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United HealthCare – Overpayments for Services Provided by Long Island Bone and Joint, LLP
… Purpose To determine whether Long Island Bone and Joint, LLP waived Empire Plan members’ out-of-pocket … with United HealthCare (United) to process and pay medical claims from health care providers for services … payments, at rates established by United, to furnish medical services to Empire Plan members. Members pay a …
https://www.osc.ny.gov/state-agencies/audits/2017/03/01/united-healthcare-overpayments-services-provided-long-island-bone-and-joint-llpDiNapoli: NYC Secure Juvenile Detention Centers Need To Improve Safety and Access to Services for Youth
… for Children Services (ACS) must improve its oversight and monitoring of youth services at New York City’s two secure juvenile detention centers, do more to prevent … from October 2018 to April 2023 and found 15, or nearly one-in-four, were reported anywhere from one to 23 days late …
https://www.osc.ny.gov/press/releases/2025/04/dinapoli-nyc-secure-juvenile-detention-centers-need-improve-safety-and-access-services-youthInfant and Child Learning Center - The Research Foundation for the State University of New York - Compliance With the Reimbursable Cost Manual (2017-S-22) 90-Day Response
To determine whether the costs reported by Infant and Child Learning Center - The Research Foundation for the State University of New York (ICLC) ...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2018-17s22-response.pdfDiNapoli: New York's Higher Education Sector Boosts State and Local Economies, but Job Recovery Lags
… sector’s importance to New York’s local economies and to the state’s overall economic health. The state’s 290 … education sector brings tremendous value to the state and regional economies through employment, wages, student … in the state totaled $15.7 billion and spending on research and development (R&D) by colleges and universities …
https://www.osc.ny.gov/press/releases/2024/09/dinapoli-new-yorks-higher-education-sector-boosts-state-and-local-economies-job-recovery-lagsDiNapoli: Audit Finds More Than $16 Million in Medicaid Cost Savings
New York states Medicaid system could have saved up to $136 million it spent on patients with severe kidney disease whose expenses could have been covered by the federal Medicare program according to an audit released today by State Comptroller Thomas P DiNapoli
https://www.osc.ny.gov/press/releases/2017/07/dinapoli-audit-finds-more-16-million-medicaid-cost-savingsEmpire BlueCross BlueShield – Controls Over Payments for Special Items
… implemented sufficient controls over the identification and recovery of overpayments made to hospitals for special medical items; and took sufficient steps to minimize the … include language that limits the reimbursement of special medical items. The audit covered the period January 1, 2013 …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsNY-Sun Incentive Program (2015-S-91), 90-Day Response
To determine whether the New York State Energy Research and Development Authority (Authority) achieved the objectives required by the Public Service Commission
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-15s91-response.pdfNY-Sun Incentive Program (2015-S-91)
To determine whether the New York State Energy Research and Development Authority (Authority) achieved the objectives required by the Public Service Commission
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-15s91.pdfState Comptroller DiNapoli Releases Audits
… Manual (2017-S-22) For the three fiscal years ended June 30, 2015, auditors identified $1,727,960 in reported costs …
https://www.osc.ny.gov/press/releases/2018/06/state-comptroller-dinapoli-releases-audits2014 Year End Report
… examination was to determine whether payments to claimants and medical providers (claims) by the Workers’ Compensation …
https://www.osc.ny.gov/state-agencies/audits/2015/03/30/2014-year-end-report2015 Year End Report
… million, including 66 for which providers and claimants have already refunded $220,000. The Board intends to recover …
https://www.osc.ny.gov/state-agencies/audits/2016/05/09/2015-year-end-reportOrdinary Disability – Article 14 Benefits
… Eligibility To qualify for the ordinary disability retirement benefit, you must: Be unable to perform your … may file your Application for Article 14 Disability Retirement Benefits (RS6411) with the Office of the State … for PFRS Tier 3 members Covers pension disability and death benefits …
https://www.osc.ny.gov/retirement/publications/1644/ordinary-disabilityDiNapoli: Some Taxpayer Check-Off Donations Not Utilized for Worthy Causes
… are generously giving to causes they care about but the money is piling up for some funds,” DiNapoli said. “It is … leaders and the public with justification if funds are not spent, along with a remedial plan to ensure the timely … on the use of check-off funds, including the award process used, the amount awarded by recipient, and how such funds …
https://www.osc.ny.gov/press/releases/2014/01/dinapoli-some-taxpayer-check-donations-not-utilized-worthy-causesDiNapoli: 82 School Districts in Fiscal Stress
… Eighty-two school districts have been designated as fiscally stressed … an overall fiscal stress score which classifies whether a district is in “significant fiscal stress,” in “moderate … school districts in the “Big Four” cities of Buffalo, Rochester, Syracuse and Yonkers. Information for these …
https://www.osc.ny.gov/press/releases/2016/01/dinapoli-82-school-districts-fiscal-stressState University of New York Upstate Medical Center – Selected Travel Expenses
… monies by the State University of New York (SUNY) Upstate Medical Center (Center), for two selected individuals, complied with rules and regulations and is free from fraud, waste and abuse. The …
https://www.osc.ny.gov/state-agencies/audits/2013/06/26/state-university-new-york-upstate-medical-center-selected-travel-expensesState Agencies Bulletin No. 1995
… The purpose of this bulletin is to provide information and processing instructions regarding the implementation of a … Supvr 2 006776 7101500 Maintce Supvr 3 006800 7150300 Medical Assnt 021758 2587000 Medical Lab Tech 1 006083 6225100 Medical Lab Tech 2 006084 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1995-pilot-program-establishing-temporary-overtime-rate-employees-certainState Comptroller DiNapoli Releases Audits
… Thomas P. DiNapoli announced today the following audits and examinations have been issued: Division of Housing and … $1.4 billion in payments for more than 17 million in medical and other service charges the NYSIF made on behalf of … is ineligible for all benefits. NYSIF will not pay for medical and other service charges that occur subsequent to a …
https://www.osc.ny.gov/press/releases/2017/09/state-comptroller-dinapoli-releases-auditsState Comptroller DiNapoli Releases Audits
… Thomas P. DiNapoli announced today the following audits and examinations have been issued: Department of Health: … issued in September 2015 found significant issues with medical records provided by a physician to support his … assurance that the doctor provided appropriate medical care and that services totaling $1,039,404 warranted …
https://www.osc.ny.gov/press/releases/2017/10/state-comptroller-dinapoli-releases-auditsOverpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… for cost-sharing liabilities such as deductibles and coinsurance. However, these liabilities may be paid by … Healthfirst took actions to prevent further errant claims and overpayments. Additionally, providers submitted claim … one recommendation for the Department of Health to review and recover the remaining Medicaid overpayments for excessive …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followMedicaid Program – Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans
… whether Medicaid overpaid Mainstream Managed Care and Health and Recovery Plan premiums on behalf of dual-eligible … Response Act, which, in part, increased the federal medical assistance percentage to state Medicaid programs. In …
https://www.osc.ny.gov/state-agencies/audits/2022/10/31/medicaid-program-excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream