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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-2015Town 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 January 1, 2015 through November … Town of Somerset Budgeting for Sales Tax 2016M419 …
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-citiesUse of Federal Funding for Election Technology and Security
… the Program The Board of Elections (BOE) is responsible for administering and enforcing election laws in the State. … technology, and security at both the state and county levels. In June 2018, the BOE received $19.5 million in HAVA Security Grant funds. Key Findings Generally, the BOE has utilized available …
https://www.osc.ny.gov/state-agencies/audits/2021/09/17/use-federal-funding-election-technology-and-securityBenefits Advisement Services for Individuals With Disabilities Seeking Employment
… State agencies, with implementing an interactive web-based platform to provide accurate information and benefits …
https://www.osc.ny.gov/state-agencies/audits/2021/07/20/benefits-advisement-services-individuals-disabilities-seeking-employmentDiNapoli: Westchester Sisters Sentenced for Stealing Deceased Mother's Pension
… Division of Investigations, 8th Floor, 110 State St., Albany, NY 12236. …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-westchester-sisters-sentenced-stealing-deceased-mothers-pensionRegulation for Scheduling, Adjourning and Conduct of Administrative Hearings
… §317.4 Initial hearings — presentation of applicant's case (a) The term “initial hearing” shall be defined as the … scheduled hearing at which the official record of the case is opened by the hearing officer. (b) At the initial … party other than the retirement system shall present its case at the initial hearing. (1) In the event that a witness …
https://www.osc.ny.gov/retirement/members/regulation-for-hearingsUnitedHealthcare – 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: Woman Arrested for Stealing Deceased Sister's Pension Checks
… State Comptroller Thomas P. DiNapoli and Brooklyn District Attorney Eric Gonzalez today announced the … the Bronx, is charged with illegally cashing 20 checks in Brooklyn for nearly $8,000 issued by the New York State and … law abiding taxpayers end up paying the price,” said Brooklyn District Attorney Gonzalez. “I would like to thank …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-woman-arrested-stealing-deceased-sisters-pension-checks