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United HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… 1, 2008 through December 13, 2011, the New York State Health Insurance Plan (NYSHIP) made improper payments totaling … None Other Related Audit/Report of Interest New York State Health Insurance Plan: United HealthCare - Payments for …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyComptroller DiNapoli Releases School Audits
… effectively.” Broadalbin-Perth Central School District – Health Insurance Buyouts and Separation Payments (Fulton County) Auditors found health insurance buyout payments and separation payments were …
https://www.osc.ny.gov/press/releases/2014/08/comptroller-dinapoli-releases-school-audits-1Comptroller DiNapoli Releases Municipal Audits
… 30 percent of its revenues ($17,241) collected from credit card payments because the vendor improperly withheld funds. …
https://www.osc.ny.gov/press/releases/2019/12/comptroller-dinapoli-releases-municipal-audits-1City of Mount Vernon – Budget Review (B21-6-3)
… unknown liabilities could be underestimated. The City’s tax overlay may not be sufficient to cover the amount of … and has not filed the City’s 2020 or 2021 Constitutional Tax Limit form. The City’s adopted 2021 budget includes a tax levy of $62,537,580. Because the City has not filed its …
https://www.osc.ny.gov/local-government/audits/city/2021/04/16/city-mount-vernon-budget-review-b21-6-3State Agencies Bulletin No. 178
… 501 Social Security Deficiency GARNSH (garnishment) Health Insurance Deductions If a transaction is received from the Department of Civil Service for a health insurance deduction, the transaction will be processed …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/178-cancellation-general-deductions-certain-employees-who-are-inactive-orState Comptroller DiNapoli Releases Audits
… including an estimated $8.6 million for the audit scope – if the Department of Health adopted a similar policy rather …
https://www.osc.ny.gov/press/releases/2023/05/state-comptroller-dinapoli-releases-auditsState Contract and Payment Actions in August
… & Family Services $4.5 million with HF Acquisition Co. LLC Health First for epinephrine auto-injectors for daycare … Correctional Facility in Dutchess County. Department of Health $55.1 billion for Medicaid managed care plans, … for assistance with the Health Benefit Exchange, including insurance enrollment and call center operations. Office of …
https://www.osc.ny.gov/press/releases/2020/10/state-contract-and-payment-actions-augustMedicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… Part A. Medicare Part A provides supplementary medical insurance for inpatient care in hospitals, post-hospital nursing home care, hospice, and home health services. If an individual is enrolled in both … payer and generally covers most of the eligible costs for health services. Medicaid, as a secondary payer, generally …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followOpinion 91-20
… level of service) -- Fees (authority to collect from insurance companies) FEES -- Collection of (ambulance service … pursuant to the provisions of article thirty of the public health law" (General Municipal Law, §122-b[1][f]; see also, General Municipal Law, §122-b[1-a][a],[b]; Public Health Law, §3001[6],[7]). Pursuant to section 122-b, the …
https://www.osc.ny.gov/legal-opinions/opinion-91-20Medicaid Program – Accuracy of Medicaid Eligibility Determined by NY State of Health
… Objective To determine whether NY State of Health (NYSOH, New York’s online health plan marketplace) … can search for and enroll in Medicaid and other health insurance plans. An individual’s Medicaid eligibility and …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-accuracy-medicaid-eligibility-determined-ny-state-healthState Contract and Payment Actions in February
… In February, the Office of the State Comptroller approved … audio monitoring systems at Sullivan Correctional Facility in Sullivan County. $8.5 million with VMJR Companies LLC to …
https://www.osc.ny.gov/press/releases/2022/03/state-contract-and-payment-actions-februaryState Contract and Payment Actions in November
… improvements to support the 2023 Winter World University Games. $1.5 million to the Saranac Lake Civic Center, Inc. … hosting commitments for the 2023 Winter World University Games. $1 million for JMA Tech Properties LLC for a portion …
https://www.osc.ny.gov/press/releases/2021/12/state-contract-and-payment-actions-novemberDiNapoli: Former Medical Office Manager Pleads Guilty to Defrauding New York State Health Insurance Plan
… has pleaded guilty to defrauding the New York State Insurance Plan (NYSHIP) out of more than $12,000 by … Ms. Bradshaw knowingly took advantage of the health insurance system to profit at her own expense. …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-former-medical-office-manager-pleads-guilty-defrauding-new-york-state-health-insurance-planMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Purpose To determine if the Department of Health overpaid health care providers’ Medicaid claims for … Medicare Advantage plans (Plans) also offer supplemental insurance benefits for services that are not covered by …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesState Comptroller DiNapoli Releases Audits
… 24 hours of the reported discharge (which often meets the definition of a transfer). The follow-up found that the …
https://www.osc.ny.gov/press/releases/2023/01/state-comptroller-dinapoli-releases-auditsMedicaid Program – Improper Medicaid Payments for Childhood Vaccines
… at a discount and distributes the vaccines to state health departments and certain local and territorial public health agencies at no cost. These agencies then distribute … Payments for Recipients With Comprehensive Third-Party Insurance ( 2016-S-60 ) Department of Health: Maximizing Drug …
https://www.osc.ny.gov/state-agencies/audits/2018/12/06/medicaid-program-improper-medicaid-payments-childhood-vaccinesState Contract and Payment Actions in January
… at the intersection of Routes 17 and 32 in Orange County. Payment Rejections and Other Cost Recoveries The office …
https://www.osc.ny.gov/press/releases/2019/02/state-contract-and-payment-actions-januaryState Contract and Payment Actions in March
… In March, the Office of the State Comptroller approved 2,618 … million with 250 Fulton Avenue Realty LLC for lease space in Nassau County. $1 million with HOP Energy LLC for fuel oil …
https://www.osc.ny.gov/press/releases/2023/05/state-contract-and-payment-actions-marchState Contract and Payment Actions in March
… In March, the Office of the State Comptroller approved 1,696 … for remediation at the Saranac Lake Gas Company facility in Franklin County. $1.1 million with General Roofing …
https://www.osc.ny.gov/press/releases/2021/04/state-contract-and-payment-actions-marchState Contract and Payment Actions in July
… In July, the Office of the State Comptroller approved 1,308 … $81.9 million with 250 Broadway Owner LLC for leased space in New York City. $5.8 million with Sharan Builders Inc. to …
https://www.osc.ny.gov/press/releases/2020/08/state-contract-and-payment-actions-july