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Medicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 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 164 million claims, resulting in payments to providers of about $25 billion. The claims are …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014Legislative and Executive Retirement Plan For Tier 1 and 2 Members (Section 80-a)
… from Comptroller Thomas P. DiNapoli As a member of the Retirement System, you are covered by a plan that provides … of our system, including: Benefits you will receive at retirement (service retirement benefits) if you meet the … your beneficiary may receive if you die while working for a public employer or after you retire (death benefits); …
https://www.osc.ny.gov/retirement/publications/legislative-and-executive-retirement-plan-tier-1-and-2-members-section-80DiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients
… The state Department of Health (DOH) could have saved the Medicaid program as much … disease (ESRD) who meet certain eligibility requirements get the Medicare benefits to which they are entitled, … and struggling with day-to-day life should be informed of their Medicare eligibility, which could reduce their …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-state-missing-out-millions-medicare-payments-kidney-patientsMedicaid Claims Submitted by Accordis, Inc. on Behalf of the New York City Health and Hospitals Corporation
… Inc. submitted appropriate Medicaid claims on behalf of the New York City Health and Hospitals Corporation (HHC). … providers submit Medicaid claims to the Department of Health’s eMedNY claims processing system for payment of their services. For various reasons, eMedNY denies payment …
https://www.osc.ny.gov/state-agencies/audits/2013/03/12/medicaid-claims-submitted-accordis-inc-behalf-new-york-city-health-and-hospitalsDiNapoli: New Law Makes It Easier for the Comptroller To Return Your Lost Money
… John T. McDonald III. “My office holds over $19 billion in unclaimed funds, and we want to make sure that … money.” The average claim paid out is between $50 and $100. …
https://www.osc.ny.gov/press/releases/2024/11/dinapoli-new-law-makes-it-easier-comptroller-return-your-lost-moneyAccounts Payable Advisory No. 52
… Subject: The purpose of this section is to provide guidance to ensure that agencies receive the … The purpose of this section is to provide guidance to ensure that agencies receive the …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/52-gfo-receiving-section-xi-a9Procurement and Contracting in New York
… as a state vendor, review documentation requirements and bid protest decisions or research vendors. Resources … contracts, helps ensure fairness in State contracting and protects the interests of the State and its taxpayers. Resources How to Protest a Contract Award …
https://www.osc.ny.gov/state-agencies/contractsNew York’s Economy and Finances in the COVID-19 Era
… households expect a loss of employment income within the next four weeks, according to new data from the Census … or foreclosure will happen to their household within the next two months. In addition, one-third said that it has been … households expect a loss of employment income within the next four weeks according to new data from the Census Bureaus …
https://www.osc.ny.gov/reports/covid-19-september-16-2020Enroll in the VendRep System
… To begin filing or reviewing a Vendor Responsibility Questionnaire, you must enroll your … Services. Vendors Before you begin, be sure you have the: Vendor Name : Legal Business Name Vendor ID : New York State Vendor Identification Number Note: … To begin filing or reviewing a Vendor Responsibility Questionnaire you must enroll your …
https://www.osc.ny.gov/state-vendors/vendrep/enroll-vendrep-systemDiNapoli: Medicaid Audits Find More Than $700 Million in Unnecessary Costs and Overpayments
… New York State Comptroller Thomas P. DiNapoli today released five audits of the Department of Health’s (DOH) Medicaid program that identified approximately $706.6 million in unnecessary, improper or questionable payments and … New York State Comptroller Thomas P DiNapoli today released …
https://www.osc.ny.gov/press/releases/2020/09/dinapoli-medicaid-audits-find-more-700-million-unnecessary-costs-and-overpaymentsDiNapoli: Audits Find $70 Million in Dubious Claims, Persistent Medicaid Billing System Failures
… more than $70 million in questionable Medicaid claims and payments. DiNapoli’s auditors found the state reimbursed … to be denied. DiNapoli’s auditors, however, found that APG payments are not subject to the same checks and balances as other Medicaid payments. For the period Dec. 1, 2008 through May 29, 2013, …
https://www.osc.ny.gov/press/releases/2015/06/dinapoli-audits-find-70-million-dubious-claims-persistent-medicaid-billing-system-failuresFailing To Adhere to Policy and Proper Procedures – Travel and Conference Expense Management
… and they must understand the consequences of the failure to meet these requirements. Your policy should specifically … incurred sufficient to enable the proper audit of the claim for reimbursement. Denial of reimbursement for expenses … amount of the unreturned excess from the salary or other money owed to the employee. 11 General Municipal Law, section …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/failing-adhere-policy-and-proper-proceduresXII.5.K Federally Reportable Payments – XII. Expenditures
… Payments for damages: Non-physical injuries or sickness Property loss or damage Wrongful conviction/termination …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii5k-federally-reportable-paymentsExamination of Unemployment Insurance Benefits
… requests and payments DOL approved were appropriate and in accordance with applicable Federal and State laws and … including: (i) high risk payment requests DOL approved in 2015; and (ii) prior year payments related to those 2015 … duplicate payments; and (iii) out of country indicators in the claimants’ log file to the DOL payment file to …
https://www.osc.ny.gov/state-agencies/audits/2016/09/16/examination-unemployment-insurance-benefitsOperational Advisory No. 36
… Subject: GFO Updates – Postage/Shipping account codes Guidance : The Office of the State Comptroller (OSC) has updated the guidance for the use of account codes 55203, Postage and 55220, Shipping. Account code 55220 which was previously titled Shipping has …
https://www.osc.ny.gov/state-agencies/advisories/operational-advisory/36-gfo-updates-postageshipping-account-codesBorrowing Against Your Contributions – State Police Plan
… once in any 90-day period. Prior to retirement, and 30 days after issuance, loans are fully insured in case you die … your loan when it is issued. Prior to retirement, and 30 days after issuance, loans are fully insured in case you die … loan, but with multiple loans, as each loan is paid off, the total minimum payment goes down. With a refinanced …
https://www.osc.ny.gov/retirement/publications/1518/borrowing-against-your-contributions-0Chautauqua Lake Central School District – Procurement (2024M-3)
… practices. Conduct a thorough and deliberate audit of each claim before authorizing payment. District officials …
https://www.osc.ny.gov/local-government/audits/school-district/2024/06/07/chautauqua-lake-central-school-district-procurement-2024m-3Anthem Blue Cross – Effectiveness of the Recovery Process
… process and remitted all recoveries that the Department of Civil Service (Civil Service) was entitled to. The audit covered the period … State Health Insurance Program (NYSHIP), administered by Civil Service, is one of the nation’s largest public sector … process and remitted all recoveries that the Department of Civil Service Civil Service was entitled to …
https://www.osc.ny.gov/state-agencies/audits/2026/01/06/anthem-blue-cross-effectiveness-recovery-processIX.12.N Fund Availability and Interest Liability – IX. Federal Grants
… authorization is entered in the Federal Payment Management System (PMS). Meanwhile, state payments must be made. State … authorization is entered in the Federal Payment Management System PMS …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix12n-fund-availability-and-interest-liabilityDiNapoli: Millions in NYC Transit Fines and Fees Uncollected
… the Metropolitan Transportation Authority’s New York City Transit division found it did not collect more than $13 … 1, 2013 and June 6, 2015. Not adequately enforcing NYC Transit violations has cost tens of millions more over the years. “New York City Transit can and should do more to collect fines from those …
https://www.osc.ny.gov/press/releases/2016/08/dinapoli-millions-nyc-transit-fines-and-fees-uncollected