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Improper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… in our initial audit report, Improper Managed Care Payments for Misclassified Patient Discharges (Report 2021-S-8 ). About the Program The … and discharges are different and may result in lower payments for transfers. The objective of our initial audit … included in our initial audit report Improper Managed Care Payments for Misclassified Patient Discharges …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-followDiNapoli Announces State Contract & Payment Actions for February 2015
… announced today his office approved 1,786 contracts valued at $2.1 billion and approved more than 2.5 million payments … rejected 204 contracts and related transactions valued at $1.1 billion and more than 4,000 payments valued at nearly $8.2 million due to fraud, waste or other …
https://www.osc.ny.gov/press/releases/2015/03/dinapoli-announces-state-contract-payment-actions-february-2015Status of the Board-Approved Capital Plan for 2005-2011 (Follow-Up)
… longer and cost significantly more than was originally forecast. Key Finding Authority officials have made progress …
https://www.osc.ny.gov/state-agencies/audits/2013/06/27/status-board-approved-capital-plan-2005-2011-followTown of Somerset – Budgeting for Sales Tax (2016M-419)
… Purpose of Audit The purpose of our audit was to review the Town's allocation of sales tax for the period …
https://www.osc.ny.gov/local-government/audits/town/2017/11/22/town-somerset-budgeting-sales-tax-2016m-419Selected Aspects of Accommodations for Passengers With Disabilities (Follow-Up)
… port district of New York and New Jersey, maintaining the trade and travel infrastructure of the area. PANYNJ’s … In the Aviation sector, PANYNJ did not have written agreements between the airport operator and terminal operator …
https://www.osc.ny.gov/state-agencies/audits/2023/05/12/selected-aspects-accommodations-passengers-disabilities-followManagement of Indoor Air Quality for Individuals With Asthma
… The audit covered the period from April 2014 to January 2021. About the Program Asthma is a significant public health … 1.4 million adults and 400,000 children have asthma. The COVID-19 pandemic has had significant impacts on those living …
https://www.osc.ny.gov/state-agencies/audits/2022/08/02/management-indoor-air-quality-individuals-asthmaDiNapoli Announces State Contract & Payment Actions for October 2014
… their money. The independent audits ensure payments are free from fraud, waste and improprieties. The Comptroller’s … Preservation $166,000 to Yarussi Construction Inc. for site improvements to Niagara Falls State Park. New York State … to remediate contaminated soil at the former Duso Chemical site in Poughkeepsie. Payment Rejections and Other Cost …
https://www.osc.ny.gov/press/releases/2014/11/dinapoli-announces-state-contract-payment-actions-october-2014XI.11.H Early Pay Discounts for Procurement Contract Purchases – XI. Procurement and Contract Management
… Contractor generally offers more advantageous special price promotions or special discount pricing to other … the Contract term for a similar quantity, and the maximum price or discount associated with such offer or promotion is … Contractor shall include the payment terms of the discount on the applicable invoice(s) . For more information see …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xi/xi11h-early-pay-discounts-procurement-contract-purchasesXII.10.A Lapsing and Year-End Procedures for Payment Processing – XII. Expenditures
… lapse on June 30th. Generally when a lapse date falls on a weekend, the appropriation lapsing date will be … as their own Business Unit “Unused/Open Appropriation” or “Voucher Pending” reports. It is the responsibility of … remain unpaid. Vouchers which cannot be approved run the risk of losing the use of the lapsing appropriation if OSC is …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii10a-lapsing-and-year-end-procedures-payment-processingDiNapoli Releases Fiscal Stress Scores for Villages and Cities
… and one city as “susceptible to fiscal stress.” While no municipalities were in the highest category of “significant … from the COVID-19 pandemic. “The financial landscape for many local governments has improved with the infusion of … planning, that help improve their financial outlook for years down the road.” The latest round of fiscal scores …
