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UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)
… implementation status of the three recommendations made in our audit report, UnitedHealthcare: Improper Payments for … Service (Department) contracts with UnitedHealthcare (United) to process and pay medical and surgical claims for services provided to Empire Plan members. United’s payments to medical providers are based, in part, on …
https://www.osc.ny.gov/state-agencies/audits/2017/12/27/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59-followImproper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… of services for recipients and reimburse providers. When a hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, including … Medicaid recipients who were reported as discharged from a hospital but then admitted to a different hospital within the …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followImproper Overlapping Medicaid and Essential Plan Enrollments (Follow-Up)
… of the three recommendations included in our initial audit report, Improper Overlapping Medicaid and Essential Plan Enrollments (Report 2020-S-66 ). About the Program DOH administers the … may transition between Medicaid and the Essential Plan. NY State of Health (NYSOH) is the State-run health plan …
https://www.osc.ny.gov/state-agencies/audits/2024/04/10/improper-overlapping-medicaid-and-essential-plan-enrollments-followOversight of Selected Aspects of Traffic Controls (Follow-Up)
… of implementation of the 11 recommendations included in our initial audit report, Oversight of Selected Aspects of … the New York State Department of Transportation. Midtown in Motion (MiM), a congestion management system, is used by TMC to improve traffic conditions in midtown Manhattan by identifying traffic issues and …
https://www.osc.ny.gov/state-agencies/audits/2024/04/11/oversight-selected-aspects-traffic-controls-followOversight of Adult Protective Services Programs (Follow-Up)
… Services Programs ( 2020-S-2 ). About the Program In New York State, the Office of Children and Family Services (OCFS) … responsible for addressing APS referrals outside of New York City (rest of State, or ROS); and 12 field offices … meet State standards, the Bureau conducts Practice Reviews (Reviews) of each APS provider. Upon completion of …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/oversight-adult-protective-services-programs-followCyber Incident Response Team (Follow-Up)
… 2020-S-58 ). About the Program Cybercrimes continue to rise. According to the Federal Bureau of Investigation (FBI), …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/cyber-incident-response-team-followUnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and Acupuncture-Related Services (Follow-Up)
… audit report, UnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and … through December 31, 2019. We identified $7.3 million in actual and potential overpayments for services that were not …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/unitedhealthcare-insurance-company-new-york-improper-payments-acupuncture-and-acupunctureControls and Management of the Unemployment Insurance System (Follow-Up)
… as Pandemic Unemployment Assistance (PUA), which allowed for enhanced UI benefits for those affected by COVID-19. The COVID-19 pandemic and the … Information reported by the U.S. Department of Labor for April 1, 2022 to March 31, 2023 shows that the estimated …
https://www.osc.ny.gov/state-agencies/audits/2024/06/17/controls-and-management-unemployment-insurance-system-followInvestigation of Housing Discrimination Complaints
… At the time of our request, DHR officials could not account for 82 of 120 (68%) sampled complaints. Subsequently, … officials located 40 complaints but still could not account for 42 complaints. 11 of 25 (44%) sampled complaints …
https://www.osc.ny.gov/state-agencies/audits/2024/10/15/investigation-housing-discrimination-complaintsNational Directory of New Hires Data Security
… data. We found that OTDA is fully compliant with 31 of the 32 requirements; the remaining requirement was found to be …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/national-directory-new-hires-data-securityRisk Assessment and Implementation of Measures to Address Extreme Weather Conditions
… for years. Superstorm Sandy also took its toll on the bus system. While MTA prepared its buses for the storm by moving … B&T and Bus Operations equipment is critical to ensure the system is prepared for future extreme weather events. …
https://www.osc.ny.gov/state-agencies/audits/2025/01/02/risk-assessment-and-implementation-measures-address-extreme-weather-conditionsUCP of Niagara County dba Empower – Compliance With the Reimbursable Cost Manual
… directly related to the special education program, and sufficiently documented pursuant to the State Education … Department’s (SED) Reimbursable Cost Manual (RCM) and the Consolidated Fiscal Reporting and Claiming Manual (CFR Manual). The audit covered expenses …
https://www.osc.ny.gov/state-agencies/audits/2024/06/21/ucp-niagara-county-dba-empower-compliance-reimbursable-cost-manualApplication Review and Site Permitting for Major Renewable Energy Projects
… and require 100% carbon-free electricity by 2040, placing New York’s program on par with leading programs nationally … of the Climate Act strive to improve quality of life for New Yorkers, protect the environment, and strengthen … to site major renewable energy projects and bring them online faster in support of the Climate Act’s ambitious goals …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/application-review-and-site-permitting-major-renewable-energy-projectsDiNapoli: NYC Finances Strong But Slowing Economy Presents Risks
… by robust economic growth in recent years, is strong and the out-year budget gaps are relatively small, but the … job growth, combined with record numbers of tourists and a robust real estate market, has pushed tax collections to record levels and beyond the city’s expectations,” DiNapoli said. “Still, …
https://www.osc.ny.gov/press/releases/2016/02/dinapoli-nyc-finances-strong-slowing-economy-presents-risksState Agencies Bulletin No. 1114
… by the blank Goal Balance field. OSC will terminate all active SRA and TDA deductions for employees whose status … code in the employee’s General Deduction Data record. All information will roll up on the newly inserted row. The …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1114-supplemental-retirement-annuity-sra-and-tax-deferred-annuity-tdaDiNapoli: Port Authority Falling Short of Compliance With Americans With Disabilities Act
… of time. Any new construction or alteration of an existing station after October 1991 was also subject to this … (14th Street and 23rd Street) share connections to MTA subway stations that were also inaccessible. PATH station …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-port-authority-falling-short-compliance-americans-disabilities-actNew York’s Economy and Finances in the COVID-19 Era
… New York City Leads in Job Losses, But All Regions Suffer Big Declines New York City lost more than 937,000 jobs, 20 …
https://www.osc.ny.gov/reports/covid-19-july-9-2020CUNY Bulletin No. CU-728
The purpose of this bulletin is to inform agencies of OSCs automatic processing of the February 2022 PSC $1000 General Salary Increase for employees in the Assistant to Higher Education Officer Assistant to HEO and EOC Assistant to Higher Education Officer EOC Assistant to HEO titles
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-728-february-2022-professional-staff-congress-psc-1000-generalAbilities First, Inc.: Compliance With the Reimbursable Cost Manual (2022-S-23) 180-Day Response
To determine whether the costs reported by Abilities First, Inc. (AFI) on its Consolidated Fiscal Report (CFR) were properly calculated, adequately documented, and allowable under the State Education Department’s (SED) guidelines, including the Reimbursable Cost Manual (RCM) and the Consolidated Fis
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22s23-responseSED.pdfUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up) (2017-F-23)
To determine the implementation status of the three recommendations made in our audit report, UnitedHealthcare: Improper Payments for Medical Services...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-17f23.pdf