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Medicaid Program – Overpayments for Services Also Covered by Medicare Part B
… Department of Health overpaid health care providers for Medicaid claims for Medicare Part B coinsurance. The audit … pay for medical care provided in outpatient settings. Medicaid is a joint state and federal health program for … with low incomes. People who qualify for both Medicare and Medicaid are referred to as "dual eligibles." For dual …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bSexual Harassment Policy for the Office of the State Comptroller
… The website also contains contact information for DHR’s regional offices across New York State. Civil Rights Act of …
https://www.osc.ny.gov/sexual-harassment-policyMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
To determine whether Medicaid managed care organizations MCOs made inappropriate payments to hospitals that failed to properly report correct patient discharge codes on inpatient claims
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… Fee-for-Service Payments for Services Covered by Managed Care (Report 2017-S-74 ). About the Program The Department of … providers using the fee-for-service (FFS) or managed care method. Under the FFS method, the Department, through … rendered to Medicaid recipients. Under the managed care method, the Department pays managed care plans a monthly …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followSelected Aspects of Collecting Outstanding Amounts Due for Parking Violations
… of Finance (DOF) identifies and collects fines and fees that are due for parking violations. This audit covered … Collections Unit responsible for collecting fines and fees for violations issued within NYC, and also the Outside … (outside of NYC) totaled about $67.6 million. Fines and fees due from respondents with addresses outside of New York …
https://www.osc.ny.gov/state-agencies/audits/2021/03/23/selected-aspects-collecting-outstanding-amounts-due-parking-violationsImproper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… the appropriate International Classification of Diseases (ICD) code on its Medicaid claim to reflect the diagnosis. …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… Hospitals use International Classification of Diseases (ICD) procedure codes on their claims to report mechanical … ventilation services. When hospitals use a specific ICD procedure code to report a patient received 96 … we identified; remind hospitals to use the proper ICD procedure code that represents the duration of time the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-followEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… EmblemHealth Plan, Inc. overpaid dental claims for members covered by two subscriber plans under the New York State Dental Insurance Program. The audit covered the period from January 2018 through October 2022. … EmblemHealth Plan Inc overpaid dental claims for members covered by two subscriber plans under the New York State …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsApplication Review and Site Permitting for Major Renewable Energy Projects
… economic, and environmental factors. In the decision to permit such facilities, ORES must review all proposed major … ORES for review. ORES has 60 days to determine whether a permit application is complete or missing required … ORES must make a final decision and issue a final siting permit for any major renewable energy project within 1 year …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/application-review-and-site-permitting-major-renewable-energy-projectsCantalician Center for Learning – Compliance With the Reimbursable Cost Manual
… determine whether the costs reported by Cantalician Center for Learning (Cantalician) on its Consolidated Fiscal Reports … submitted by Cantalician to SED on its 2016 and 2017 CFRs for the fiscal year ended June 30, 2017. About the Program Cantalician is an SED-approved, not-for-profit special education provider located in Depew, …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/cantalician-center-learning-compliance-reimbursable-cost-manualImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report … program. Many Medicaid recipients are also enrolled in Medicare. Under the Medicare buy-in program (Buy-in Program), administered by the … included in our initial audit report Improper Payments of Medicare BuyIn Premiums for Ineligible Recipients Report …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followUse of Federal Funding for Election Technology and Security (Follow-Up)
… in our initial audit report, Use of Federal Funding for Election Technology and Security (Report 2020-S-18 ). About … (BOE) is responsible for administering and enforcing election laws in the State. To fulfill these … the nation’s voting process. HAVA established minimum election administration standards and created the U.S. …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followBenefits Advisement Services for Individuals With Disabilities Seeking Employment (Follow-Up)
… in March 2015. The Report established an Employment First Policy for New York State with the main goal of increasing … partnership with other State agencies, with developing a life coaching network available to all individuals with … services provider, many individuals with disabilities who would likely benefit from WINR services did not have …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/benefits-advisement-services-individuals-disabilities-seeking-employment-followQueens Centers for Progress – Compliance With the Reimbursable Cost Manual
… Objective To determine whether the costs reported by Queens Centers for Progress (QCP) on its Consolidated Fiscal … To determine whether the costs reported by Queens Centers for Progress QCP on its Consolidated Fiscal …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/queens-centers-progress-compliance-reimbursable-cost-manualUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs
… Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over 1.2 … a vaccine) that is usually administered by a health care provider in a physician’s office or other outpatient clinical …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsMedicaid Program – Improper Medicaid Payments for Recipients in Hospice Care
… waive their right to use Medicaid for curative services, and a hospice organization assumes responsibility for all … can be provided in the home or in an inpatient setting and includes nursing and physician services, medical social services, drugs for symptom control and pain relief, counseling, and physical and occupational …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-improper-medicaid-payments-recipients-hospice-careDiNapoli Announces State Contract and Payment Actions for July 2016
… of the State Comptroller $4.9 million with Garnet River LLC for Java programming services. Department of … Commission. $4.3 million with Environmental Service Group for remediation at the Al-Tech Specialty Steel site in … New York Science, Technology and Advanced Manufacturing Park (STAMP). $181,000 to Buffalo Urban Development …
https://www.osc.ny.gov/press/releases/2016/08/dinapoli-announces-state-contract-and-payment-actions-july-2016DiNapoli Announces State Contract and Payment Actions for July 2017
… on his commitment to added transparency via his Open Book New York website. Contract and payment actions for July 2017: … maintenance and beautification projects. $1.7 million with New York State Industries For The Disabled Inc. for supply … Construction Northeast Inc. for Phase 2 of the Kosciuszko Bridge replacement, Westbound Span, Kings County. $69.8 …
https://www.osc.ny.gov/press/releases/2017/08/dinapoli-announces-state-contract-and-payment-actions-july-2017DiNapoli Announces State Contract and Payment Actions for November 2015
… The Comptroller’s office averaged eight days for contract reviews in November and two days to audit payments. … to counties New York State Legislature - Assembly $11,000 contract amendment with Zuckerman Spaeder LLP for … $28.6 million with El Sol Contracting and Construction Corp. for bridge maintenance at various NYC area locations. …
https://www.osc.ny.gov/press/releases/2015/12/dinapoli-announces-state-contract-and-payment-actions-november-2015DiNapoli Announces State Contract and Payment Actions for August 2015
… Supervision $4.5 million for revenue contracts with 22 counties to sell food products to county jails. Division of … with Navistar Inc. for heavy duty trucks. $932,000 with United Uniform Co. for work clothing. $600,000 in additional … of Transportation $152.9 million construction funding to NYC for the Belt Parkway Bridge over Mill Basin. $47.6 …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-announces-state-contract-and-payment-actions-august-2015