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Oversight of the Early Intervention Program’s State Fiscal Agent
… Purpose To determine whether the Department of Health provided effective oversight of State … December 10, 2015. Background In New York State, the Department of Health (Department) is the lead agency responsible for the Early … To determine whether the Department of Health provided effective oversight of State …
https://www.osc.ny.gov/state-agencies/audits/2016/03/24/oversight-early-intervention-programs-state-fiscal-agentImproper Payments to a Physical Therapist (Follow-Up)
… a wide range of health care services, including physical therapy services, to individuals who are economically … enrolled in Medicare, the federal health insurance program for the elderly and disabled. Individuals enrolled in both … physical therapist who owned and operated Madison Physical Therapy located in Brooklyn, New York, billed Medicaid in …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/improper-payments-physical-therapist-followMedicaid Program – Appropriateness of Medicaid Eligibility Determined by the New York State of Health System
… caused Medicaid overpayments. The audit covered the period October 1, 2013 through October 1, 2014. Background With the enactment of the federal … Numbers and No Social Security Numbers (2010-S-29) Department of Health: Inappropriate Medicaid Payments for …
https://www.osc.ny.gov/state-agencies/audits/2015/10/28/medicaid-program-appropriateness-medicaid-eligibility-determined-new-york-state-healthState Comptroller DiNapoli Releases State Audits
… several steps to update its procedures to address problems with contractor cost claims that were identified prior to … contractor expenses are program appropriate and consistent with contract requirements. Department of Health (DOH): … low-income tenants. However, auditors found higher earners with apartments and several areas that could use improvement. …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-audits-0State Comptroller DiNapoli Releases State Audits
… several steps to update its procedures to address problems with contractor cost claims that were identified prior to … contractor expenses are program appropriate and consistent with contract requirements. Department of Health (DOH): … low-income tenants. However, auditors found higher earners with apartments and several areas that could use improvement. …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-auditsMedicaid Program – Medicaid Claims Processing Activity October 1, 2016 Through March 31, 2017
… inpatient claims that were billed at higher levels of care than what was allowed; $2.9 million in overpayments for … claims for newborns who were not enrolled into managed care in a timely manner; $1 million in overpayments for … birth weights; $705,466 in improper episodic payments to home health care providers; $404,227 in overpayments for …
https://www.osc.ny.gov/state-agencies/audits/2017/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2016-through-march-31-2017Medicaid Program – Medicaid Claims Processing Activity April 1, 2014 Through September 30, 2014
… system processes Medicaid claims submitted by providers for services rendered to Medicaid-eligible recipients, and it … one which officials estimate will result in an annual savings to the Medicaid program of $2.4 million. The audit … claim processing controls. Other Related Audits/Reports of Interest Department of Health: Medicaid Claims Processing …
https://www.osc.ny.gov/state-agencies/audits/2015/06/29/medicaid-program-medicaid-claims-processing-activity-april-1-2014-through-september-30-2014State Agencies Bulletin No. 502
… Units 02, 03, 04, and 47 who have a Workers’ Compensation accident occurring on or after 7/1/04. Effective Date(s) … determined by the State Insurance Fund (SIF), is more than 50% and the statutory payment received from SIF is less than … Payment, SIF must determine the employee is more than 50% disabled and the employee must be within the first …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/502-eligibility-and-processing-instructions-workers-compensationState Comptroller DiNapoli Releases Audits
… but that the system enhancement did not apply to all Food and Drug Administration-approved generics. Further, …
https://www.osc.ny.gov/press/releases/2024/07/state-comptroller-dinapoli-releases-auditsCounty Medicaid Costs
… levy was obtained (for most counties) from responses to a survey conducted by LGSED in late December 2004; information for counties which did not respond to the survey was extrapolated from county specific historical …
