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Empire BlueCross BlueShield Selected Payments for Special Items for the Period January 1, 2011 Through March 31, 2011
… the period from July through December 2011. Background The New York State Health Insurance Program (NYSHIP) provides health … which includes coverage for inpatient and outpatient hospital services. Empire processes Plan claims for hospital …
https://www.osc.ny.gov/state-agencies/audits/2013/05/09/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2011-throughCompliance With Executive Order 95 (Open Data)
… 2013, established an online Open Data Website (Open Data) for the collection and public dissemination of publishable … and make such data freely available in accessible formats for public use. As of March 2021, there were over 5,190 data … natural resources and environment, DEC is responsible for managing water, land, and air pollution in order to …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/compliance-executive-order-95-open-dataCity of Long Beach – Budget Review (B21-7-6)
… budget review issued in May 2020. Background The City of Long Beach, located in Nassau County, has been authorized to issue … expenditures. The continued reliance on proceeds of long-term debt to finance recurring operating expenditures …
https://www.osc.ny.gov/local-government/audits/city/2021/05/12/city-long-beach-budget-review-b21-7-6Oversight of Passenger Safety (Follow-Up)
… or medical appointments. Within the New York City (NYC) region, four local Developmental Disabilities Services … Offices (DDSOs) – Metro NY (the Bronx and Manhattan), Brooklyn, Bernard M. Fineson (Queens), and Staten Island – … were assigned to the transportation offices of the four NYC DDSOs. State vehicles may be assigned to specific …
https://www.osc.ny.gov/state-agencies/audits/2020/07/28/oversight-passenger-safety-followState Agencies Bulletin No. 1890
… bulletin is to inform agencies of the content information for the 2020 Form W-2. Affected Employees All employees who receive a Form W-2 Wage and Tax Statement for calendar year 2020 are … shows the components of the Federal, Social Security, and Medicare Taxable Gross amounts. W-2 Distribution The agency …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1890-form-w-2-wage-and-tax-statement-calendar-year-2020DiNapoli Releases Fiscal Stress Scores for 17 Cities
… financial plans.” Using financial indicators that include year-end fund balance, short-term borrowing and patterns of … However, the city did improve its score from the prior year and moved out of the “moderate fiscal stress” category. … to file their financial information for the 2015 fiscal year and could not be issued a score. The cities of Long …
https://www.osc.ny.gov/press/releases/2016/04/dinapoli-releases-fiscal-stress-scores-17-citiesOpinion 91-43
… October 15, 1991 Thomas Savage, Town Supervisor Town of Palermo … Concerning opinions 34 Opns St Comp 1978 p 6 and …
https://www.osc.ny.gov/legal-opinions/opinion-91-43Mid Island Therapy Associates, LLC – Compliance With the Reimbursable Cost Manual
… Reports (CFRs) were properly documented, program related, and allowable pursuant to the State Education Department’s … claimed on Mid Island’s CFR for the fiscal year 2012-13, and certain expenses claimed on Mid Island’s CFRs for the two … other programs, a preschool Special Education Itinerant Teacher (SEIT) program to disabled children between the ages …
https://www.osc.ny.gov/state-agencies/audits/2015/12/31/mid-island-therapy-associates-llc-compliance-reimbursable-cost-manualAmusement Park and Fair Ride Safety
… May 14, 2014. Background The Department is responsible for protecting the safety and health of workers and the … of this role, its Industry Inspection Unit is responsible for inspecting rides at all amusement parks, fairs, and other … be inspected more often, usually each time it is set up. For the period January 1, 2011 through December 31, 2013, the …
https://www.osc.ny.gov/state-agencies/audits/2014/08/12/amusement-park-and-fair-ride-safetyExecutive Order 111 – Requirements to Purchase Renewable Energy Summary of Implementation of Recommendations at 15 Audited Entities (Follow-Up)
… as of January 10, 2013, of the 57 recommendations included in our series of 15 audits conducted in 2008. These audits assessed compliance with Executive … sources. Background Executive Order 111 (Order) was a broad initiative that directed State agencies and certain …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/executive-order-111-requirements-purchase-renewable-energy-summary-implementationFood Safety Monitoring
