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State 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-julyVillage of Clayton – Claims Auditing (2021M-81)
… did not review the claims before approving payments. Health insurance claims totaling $495,104 were not approved for …
https://www.osc.ny.gov/local-government/audits/village/2021/09/03/village-clayton-claims-auditing-2021m-81Opinion 89-56
… to make incentive payments to employees who report health care services billed but not provided) COLLECTIVE … -- Compensation (payments to employees who report health care services billed but not provided) PUBLIC OFFICERS … seq .: A town which has established a self-insured health insurance plan may provide, by local law or pursuant to a …
https://www.osc.ny.gov/legal-opinions/opinion-89-56Long Island Association for AIDS Care
… LIAAC submitted to support the reimbursement for employee health insurance (i.e., medical and dental expenses). As a result, … (LINCS), which is self-insured for medical and dental insurance. The CEO of LIAAC also served as the CEO of …
https://www.osc.ny.gov/state-agencies/audits/2017/11/10/long-island-association-aids-careState Contract and Payment Actions in April
… to Panha Solutions Inc., $1.1 million to MVP Consulting Plus Inc., and $3.1 million to 12 other vendors. Department …
https://www.osc.ny.gov/press/releases/2024/06/state-contract-and-payment-actions-aprilDiNapoli: Medicaid Audits Find More Than $700 Million in Unnecessary Costs and Overpayments
… of the program will continue in earnest as DOH can do much more to save taxpayer dollars.” The New York State … Dec. 31, 2019, auditors estimated $605 million was spent for unnecessary drug costs. Medicaid Program: Improper … possible. Audits Department of Health audits Find out how your government money is spent at Open Book New York . …
https://www.osc.ny.gov/press/releases/2020/09/dinapoli-medicaid-audits-find-more-700-million-unnecessary-costs-and-overpaymentsUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers (Follow-Up)
… 2017-S-35 ). About the Program The New York State Health Insurance Program (NYSHIP) covers over 1.2 million active and … district employees, and their dependents. NYSHIP’s primary health benefit plan is the Empire Plan. UnitedHealthcare …
https://www.osc.ny.gov/state-agencies/audits/2019/11/18/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryMedicaid Program – Medicaid Claims Processing Activity October 1, 2015 Through March 31, 2016
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … 2015 through March 31, 2016. Background The Department of Health (Department) administers the State’s Medicaid program. … with incorrect information pertaining to other health insurance coverage that recipients had; $937,424 in …
https://www.osc.ny.gov/state-agencies/audits/2016/11/30/medicaid-program-medicaid-claims-processing-activity-october-1-2015-through-march-31-2016Medicaid Program – Medicaid Claims Processing Activity October 1, 2014 Through March 31, 2015
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … 2014 through March 31, 2015. Background The Department of Health (Department) administers the State’s Medicaid program. … with incorrect information pertaining to other health insurance coverage that recipients had; $476,888 in improper …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2014-through-march-31-2015Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… for which eMedNY did not properly factor Medicare coverage or a lower level of care into the payment; $682,022 in … providers in the Medicaid program who were charged with or found guilty of crimes that violate health care programs’ laws or regulations. The Department terminated 12 of the providers …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Medicaid 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-30-2011Medicaid Program – Medicaid Claims Processing Activity October 1, 2012 Through March 31, 2013
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … 2012 through March 31, 2013. Background The Department of Health (Department) administers the State's Medicaid program. … information pertaining to recipients' other health insurance coverage; $2,689,352 in inappropriate payments for …
https://www.osc.ny.gov/state-agencies/audits/2014/05/22/medicaid-program-medicaid-claims-processing-activity-october-1-2012-through-march-31-2013Overpayments for Services Also Covered by Medicare Part B (Follow-Up)
… in Medicare Part B, which provides supplementary medical insurance for a broad range of outpatient medical services, … (such as deductibles and coinsurance). Federally qualified health centers (FQHCs) receive enhanced reimbursements from … FQHCs are “safety net” providers, such as community health centers and public housing centers, that provide …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followMedicaid 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-servicesMedicaid Program – Medicaid Claims Processing Activity April 1, 2017 Through September 30, 2017
… Purpose To determine whether the Department of Health's eMedNY system reasonably ensured that Medicaid … through September 30, 2017. Background The Department of Health (Department) administers the State’s Medicaid program. … with incorrect information pertaining to other health insurance coverage that recipients had; $3.1 million in …
https://www.osc.ny.gov/state-agencies/audits/2018/08/03/medicaid-program-medicaid-claims-processing-activity-april-1-2017-through-september-30-2017Medicaid Program – Medicaid Claims Processing Activity April 1, 2016 Through September 30, 2016
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … through September 30, 2016. Background The Department of Health (Department) administers the State’s Medicaid program. … with incorrect information pertaining to other health insurance coverage that recipients had; $357,498 in improper …
https://www.osc.ny.gov/state-agencies/audits/2017/07/25/medicaid-program-medicaid-claims-processing-activity-april-1-2016-through-september-30-2016State Contract and Payment Actions in July
… Harriman State Office Campus in Albany. Department of Health $45 million for Medicaid transportation management … Urban Institute for simulation modeling for the New York Health Insurance Exchange. Office of Parks Recreation and Historic …
https://www.osc.ny.gov/press/releases/2018/08/state-contract-and-payment-actions-julyState Contract and Payment Actions in May
… In May, the Office of the State Comptroller approved 2,046 … Inc. for terrace repairs at the Cultural Education Center in Albany County. $8.1 million with American Jail Products …
https://www.osc.ny.gov/press/releases/2023/06/state-contract-and-payment-actions-mayState Contract and Payment Actions in June
… In June, the Office of the State Comptroller approved 1,487 … contracts and payments is available at www.openbooknewyork.com . The Governor’s Executive Order 202, which had suspended … Inc. for development and administration of tests in English Language Arts (ELA) and Mathematics. $10.1 million …
https://www.osc.ny.gov/press/releases/2021/07/state-contract-and-payment-actions-june