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State Agencies Bulletin No. 2145

… of this bulletin is to inform agencies that position pools in PayServ may require updates for SFS lapsing. Affected … affected. Background: Certain chart of accounts strings in SFS that are attached to position pools in PayServ will be lapsing and will no longer be available …

https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2145-sfs-chartfield-strings-payserv-09152023-09302023-lapse-dates

State Agencies Bulletin No. 2252

… of this bulletin is to inform agencies that position pools in PayServ may require updates for SFS lapsing. Affected … affected. Background: Certain chart of accounts strings in SFS that are attached to position pools in PayServ will be lapsing and will no longer be available …

https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2252-sfs-chartfield-strings-payserv-9132024-9272024-lapse-dates

Resources – Enhanced Reporting

… Upload Upload a Regular Monthly Report File Submit and Post a Regular Monthly Report File Upload an Enrollment File for New Hires Submit and Post an Enrollment File for New Hires and View New Hire …

https://www.osc.ny.gov/retirement/employers/enhanced-reporting/resources

Seized Assets Program (Follow-Up)

… while preserving their rights and dignity. During the course of an investigation or an arrest, law enforcement …

https://www.osc.ny.gov/state-agencies/audits/2017/11/28/seized-assets-program-follow

Medicaid Program – Managed Care Organizations: Payments to Ineligible Providers

… care organizations (MCOs) have adequate processes in place to prevent payments to ineligible providers, and … and managed care organizations have adequate processes in place to prevent payments to …

https://www.osc.ny.gov/state-agencies/audits/2018/02/26/medicaid-program-managed-care-organizations-payments-ineligible-providers

Purchasing Practices at the Linden Plaza Mitchell-Lama Housing Development

… Purpose To determine whether Linden Plaza was procuring goods, supplies, and services at … with approximately 47,000 total units (apartments). Linden Plaza, a Mitchell-Lama rental development in Brooklyn, is owned by Linden Plaza Housing Company, Inc. and managed by RY …

https://www.osc.ny.gov/state-agencies/audits/2018/09/06/purchasing-practices-linden-plaza-mitchell-lama-housing-development

Selected Management and Operations Practices (Follow-Up)

… and to county and municipal governments in 1994. As of November 28, 2017, NYPA reportedly financed a total $2.1 …

https://www.osc.ny.gov/state-agencies/audits/2018/12/11/selected-management-and-operations-practices-follow

Train On-Time Performance (Follow-up)

… goal of 91.9 percent. For 2013, weekday OTP averaged 80.5 percent and weekend OTP averaged 85.4 percent. For 2014, weekday OTP … are planned to address the unresolved issues discussed in this review. …

https://www.osc.ny.gov/state-agencies/audits/2017/09/27/train-time-performance-follow

Subway Wait Assessment (Follow-Up)

To determine the extent of implementation of the five recommendations included in our initial report Subway Wait Assessment 2014S23

https://www.osc.ny.gov/state-agencies/audits/2017/10/06/subway-wait-assessment-follow

Assessment and Collection of Selected Penalties

… mandated penalties. Background The Workers' Compensation Law allows health care providers, which have provided … collect all of the penalties owed. WCB does not take any enforcement actions against carriers who do not pay; instead … Adjust accounts receivable and other WCB accounting records for the penalties it has inappropriately assessed on …

https://www.osc.ny.gov/state-agencies/audits/2013/09/24/assessment-and-collection-selected-penalties

Medicaid Program – Overpayments of Ambulatory Patient Group Claims

… services. Claims are reimbursed based on a patient's condition and complexity of service. The APG system was adopted by the Department of Health (Department) in an effort to more accurately pay … Other Related Audits/Reports of Interest Department of Health: Medicaid Claims Processing Activity April 1, 2011 …

https://www.osc.ny.gov/state-agencies/audits/2013/08/20/medicaid-program-overpayments-ambulatory-patient-group-claims

Medicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims

… identify Medicaid overpayments made to medical providers for services rendered to recipients enrolled in … of participating providers they reimburse directly for services provided to enrollees. For dual-eligibles, plan providers bill Medicaid directly for … To identify Medicaid overpayments made to medical providers for services rendered to recipients enrolled in …

https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claims

Medicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Follow-Up)

… in our initial audit report, Medicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Report … the Department paid out-of-state hospitals properly for non-emergency services for New York Medicaid recipients.  For the period May 1, 2002 … included in our initial audit report Medicaid Overpayments for NonEmergency OutofState Inpat …

https://www.osc.ny.gov/state-agencies/audits/2013/03/11/medicaid-overpayments-non-emergency-out-state-inpatient-services-follow

Medicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)

… for such ambulatory surgery services. The overpayments happened because Department management failed to establish …

https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-follow

Bus Driver Licensing (Follow-Up)

… Vehicle and Traffic Law. However, we found seven of the 142 drivers sampled did not meet the requirements of Article … to provide information on any actions that are planned to address the unresolved issues discussed in this review. …

https://www.osc.ny.gov/state-agencies/audits/2016/01/21/bus-driver-licensing-follow

Forensic Audit of Select Payroll and Overtime Practices and Related Transactions (Follow-Up)

… of implementation of the six recommendations included in our initial report, Forensic Audit of Select Payroll and … determined that these practices cost Metro-North $991,208 in overtime and $216,128 n regular pay, and enriched certain staff and supervisors. In addition these payments will inflate future pension …

https://www.osc.ny.gov/state-agencies/audits/2016/03/18/forensic-audit-select-payroll-and-overtime-practices-and-related-transactions-follow

Empire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)

… made in our audit report, New York State Health Insurance Program: Empire BlueCross BlueShield Selected Payments for Special Items for … (Report 2012-S-132). Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage … of 3 recommendations made in our audit report NYS Health Insurance Program Empire BlueCross BlueShield Selected …

https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-through

Suspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists (Follow-Up)

… Suspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists (Report 2010-S-64). Background The … Lawrence Bruckner operated two office locations in Brooklyn, NY. Other dentists who reportedly practiced at the … services purportedly performed by the six dentists at the Brooklyn offices. Our initial audit report, which was issued …

https://www.osc.ny.gov/state-agencies/audits/2015/12/30/suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentists-follow

United HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)

… 13, 2011, the New York State Health Insurance Plan (NYSHIP) made improper payments totaling $137,459 to Davis … Davis Ethical routinely submitted fraudulent claims to NYSHIP and received payments for those claims. We coordinated … of $231,919 to the State, of which $137,459 was paid to NYSHIP for the improper payments identified in the initial …

https://www.osc.ny.gov/state-agencies/audits/2016/02/18/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy

Access-A-Ride Accident Claims (Follow-Up)

… by traditional carriers decreased and reliance on the black car services and taxis increased. The number of … there was an unquantified liability risk associated with black car services and taxis that was expanding and was not …

https://www.osc.ny.gov/state-agencies/audits/2016/05/13/access-ride-accident-claims-follow