https://www.osc.ny.gov/local-government/publications/county-medicaid-costsState Comptroller DiNapoli Releases Audits
… report, auditors found DOH improperly designated an employee’s official station in calendar years 2013 and 2014, … calendar years 2015, 2016 and 2017, respectively, for the employee to commute between his residence and his main work … special funds claims into the Board’s automated payment system, where the claims are subjected to various system …
https://www.osc.ny.gov/press/releases/2018/08/state-comptroller-dinapoli-releases-auditsUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… initial audit report, Unnecessary Managed Care Payments for Medicaid Recipients With Medicare (Report 2010-S-75). … made premium payments to Medicaid managed care plans for Medicaid recipients who also had Medicare health insurance coverage, known as "dual eligibles." For the three-year audit period ended May 31, 2010, we …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followOverpayments of Certain Medicare Crossover Claims
… are also eligible for Medicare, the federal health insurance program available to people 65 or more years-old, … individual's Medicare deductibles and coinsurance for the medical services rendered. On December 3, 2009, the … claim crossover system. Under the system, providers submit medical claims for dual eligible individuals to Medicare. …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsMedicaid Program – Claims Processing Activity October 1, 2018 Through March 31, 2019
… Objective To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … through March 31, 2019. About the Program The Department of Health (Department) administers the State’s Medicaid … 142 million claims, resulting in payments to providers of more than $36 billion. The claims are processed and paid …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/medicaid-program-claims-processing-activity-october-1-2018-through-march-31-2019West Buffalo Charter School - Payroll (2018M-72)
… West Buffalo Charter School Payroll 2018M72 …
https://www.osc.ny.gov/local-government/audits/charter-school/2018/06/15/west-buffalo-charter-school-payroll-2018m-72Cheektowaga Central School District – Employee Compensation and Benefit Payments (2016M-197)
… Purpose of Audit The purpose of our audit was to examine the District’s … 2016. Background The Cheektowaga Central School District is located in the Town of Cheektowaga, Erie County. The … operates four schools with approximately 2,100 students, is governed by an elected seven-member Board of Education. …
https://www.osc.ny.gov/local-government/audits/school-district/2016/08/19/cheektowaga-central-school-district-employee-compensation-and-benefitState Comptroller DiNapoli Releases Audits
… and doesn’t have controls in place to educate or improve driving skills for employees with frequent driver license … violations (e.g., speeding, disobeying traffic devices, driving while intoxicated). OPWDD could also improve controls …
https://www.osc.ny.gov/press/releases/2020/08/state-comptroller-dinapoli-releases-auditsState Contract and Payment Actions in August
… for assistance with the Health Benefit Exchange, including insurance enrollment and call center operations. $10.6 … Program. Department of Transportation $1.6 million to National Railroad Passenger Corporation (Amtrak) for design … government financial records, track state contracts, and find commonly requested data. …
https://www.osc.ny.gov/press/releases/2021/09/state-contract-and-payment-actions-augustState Comptroller DiNapoli Releases Audits
… Members (2020-S-34) Auditors identified $5.7 million that United paid for members who were not eligible for Empire Plan … Program – Cost Saving Opportunities on Payments of Medicare Part C Claims (2020-S-65) New York’s current … 31, 2020. Other states already use this approach, and it is similar to how New York Medicaid currently pays Medicare …
https://www.osc.ny.gov/press/releases/2021/10/state-comptroller-dinapoli-releases-auditsXII.10.C Verifying Vendor Licenses, Certifications, Registrations, Insurance, and Qualifications – XII. Expenditures
… Social Worker (LMSW) -Licensed Clinical Social Worker (LCSW) Massage Therapy Speech -Language Pathology Medical … of Licensing Services website at https://dos.ny.gov/division-licensing-services . To determine if a … practice law in New York State. http://iapps.courts.state.ny.us/attorney/AttorneySearch NEW YORK STATE ATTORNEY GENERAL …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii10c-verifying-vendor-licenses-certifications-registrations-insurance-and-qualifications