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UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… members. United’s payments to medical providers are based, in part, on procedure codes billed on claims that indicate … United will not pay for certain procedure codes billed in combination with other procedure codes unless the provider includes a modifier code on the claim to further describe the services performed. Modifier 59 …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59DiNapoli Recommends Ways For LIRR To Get Back On Track
… on the Port Jefferson Branch. Communications to passengers in four incidents were not made or were late. For example, … "Lessons Learned" meeting was held for the sampled events, in response to the two-day snow event on January 4-5, 2018. … information regarding where passengers can reasonably go in the event service is interrupted. Ensure customers are …
https://www.osc.ny.gov/press/releases/2018/08/dinapoli-recommends-ways-lirr-get-back-trackOpinion 2000-7
… or statutory amendments that bear on the issues discussed in the opinion. CONFLICTS OF INTEREST -- Interest in Contract (fire commissioner as officer and stockholder of … not exceptions); (limited exception for municipalities in counties having a population of 200,000 or less) GENERAL …
https://www.osc.ny.gov/legal-opinions/opinion-2000-7Cost Saving Opportunities on Payments of Medicare Part C Claims (2020-S-65)
To determine whether Medicaid cost savings can be achieved by modifying the reimbursement methodology for Medicare Part C cost-sharing claims in accordance with federal requirements.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-20s65.pdfDiNapoli: State Tax Collections Lagging Last Year by $1.2 Billion
… collections are well over estimates." Through June 30, All Funds receipts totaled $37.7 billion, representing a decline … below projections, primarily in local assistance and capital projects. The General Fund ended June with a balance … Funds includes General, Special Revenue, Debt Service and Capital Projects funds, as well as funds from the federal …
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-state-tax-collections-lagging-last-year-12-billionInvestors: Exxon Needs to Step Up on Climate Change
… efforts to adopt the goals of the Paris Agreement to rein in climate change. In recent weeks, similar proposals have won a majority at two … CalPERS and other U.S. and European investors. A full list of this year’s co-filers is available here . About the …
https://www.osc.ny.gov/press/releases/2017/05/investors-exxon-needs-step-climate-changeDiNapoli: Women in New York Still Earn Far Less Than Men
… Women in New York earned 87 cents on the dollar compared to men in 2023, according to a report on the gender pay gap released … Women would have to work an extra 53 days to make what men in New York earned in 2023. Median earnings in 2023 for women …
https://www.osc.ny.gov/press/releases/2025/03/dinapoli-women-new-york-still-earn-far-less-menUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… period July 1, 2011 through March 31, 2015. Background The New York State Health Insurance Program (NYSHIP) provides health …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… January 1, 2011 through December 31, 2014. Background The New York State Health Insurance Program (NYSHIP) provides health …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… of implementation of the six recommendations included in our initial audit report, Improper Fee-for-Service … a monthly premium for each Medicaid recipient enrolled in managed care, and the managed care plans pay providers for … types of managed care. Most recipients are enrolled in mainstream managed care plans (Plans), which provide …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followOpinion 91-38
… subsequent court cases or statutory amendments that bear on the issues discussed in the opinion. PUBLIC CONTRACTS -- … deposit for copies of) LOCAL LAWS -- Pre-emption (deposits on plans and specifications) GENERAL MUNICIPAL LAW, §102; … subdivision must return the entire amount of the deposit on plans and specifications for the performance of public …
https://www.osc.ny.gov/legal-opinions/opinion-91-38Appendix 2: Federal Funds Spending by Major Function – 2022 Financial Condition Report
… … Provides information about federal funds spending by major service function …
https://www.osc.ny.gov/reports/finance/2022-fcr/appendix-2-federal-funds-spending-major-functionAppendix 1: State Funds Spending by Major Function – 2022 Financial Condition Report
… … Provides information about State funds spending by major service function …
https://www.osc.ny.gov/reports/finance/2022-fcr/appendix-1-state-funds-spending-major-functionAppendix 2: Federal Funds Spending by Major Function – 2021 Financial Condition Report
… … Provides information about federal funds spending by major service function …
https://www.osc.ny.gov/reports/finance/2021-fcr/appendix-2-federal-funds-spending-major-functionAppendix 1: State Funds Spending by Major Function – 2021 Financial Condition Report
Provides information about State funds spending by major service function
https://www.osc.ny.gov/reports/finance/2021-fcr/appendix-1-state-funds-spending-major-functionPollution Testing on Exhaust Emissions from Heavy-Duty Diesel Vehicles (Follow-Up) (2013-F-3)
We have followed up on the actions taken by officials of the Department of Environmental Conservation (DEC) to implement the recommendations contained in our au
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2013-13f3.pdfDiNapoli: Health Departments Need to Clean Up Act on Food Safety
… are not consistently enforcing the state health code for eateries and other establishments nor explaining why … with serious violations accountable could be a recipe for disaster.” The state Department of Health (DOH) is … Find out how your government money is spent at Open Book New York . Track municipal …
https://www.osc.ny.gov/press/releases/2019/04/dinapoli-health-departments-need-clean-act-food-safetyState Comptroller Thomas P. DiNapoli Statement on Gov. Cuomo's Executive Budget Proposal
… proposal during one of the most difficult times faced by our state. The pandemic is far from over, and it continues … with serious consequences for New Yorkers. I am encouraged by the incoming Biden-Harris administration’s plan to provide … proposal during one of the most difficult times faced by our state The pandemic is far from over and it continues …
https://www.osc.ny.gov/press/releases/2021/01/state-comptroller-thomas-p-dinapoli-statement-gov-cuomos-executive-budget-proposalImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… included in our initial audit report, Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Report … which was issued on January 5, 2015, determined that, for the 27-month period October 1, 2011 through December 31, …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followDiNapoli: Jackson Heights Economy Energized By Immigrants and Small Businesses
… and national (14 percent) shares. Immigrants also made up more than three-quarters of employed residents, the second … in taquerias, hear Dominican music playing in mom and pop shops, see people shopping in Colombian markets or … Colombians, Peruvians, Chinese and Indians also made up significant shares. Of the 12,650 self-employed residents, …
https://www.osc.ny.gov/press/releases/2019/10/dinapoli-jackson-heights-economy-energized-immigrants-and-small-businesses