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Unnecessary 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). … to remove Medicaid recipients from managed care programs when they become Medicare eligible, and to increase its … and to implement procedures to help ensure that Medicaid does not pay managed care premiums for enrollees of the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followOverpayments of Certain Medicare Crossover Claims
… under 65 with certain disabilities. Individuals enrolled in both programs are commonly referred to as "dual eligible." In general, for dual eligible individuals, Medicare is the … Medicare crossover claims. Review the $16.4 million in potential Medicaid overpayments and recover where …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsState Contract and Payment Actions in May
… operations so that providers may continue to provide care. City University of New York $5.2 million to support the …
https://www.osc.ny.gov/press/releases/2022/06/state-contract-and-payment-actions-mayDiNapoli: Stable Government Funding Needed for NYC Health + Hospitals to Provide Essential Care
… provided critical financial support to New York City Health and Hospitals (H+H), but reliable funding and timely payments from all government sources is needed to keep the largest municipal health system in the country in good fiscal health, according to a report …
https://www.osc.ny.gov/press/releases/2021/09/dinapoli-stable-government-funding-needed-nyc-health-hospitals-provide-essential-careUse of Foreign Fire Insurance Tax Money (2017-MS-5)
… report - pdf] We also released four letter reports to the following entities: the City of Buffalo (Buffalo) and the Buffalo Firefighters Two Percent Fund (Buffalo TPF) [pdf] …
https://www.osc.ny.gov/local-government/audits/city/2018/01/12/use-foreign-fire-insurance-tax-money-2017-ms-5Town of Union Vale - Payroll (2018M-31)
Determine whether Town officials established adequate policies and procedures over payroll, leave and health insurance payments.
https://www.osc.ny.gov/files/local-government/audits/pdf/union-vale-2018-31.pdfState Comptroller DiNapoli Releases Audits
… of Health – Medicaid Program – Improper Payments for Brand Name Drugs (Follow-Up) (2024-F-9) New York’s … December 2022, found $1,102,823 in Medicaid overpayments for brand name prescription drugs where generic drugs were … audit, Medicaid has paid an additional $6.3 million for drugs that appear to be generic drugs but were paid using …
https://www.osc.ny.gov/press/releases/2024/07/state-comptroller-dinapoli-releases-auditsCounty Medicaid Costs
… indicates that county general fund budgets (outside New York City) are increasing from $12.0 billion in 2004 to …
https://www.osc.ny.gov/local-government/publications/county-medicaid-costsState Comptroller DiNapoli Releases State Audits
… $18,264 in personal service costs, including bonuses and employee fringe benefits; $16,578 in overstated expenses; …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-auditsState Comptroller DiNapoli Releases State Audits
… the Reimbursable Cost Manual (2016-S-62) For the fiscal year ended June 30, 2014, Elmcrest claimed $54,250 in … costs, including bonuses and employee fringe benefits; $16,578 in overstated expenses; $12,911 in improperly … from birth to eight years of age. For the fiscal year ended June 30, 2014, auditors identified $6,719 in …
https://www.osc.ny.gov/press/releases/2017/06/state-comptroller-dinapoli-releases-state-audits-0State Comptroller DiNapoli Releases Audits
… overloaded power strips, and water damage to ceilings with possible mold. Office of General Services: Summit … (2019-S-51) The Department of Civil Service contracted with CVS Health to administer the Empire Plan’s prescription … 31, 2018. CVS Health was required to negotiate agreements with drug manufacturers for rebates, discounts, and other …
https://www.osc.ny.gov/press/releases/2020/08/state-comptroller-dinapoli-releases-auditsMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… and copayments). We issued our initial audit report on September 10, 2018. The audit objective was to determine … providers reported inflated Part C cost-sharing amounts on claims and the Department of Health (Department) lacked … issuance of the follow-up report to provide information on any actions that are planned to address the unresolved …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followMedicaid Claims Processing Activity October 1, 2011 Through March 31, 2012
… system processes Medicaid claims submitted by providers for services rendered to Medicaid eligible recipients, and it generates payments to reimburse the providers for their claims. During the six-month period ended March 31, … $4.1 million in overpayments resulting from: Incorrect retroactive rate changes that caused overpayments totaling …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-claims-processing-activity-october-1-2011-through-march-31-2012National Directory of New Hires Data Security
… and Disability Assistance has met federal requirements for securing National Directory of New Hires data. Our audit … Temporary and Disability Assistance (OTDA) is responsible for supervising State programs that provide assistance and … programs administered by OTDA are the Temporary Assistance for Needy Families (TANF) and the Supplemental Nutrition …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/national-directory-new-hires-data-securityMedicaid Program – Claims Processing Activity April 1, 2023 Through September 30, 2023
… by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments … lab, and practitioner claims that did not comply with Medicaid policies; $167,098 was paid for claims where … We also identified 12 Medicaid providers who were charged with or found guilty of crimes that violated laws or …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/medicaid-program-claims-processing-activity-april-1-2023-through-september-30-2023Bemus Point Central School District – Reserve Funds (2014M-281)
… District is located in the Towns of Ellery, Ellicott and Gerry in Chautauqua County. The District, which is …
https://www.osc.ny.gov/local-government/audits/school-district/2014/12/05/bemus-point-central-school-district-reserve-funds-2014m-281Rotterdam-Mohonasen Central School District - Cafeteria Operations (2019M-114)
… health insurance benefits provided to cafeteria employees in the cafeteria fund. No one at the District calculated the … Treasurer should account for all cafeteria expenditures in the cafeteria fund. District officials should calculate … to ensure all cafeteria food and supplies are purchased in the most economical manner. District officials generally …
https://www.osc.ny.gov/local-government/audits/school-district/2019/08/23/rotterdam-mohonasen-central-school-district-cafeteria-operations-2019mMedicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… Medicaid recipients are also enrolled in Medicare, the federal health insurance program for the elderly and …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followState Agencies Bulletin No. 502
… to find the employee a position according to the Mandatory Alternate Duty Policy. Agency Responsibility: Placing the … accident or disease is required to serve a seven (7) calendar day waiting period. During the waiting period, an … Credit Union General Insurance (Union), Traffic fines Parking and Fingerprint Fees Repayment of State Loans State …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/502-eligibility-and-processing-instructions-workers-compensationState Contract and Payment Actions in August
… to the state. Cumulatively through August for calendar year 2021, the Comptroller’s office has approved 11,062 …
https://www.osc.ny.gov/press/releases/2021/09/state-contract-and-payment-actions-august