Search
Inappropriate Payments Related to Procedure Modifiers (Follow-Up)
… health care needs. Per State Medicaid policies, payment for a surgical procedure includes all services normally … (E/M) services, are included in Medicaid’s payment for the procedure. E/M services unrelated to the original … system controls to prevent inappropriate payments for E/M services during the global surgery period, which …
https://www.osc.ny.gov/state-agencies/audits/2019/07/31/inappropriate-payments-related-procedure-modifiers-followMedicaid Program – Improper Medicaid Payments for Terminated Drugs
… whether the Medicaid program made improper payments for drugs dispensed after their drug termination date. The audit … medically necessary prescription and non-prescription drugs. Drugs may be removed from the market (i.e., terminated) for … whether the Medicaid program made improper payments for drugs dispensed after their drug termination date The audit …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsState Agencies Bulletin No. 565
… OGS parking deductions. Background Agency payroll officers currently receive CS-783 Authorization/Cancellation … automatically process these transactions. Agency payroll officers will no longer receive the CS-783 … 6/16/05. Effective Date(s) Paychecks dated 7/7/05 (Institution) Paychecks dated 7/13/05 (Administration) OSC …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/565-automated-processing-deduction-code-427-ogs-parking-servicesOpinion 92-35
… taxes with respect to county-owned real property liable for taxes ( cf . RPTL, §406, with respect to the taxable … , subsequent to the expiration of the interest-free period for the collection of taxes (see §924[2]), but prior to the expiration of the warrant for the collection of those taxes (see §904[1]) in accordance …
https://www.osc.ny.gov/legal-opinions/opinion-92-35American Academy of Pediatrics, District II
… of Health (Department) made to the American Academy of Pediatrics, District II (AAP) under contract C028275.After … of Health Department made to the American Academy of Pediatrics Distr …
https://www.osc.ny.gov/state-agencies/audits/2014/02/28/american-academy-pediatrics-district-iiCreate Users and Assign Roles
… Authorizer, who can: create and assign other users, reset passwords, and lock or unlock the account. Basically, …
https://www.osc.ny.gov/state-vendors/vendrep/create-users-and-assign-rolesWithdrawing Your Contributions and/or Your Membership – State Police Plan
… If you leave public employment with less than ten years of … Sign in to your Retirement Online account , go to the ‘My Account Summary’ area of your Account Homepage and click “Withdraw My Membership.” You can also apply by mail by submitting a …
https://www.osc.ny.gov/retirement/publications/1518/withdrawing-your-contributions-andor-your-membershipDiNapoli: Medicaid Audits Find Nearly $800 Million in Savings and Revenue
… billions of dollars in waste, fraud and abuse. Our role is to help lower Medicaid program costs by identifying … government money is spent at Open Book New York . Track municipal spending, the state's 160,000 contracts, billions …
https://www.osc.ny.gov/press/releases/2020/01/dinapoli-medicaid-audits-find-nearly-800-million-savings-and-revenueState Agencies Bulletin No. 1167
… Purpose To ensure use of the revised Direct Deposit Form for NYS employees and advise current participants in the Direct Deposit program of the revision to the Personal Privacy Law Notification on the Direct Deposit Form Affected Employees New enrollees and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1167-revised-personal-privacy-protection-law-notification-direct-depositImproper Payments Related to the Medicare Buy-In Program (Follow-Up)
… extent of implementation of the five recommendations made in our audit report, Improper Payments Related to the Medicare Buy-In Program ( 2010-S-76 ). Background The federal government established the Medicare buy-in program to assist certain low-income people pay …
https://www.osc.ny.gov/state-agencies/audits/2014/11/18/improper-payments-related-medicare-buy-program-followState Comptroller DiNapoli Releases Municipal & School Audits
… and reliable collections were not always maintained, there is an increased risk of city collections being lost, misused … policy and invested $35,000 in an investment account that is not statutorily authorized. The board re-adopted its … Beacon Central School District – Information Technology (IT) (Dutchess County) District officials did not ensure …
https://www.osc.ny.gov/press/releases/2024/03/state-comptroller-dinapoli-releases-municipal-school-audits-1Medicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance
… The Department administers the State’s Medicaid program. For the State fiscal year ended March 31, 2017, New York’s … pays managed care organizations (MCOs) a monthly premium for each enrolled Medicaid recipient, and the MCOs arrange … of enrollees who also had concurrent comprehensive TPHI: $26.9 million (about 73,000 premiums) can be recovered because …
https://www.osc.ny.gov/state-agencies/audits/2018/06/13/medicaid-program-managed-care-premium-payments-recipients-comprehensive-third-partyMedicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… Purpose To determine whether Medicaid made improper fee-for-service claim payments for pharmacy services covered by recipients’ managed care … program pays medical providers through either the fee-for-service method or the managed care plan method. Under the … Medicaid made improper feeforservice claim payments for pharmacy services covered by recipients managed care plans …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careApplication to Reinstate a Former Membership (RS5506)
To reinstate a former membership in a public retirement system in New York State, NYSLRS members use form RS5506.
https://www.osc.ny.gov/files/retirement/forms/pdf/rs5506.pdfMedicaid Program – Maximizing Drug Rebates Under the Federal Medicaid Drug Rebate Program
… Objective To determine whether the Department of Health (Department) took appropriate steps to collect all available drug rebates under the federal Medicaid Drug Rebate Program (MDRP). The audit covered the period from April 2018 through March … To determine whether the Department of Health took appropriate steps to collect …
https://www.osc.ny.gov/state-agencies/audits/2023/04/05/medicaid-program-maximizing-drug-rebates-under-federal-medicaid-drug-rebate-programMedicaid Program – Medicaid Claims Processing Activity October 1, 2014 Through March 31, 2015
… Purpose To determine whether the Department of Health’s eMedNY system reasonably ensured that Medicaid … 2014 through March 31, 2015. Background The Department of Health (Department) administers the State’s Medicaid program. … with improper payments for duplicate billings and for clinic and durable medical equipment services. By the end of …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-program-medicaid-claims-processing-activity-october-1-2014-through-march-31-2015State Agencies Bulletin No. 2344
… is to provide agency instructions for processing the April 2025 Longevity Payment for Long-Term Seasonal Employees for … Association (CSEA) and the Public Employees Federation (PEF). Affected Employees: Seasonal hourly employees of the … Institution Extra Lag Pay Period 2 paychecks dated 05/15/2025 or the Administration Extra Lag Pay Period 2 paychecks …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2344-april-2025-longevity-payment-long-term-seasonal-employeesOverpayments of Certain Medicare Crossover Claims
… Purpose To determine if Medicaid overpaid Medicare crossover claims for physician … To determine if Medicaid overpaid Medicare crossover claims for physician …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsService Retirement Benefit – State Police Plan
… at any age after completing 20 full years of creditable service. State Police officers must retire by the last day of the year in … plus 1.66 percent of your FAE for each year of non-State Police service. Your total benefit may not exceed 50 percent … State Police Plan information for PFRS Tier 2 5 and 6 members under …
https://www.osc.ny.gov/retirement/publications/1518/service-retirement-benefitMedicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to the providers. The audit covered the … 2013, eMedNY processed about 188 million claims, resulting in payments to providers of about $25 billion. The claims are …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013