https://www.osc.ny.gov/press/releases/2022/04/dinapoli-releases-fiscal-stress-scores-villages-and-citiesUnitedHealthcare – Reasonable and Customary Reimbursement Rates for Delayed Claims
… Objectives To determine whether UnitedHealthcare (United) paid claims using reasonable and customary (R&C) reimbursement rate schedules that did not correlate with the date of the … for certain out-of-network claims is 80 percent of the R&C rate for the service. R&C rates are updated every six months. …
https://www.osc.ny.gov/state-agencies/audits/2019/12/12/unitedhealthcare-reasonable-and-customary-reimbursement-rates-delayed-claimsImplementation of the Dignity for All Students Act (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Implementation of the Dignity … for All Students Act (DASA) seeks to provide students in New York with a safe and supportive environment free from … included curriculum and annual reporting requirements in 12 bias-related categories (e.g., race, sexual …
https://www.osc.ny.gov/state-agencies/audits/2019/11/21/implementation-dignity-all-students-act-followMaximizing Drug Rebates for Health and Recovery Plans (Follow-Up)
… made in our initial audit report, Maximizing Drug Rebates for Health and Recovery Plans (Report … About the Program In 1990, Congress created the Medicaid Drug Rebate Program, which allows states to recover a portion of their Medicaid prescription drug costs by requesting rebates from drug manufacturers. The …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/maximizing-drug-rebates-health-and-recovery-plans-followDiNapoli: Saranac Town Clerk Arrested for Falsifying Town Records
… Comptroller Thomas P. DiNapoli and Clinton County District Attorney Andrew J. Wylie announced the arrest of Mary L. … Comptroller Thomas P DiNapoli and Clinton County District Attorney Andrew J Wylie announced the arrest of Mary L Bell …
https://www.osc.ny.gov/press/releases/2021/04/dinapoli-saranac-town-clerk-arrested-falsifying-town-recordsMedicaid Program – Improper Medicaid Payments for Misclassified Patient Discharges
… Medicaid program made inappropriate fee-for-service (FFS) payments to hospitals that failed to properly report correct patient discharge codes on inpatient claims. The audit … rendered to Medicaid-eligible recipients and generates payments to reimburse the providers for their claims. The …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesDiNapoli: State Needs to Improve Services for Vulnerable Adults
… cases properly, putting at-risk New Yorkers potentially in harm’s way, according to an audit released today by … a better job.” Elder abuse is a problem nationwide, with 1 in 10 older adults subject to physical or psychological … month OCFS receives an average of 2,500 referrals for help in New York City and 1,800 in the rest of the state. …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-state-needs-improve-services-vulnerable-adultsDiNapoli: Former School District Treasurer Sentenced for Stealing Funds
… Bacon and the FBI for their continued partnership in the fight against public corruption.” Hand admitted she stole … public corruption and encourages the public to help fight fraud and abuse. New Yorkers can report allegations of …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-former-school-district-treasurer-sentenced-stealing-fundsEmpire BlueCross – Controls Over Payments for Special Items (Follow-Up)
… services according to contracts it negotiates with member hospitals. Empire’s contracts with member hospitals include rate schedules for the payment of inpatient and outpatient hospital services. …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/empire-bluecross-controls-over-payments-special-items-followDiNapoli: Former Town Supervisor Sentenced to Prison for Embezzlement
… sentenced after pleading guilty to Grand Larceny in the Second Degree, as a crime of Public Corruption. As a result of his …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-former-town-supervisor-sentenced-prison-embezzlementIII.9 Provisions for 15 Day Prompt Payment Interest Eligibility – III. Statewide Financial System (SFS)
… eSettlements portal created for such purpose 4/1/2017 NYS Market Place Vendor entry of invoices into the NYS Market Place in support of purchase orders received through the NYS Market Place 4/1/2017 Submittal of invoices or invoice …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iii/iii9-provisions-15-day-prompt-payment-interest-eligibility