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Empire BlueCross BlueShield – Selected Payments for Special Items Made to Saratoga Hospital From January 1, 2011 Through March 31, 2011
… and Saratoga. Background The New York State Health Insurance Program (NYSHIP) provides health insurance coverage to active and retired State, participating … Related Audits/Reports of Interest New York State Health Insurance Program: Payments Made to Stony Brook University …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-made-saratoga-hospital-januaryMedicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… Objective To determine whether Medicaid overpayments for pharmacy services on behalf of managed care recipients who … Medicaid services their recipients require, which includes pharmacy services. Many recipients have other third-party … audit period, HMS’ third-party liability recoveries on MCO pharmacy payments totaled about $118 million. Key Findings We …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsInappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Follow-Up)
… extent of implementation of the five recommendations made in our initial audit report, Inappropriate Premium Payments for Recipients No Longer Enrolled in Mainstream Managed Care and Family Health Plus (Report … extent of implementation of the five recommendations made in our initial audit report Inappropriate Premium Payments …
https://www.osc.ny.gov/state-agencies/audits/2020/02/25/inappropriate-premium-payments-recipients-no-longer-enrolled-mainstream-managed-care-andIssue Brief: New York City Health + Hospitals
New York City Health + Hospitals (H+H) is the largest municipal public health system in the country and the City’s largest provider of care to Medicaid patients, mental health patients, and uninsured patients.
https://www.osc.ny.gov/files/reports/osdc/pdf/health-hospitals-issue-brief.pdfMTA 2025-2029 Capital Program Scenarios
By statute, the Metropolitan Transportation Authority’s (MTA) is required to submit its 2025-2029 capital program to the State Capital Program Review Board (CPRB) by October 1, 2024 to begin the process of adoption.
https://www.osc.ny.gov/files/reports/osdc/pdf/report-13-2025.pdfEfforts to Collect Delinquent Taxes (2019-S-61) 180-Day Response
To determine if the Department of Taxation and Finance is making adequate efforts, in accordance with Department policy, to collect unpaid amounts—including taxes, interest, penalties, and fees—from delinquent individual and business taxpayers.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-19s61-response.pdfEfforts to Collect Delinquent Taxes (2019-S-61)
To determine if the Department of Taxation and Finance is making adequate efforts, in accordance with Department policy, to collect unpaid amounts—including taxes, interest, penalties, and fees—from delinquent individual and business taxpayers.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2021-19s61.pdfState Agencies Bulletin No. 2136
… of this bulletin is to notify agencies of a new earnings code that will be used to correct employee tax balances. … the employees taxable gross, a one-time use, earnings code has been created to increase the employees taxable gross only. The new earnings code will be applied to paycheck dated May 24, 2023, and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2136-new-earn-code-tba-tax-balance-adjustment-correct-q22-overpaymentsJoin NYSLRS
… If your NYSLRS membership is optional its important to understand the valuable benefits …
https://www.osc.ny.gov/retirement/join-nyslrsDiNapoli: Former Ulster County BOCES Criminal Justice Teacher Arrested for Defrauding the NYS Pension System Out of Over $157,000
… State Comptroller Thomas P. DiNapoli, Ulster County District … the New York State and Local Retirement System (NYSLRS) out of $157,341.78 in unlawful pension payments. “Sciacca allegedly forged documents in an … County Police Officer for allegedly swindling the New York State and Local Retirement System out of $15734178 in …
https://www.osc.ny.gov/press/releases/2022/07/dinapoli-former-ulster-county-boces-criminal-justice-teacher-arrested-defrauding-nys-pension-systemSecurity Over Electronic Protected Health Information
… and has protection policies in place and a plan to make mandatory notifications when ePHI is lost or stolen. The … adequate protection policies in place and a plan to make mandatory notifications when ePHI is lost or stolen. However, …
https://www.osc.ny.gov/state-agencies/audits/2015/07/06/security-over-electronic-protected-health-informationUnitedHealthcare Insurance Company of New York: Overpayments for Physician-Administered Drugs (2021-S-32)
To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed physician-administered drugs.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-21s32.pdfImproper Medicaid Payments for Outpatient Services Billed as Inpatient Claims (2022-S-16)
To determine whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as inpatient claims.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22s16.pdfQueens Centers for Progress – Compliance With the Reimbursable Cost Manual (2022-S-41)
To determine whether the costs reported by Queens Centers for Progress (QCP) on its Consolidated Fiscal Reports (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented pursuant to the State Education Department’s (SED) Reimbursable Cost ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22s41.pdfImproper Managed Care Payments for Misclassified Patient Discharges (2021-S-8) 180-Day Response
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/files/state-agencies/audits/pdf/sga-2022-21s8-response.pdfNotice of Hearing Requirement for Establishment or Extension of Town Special Districts
Office of the New York State Comptroller, Appendix A Notice of Hearing Requirement for Establishment or Extension of Town Special Districts
https://www.osc.ny.gov/files/local-government/required-reporting/pdf/Appendix-A-Notice-Hearing-Requirements.pdfUse of Federal Funding for Election Technology and Security (Follow-Up) (2022-F-35)
To determine the extent of implementation of the one recommendation included in our initial audit report, Use of Federal Funding for Election Technology and Security (Report 2020-S-18).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f35.pdfBenefits Advisement Services for Individuals With Disabilities Seeking Employment (Follow-Up) (2023-F-11)
To assess the extent of implementation of the four recommendations included in our initial audit report, Benefits Advisement Services for Individuals With Disabilities Seeking Employment (2020-S-41).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-23f11.pdfImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up) (2022-F-37)
To assess the extent of implementation of the five recommendations included in our initial audit report, Improper Payments of Medicare Buy-In Premiums for Ineligible Recipients (Report 2020-S-35).
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2023-22f37.pdfPlanning for the Long Term: Capital Spending Reform in New York State
Over the past 10 years, NY has spent $63.2 billion to support its capital program. Despite this significant investment, there are many critical capital needs across the State that remain unmet.
https://www.osc.ny.gov/files/reports/pdf/capital-spending-report-nov-2010.pdf