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An Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… by the State Department of Civil Service (Civil Service), is one of the nation’s largest public sector health insurance … district employees, and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP, covering 1.1 … the reasonable and customary (R&C) rate. MultiPlan, Inc. is the provider network leased by United to supplement its …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesTown of Berkshire – Town Clerk (2014M-230)
… Purpose of Audit The purpose of our audit was evaluate the Clerk’s financial and records management for the period January 1, 2013 through June 13, 2014. … The purpose of our audit was evaluate the Clerks financial and records management for the period January 1 2013 through June 13 2014 …
https://www.osc.ny.gov/local-government/audits/town/2014/11/07/town-berkshire-town-clerk-2014m-230DiNapoli Releases Municipal Audits
… transparency and accountability for our local communities is a top priority,” said DiNapoli. “By auditing municipal finances and operations, my office continues to provide taxpayers the assurance that … individuals, it lacked a policy or contract stating what amount should be reimbursed, when payments are due and …
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-releases-municipal-audits-0DiNapoli: Brooklyn Economy Sets Records
… said Brooklyn Chamber of Commerce Acting President Rick Russo. "Thank you to State Comptroller DiNapoli for …
https://www.osc.ny.gov/press/releases/2018/06/dinapoli-brooklyn-economy-sets-recordsComptroller DiNapoli Releases School District Audits
… fund. The audit recommended that the board develop a plan to reduce fund balance by financing one-time expenditures, … not fully disclosed detailed internal cost information and how operating costs are allocated to the school. As a result, … prior approval was granted for overtime worked and that start and end times were documented on the time sheets in …
https://www.osc.ny.gov/press/releases/2019/04/comptroller-dinapoli-releases-school-district-auditsMid Island Therapy Associates, LLC – Compliance With the Reimbursable Cost Manual
… Purpose To determine whether the costs reported by Mid Island Therapy Associates LLC (Mid Island), aka All About Kids, on its Consolidated Fiscal … (Manual). The audit included all expenses claimed on Mid Island’s CFR for the fiscal year 2012-13, and certain … To determine whether the costs reported by Mid Island Therapy Associates LLC Mid Island aka All About …
https://www.osc.ny.gov/state-agencies/audits/2015/12/31/mid-island-therapy-associates-llc-compliance-reimbursable-cost-manualDiNapoli: New York State Pension Fund and Coca Cola Reach Agreement on Executive Pay
… Coca Cola Co. will consider the wages it pays all of its employees when setting executive … State Comptroller Thomas P. DiNapoli, trustee of the New York State Common Retirement Fund (Fund), announced today. In response to the agreement , the Fund withdrew its shareholder resolution …
https://www.osc.ny.gov/press/releases/2020/03/dinapoli-new-york-state-pension-fund-and-coca-cola-reach-agreement-executive-payCity of Mechanicville – Records and Reports (2012M-162)
… 5,200 residents. The City government is organized under a City Council, which comprises five elected Commissioners, … and fees charged to residents. Key Findings Due to the poor condition of the City’s financial records and reports, … and monitor the City’s financial management system. Even after years of unfiled financial reports, lack of information …
https://www.osc.ny.gov/local-government/audits/city/2013/02/01/city-mechanicville-records-and-reports-2012m-162DiNapoli: State Could Face Tough Fiscal Decisions in Year Ahead
… Fiscal Year (SFY) 2017-18 Enacted Budget increases funding for education, clean water, affordable housing and other programs, but authorizes more than $10.5 billion in new state debt and allows billions of dollars in lump sum … decisions in Washington may force tough fiscal choices for the state and raise new questions for local governments …
https://www.osc.ny.gov/press/releases/2017/05/dinapoli-state-could-face-tough-fiscal-decisions-year-aheadUnnecessary Managed Care Payments for Medicaid Recipients With Medicare (Follow-Up)
… and utility of the Medicare eligibility data it uses and take action to improve data quality or develop alternate … standards to the broker agreement regarding timely removal of dual eligibles from Medicaid managed care … and to implement procedures to help ensure that Medicaid does not pay managed care premiums for enrollees of the …