… monitors the processing, distribution and sale of food products in New York State. The audit covers the period … 18, 2013. Background The Department's Division of Food Safety and Inspection (Division) is responsible for … enforcing State laws and Department regulations related to food safety. The Division's objective is to ensure a safe and …
https://www.osc.ny.gov/state-agencies/audits/2014/01/30/food-safety-monitoringExcessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed Care and Health and Recovery Plans (Follow-Up)
… in our initial audit report, Excessive Premium Payments for Dual-Eligible Recipients Enrolled in Mainstream Managed … disorders. Within MMC and HARP is the Integrated Benefits for Dually Eligible Enrollees Program (IB-Dual), which became … 1, 2021. IB-Dual pays lower MMC and HARP premium rates for Medicaid recipients in MMC or HARP who enroll in Medicare …
https://www.osc.ny.gov/state-agencies/audits/2024/05/08/excessive-premium-payments-dual-eligible-recipients-enrolled-mainstream-managed-care-andDiNapoli: New York's Medicaid System Improperly Paid Over $16 Million in Claims
… increased reimbursements. $964,333 was paid for inpatient, pharmacy, referred ambulatory, and clinic claims that did not …
https://www.osc.ny.gov/press/releases/2025/02/dinapoli-new-yorks-medicaid-system-improperly-paid-over-16-million-claimsDiNapoli: Florida Man Pleads Guilty to Stealing Nearly $80,000 in Pension Payments Meant for His Deceased Father
… New York State Comptroller Thomas P. DiNapoli and Nassau County District Attorney Anne T. Donnelly announced the son of a … to identity theft in the first degree in Nassau County Court before Judge Colin O’Donnell. He is due back in court …
https://www.osc.ny.gov/press/releases/2025/05/dinapoli-florida-man-pleads-guilty-stealing-nearly-80000-pension-payments-meant-his-deceased-fatherImproper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care
… whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as inpatient services for recipients enrolled in managed care. The audit covered … from hospitals, MCOs reimburse the hospitals. The Centers for Medicare & Medicaid Services (CMS) defines outpatient …
https://www.osc.ny.gov/state-agencies/audits/2024/08/28/improper-medicaid-payments-hospitals-outpatient-services-billed-inpatient-servicesLiberty Resources, Inc. – Compliance With the Reimbursable Cost Manual
… (CFRs) were reasonable, necessary, directly related to the special education program, and sufficiently documented pursuant to … education programs including Special Education Itinerant Teacher services and 1:1 Aides. However, payments for …
https://www.osc.ny.gov/state-agencies/audits/2024/08/28/liberty-resources-inc-compliance-reimbursable-cost-manualImproper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (Follow-Up)
… our initial audit report, Medicaid Program – Improper Fee-for-Service Pharmacy Payments for Recipients With Third-Party Health Insurance (Report 2021-S-20 ). About the Program …
https://www.osc.ny.gov/state-agencies/audits/2025/06/18/improper-fee-service-pharmacy-payments-recipients-third-party-health-insurance-followMedicaid Program – Claims Processing Activity October 1, 2023 Through March 31, 2024
… computer system processes claims submitted by providers for services rendered to Medicaid-eligible recipients and generates payments to reimburse the providers for their claims. During the 6-month period ended March 31, … to providers. However, we also identified the need for improvements in the processing of certain types of …
https://www.osc.ny.gov/state-agencies/audits/2025/02/06/medicaid-program-claims-processing-activity-october-1-2023-through-march-31-2024Oversight of the Educational Opportunity Program
… for incoming students and provides support and enrichment programs, including career advising, tutoring, and personal counseling, throughout students’ … for, among other things, ensuring that EOP funds are used in a manner consistent with both the Guidelines and the State …
https://www.osc.ny.gov/state-agencies/audits/2025/03/26/oversight-educational-opportunity-programNew York’s Labor Force: Assessing 10-Year Trends and Pandemic Setbacks
… for employment levels, economic growth, State and local tax collections, and services supported by those taxes. The …
https://www.osc.ny.gov/reports/new-yorks-labor-force-assessing-10-year-trends-and-pandemic-setbacks