select-programs-followSales Tax Vendor Registration Practices (Follow-Up)
… to 4.875%, and in the Metropolitan Commuter Transportation District at 0.375%. The use tax is imposed on taxable items …
https://www.osc.ny.gov/state-agencies/audits/2023/06/21/sales-tax-vendor-registration-practices-followState Police Bulletin No. SP-230
… Purpose The purpose of this bulletin is to notify agencies of an automatic dues increase for employees represented by … paychecks dated June 8, 2022. OSC Actions At the request of NYSPIA, OSC will automatically increase the current dues …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-police/sp-230-new-york-state-police-investigators-association-nyspia-dues-increaseMarion Central School District – Procurement (2022M-3)
… District (District) officials procured goods and services in accordance with the procurement policies and procedures … Board did not always ensure that competition was sought in accordance with the procurement policies and procedures … officials cannot assure taxpayers that purchases were made in the most prudent and economical manner. Key …
https://www.osc.ny.gov/local-government/audits/school-district/2022/06/24/marion-central-school-district-procurement-2022m-3DiNapoli Releases Fiscal Stress Scores for Villages and Cities
… all non-calendar year local governments and designated one city and two villages in “moderate fiscal stress” and eight … each of which have fiscal years ending on June 30. Amsterdam (Montgomery County) was the only city in “moderate fiscal stress” with a score of 58.3. Last year, Amsterdam was ranked in “significant fiscal stress” with a …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-releases-fiscal-stress-scores-villages-and-cities