https://www.osc.ny.gov/state-agencies/audits/2013/11/01/unnecessary-managed-care-payments-medicaid-recipients-medicare-followLegislative and Executive Retirement Plan For Tier 1 and 2 Members (Section 80-a)
… Message from Comptroller Thomas P. DiNapoli As a member of the Retirement System, you are covered by a plan that … benefits. This booklet explains some of those benefits and the services available to you as a member of our system, … your beneficiary may receive if you die while working for a public employer or after you retire (death benefits); …
https://www.osc.ny.gov/retirement/publications/legislative-and-executive-retirement-plan-tier-1-and-2-members-section-80Opinion 91-2
… opinion. STATE COMPTROLLER -- Powers and Duties (public corporations -- scope of audit authority); (OTB's -- scope of … may request officials of an OTB corporation to fill out a form listing certain outside employment and business … [OTB] corporation, including its receipts, disbursements, contracts, leases, sinking funds, investments and any other …
https://www.osc.ny.gov/legal-opinions/opinion-91-2XIII.3 Record Retention – Travel and Expense – XIII. Employee Expense Reimbursement
… entirety should be returned so the traveler (or his/her proxy) can attach the necessary documentation. Bulkload … agencies, to the extent possible, OSC will use the expense report attachments in the SFS to review and approve … Travel ( AC 160-S ). For online agencies where a proxy enters and submits a traveler’s expense report into …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii3-record-retention-travel-and-expenseCreditable Service – Special 20- and 25-Year Plans
… Section 383-e (20-year plan) What type of service is creditable in this plan? Creditable service (service which can be used …
https://www.osc.ny.gov/retirement/members/383-e-383-f-plans/creditable-serviceSelected State Agencies’ Roles in Financial Literacy (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Selected State Agencies’ Roles in Financial Literacy (Report 2020-S-53 ). About the Program In recent decades, financial literacy has emerged as a key … of implementation of the five recommendations included in our initial audit report Selected State Agencies Roles in …
https://www.osc.ny.gov/state-agencies/audits/2024/10/23/selected-state-agencies-roles-financial-literacy-followMedicaid: Enrollment Growth, COVID-19 and the Future
Monthly enrollment in the Medicaid program has grown by about 5 percent per year since January 2007, and exceeded 7 million for the first time in February 2021.
https://www.osc.ny.gov/files/reports/pdf/medicaid-enrollment-growth-covid-19-and-the-future.pdfDiNapoli: As Share of New Yorkers Without Health Insurance Reached New Low, Disparities Persisted Among Black, Asian, and Latino Populations
… From 2010 through 2021, the percentage of New Yorkers without health insurance declined every year to 5.2% in 2021, well below the national average of 8.6% and less … From 2010 through 2021 the percentage of New Yorkers without health insurance declined every year to 52 in 2021 well below the …
https://www.osc.ny.gov/press/releases/2023/08/dinapoli-share-new-yorkers-without-health-insurance-reached-new-low-disparities-persisted-among-blackCompliance With School Safety Planning Requirements
… Department of Education (DOE) complies with the school safety planning requirements in the Safe Schools Against … have been required to develop and regularly review school safety plans as part of the SAVE Act. Among its key … requires public school districts to develop district-wide safety plans (District Plans) and building-level emergency …
https://www.osc.ny.gov/state-agencies/audits/2019/06/12/compliance-school-safety-planning-requirementsFailing To Adhere to Policy and Proper Procedures – Travel and Conference Expense Management
… state what will occur in the case of improper claims for travel and conference expenses, including among other … sufficient to enable the proper audit of the claim for reimbursement. Denial of reimbursement for expenses incurred that are not actual and necessary and …
https://www.osc.ny.gov/local-government/publications/travel-conference-expense/failing-adhere-policy-and-proper-proceduresState Comptroller DiNapoli Releases Audits
… York State Comptroller Thomas P. DiNapoli announced today the following audits have been issued. Metropolitan … three months to over four years. In addition, eight of the projects sampled were over budget. Office of Information … compliance with contract terms and deliverables. For 14 of the 20 contracts reviewed, ITS provided adequate oversight to …
https://www.osc.ny.gov/press/releases/2020/12/state-comptroller-dinapoli-releases-audits