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Improper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care (2023-S-23) 180-Day Response
To determine whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as inpatient services for recipients enrolled in managed care.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-23s23-response.pdfOpinion 89-51
… longer represent those views if, among other things, there have been subsequent court cases or statutory amendments that … of a fire protection district, must specify a definite sum to be paid each year for all of the services to be rendered under the contract. There is no authority for …
https://www.osc.ny.gov/legal-opinions/opinion-89-51Lynbrook Union Free School District – Medicaid Reimbursements (2022M-81)
… (IEPs) and Medicaid-eligible services were properly filed to receive Medicaid reimbursements. Key Findings Officials … the Medicaid claims were properly filed, the District may have realized $10,107 in additional Medicaid reimbursements. … likely received services for which the District could have filed Medicaid reimbursement claims to reduce the …
https://www.osc.ny.gov/local-government/audits/school-district/2022/11/10/lynbrook-union-free-school-district-medicaid-reimbursements-2022m-81Selected Aspects of Collection of Bridge and Tunnel Tolls and Fees (Follow-Up)
… Objective To determine the extent of implementation of the nine … 2015. TBTA officials claim fees are a deterrent but have waived as much as 90 percent of fees due upon receipt of … the options related to deterrence. With TBTA’s plan to have cashless open road tolling (ORT) at all its crossings by …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/selected-aspects-collection-bridge-and-tunnel-tolls-and-fees-followMaintenance and Inspection of Event Recorder Units (Follow-Up)
… Objective To determine the extent of implementation of the seven … Railway Administration established that the ERUs must have a minimum of 48 hours of recording memory capacity. As … incident/accident, primarily in cases where the ERUs have only 12 hours of memory capacity before their data is …
https://www.osc.ny.gov/state-agencies/audits/2021/10/21/maintenance-and-inspection-event-recorder-units-followState Agencies Bulletin No. 1834
… Purpose The purpose of this bulletin is to inform agencies of the automatic processing for the … Services Hazardous Duty Pay payment for employees who have at least one year of service credit in either BU01 or … by an Anniversary Date of on or before 04/01/2019) , have a Payroll Status of Active, Leave With Pay, or Leave of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1834-april-2020-hazardous-duty-pay-increase-arbitration-eligible-bu01-andMedicaid Program - Medicaid Managed Care Organization Fraud and Abuse Detection
… Purpose To determine if United HealthCare and Amerigroup made … health care providers. In addition, MCOs are required to have effective compliance programs, including full-time … appropriately recovered, determine if the MCOs’ recoveries have an impact on the monthly managed care premium rate …
https://www.osc.ny.gov/state-agencies/audits/2016/07/15/medicaid-program-medicaid-managed-care-organization-fraud-and-abuse-detectionState Agencies Bulletin No. 1498
… Purpose To provide information and instructions regarding the … the 2015-2016 PEF/New York State Agreement, teachers who have elected to be paid over the school year will be paid … Code 21P who are Hired, Rehired, Concurrently Hired or have a position change effective the first date of the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1498-restoration-contract-pay-and-additional-pay-21p-institution-teachersTown of Seward – Financial Management (2016M-353)
… Purpose of Audit The purpose of our audit was to evaluate the Town’s financial management for the period … totaled approximately $802,000. Key Finding The Board has not effectively managed fund balance. Town officials have adopted budgets that consistently overestimated …
https://www.osc.ny.gov/local-government/audits/town/2016/12/30/town-seward-financial-management-2016m-353DiNapoli: 2015 Sales Tax Collections Drop in 30 Counties
… 57 counties outside of New York City last year, according to a report issued today by State Comptroller Thomas P. … unpredictability in sales tax collections continues to have financial ramifications for our local governments and … to no growth in sales tax collections, most counties have exercised additional caution when making spending …
https://www.osc.ny.gov/press/releases/2016/02/dinapoli-2015-sales-tax-collections-drop-30-countiesState Agencies Bulletin No. 672
… Purpose To provide agencies with information and procedures regarding … M/C employees in Negotiating Unit Code 79 whose agencies have elected to participate in the Vacation Exchange Program. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/672-2006-managementconfidential-mc-vacation-exchange-paymentState Agencies Bulletin No. 595
… Purpose To provide agencies with information and procedures regarding … M/C employees in Negotiating Unit Code 79 whose agencies have elected to participate in the Vacation Exchange Program. …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/595-2005-managementconfidential-mc-vacation-exchange-paymentAnthem Blue Cross – Coordination of Benefits With Medicare
… Objective To determine whether Anthem Blue Cross coordinated benefits … facility, or hospice. Many enrollees and their dependents have other insurance coverage in addition to the Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2024/08/19/anthem-blue-cross-coordination-benefits-medicareStanley Fire District – Internal Controls Over Financial Operations (2013M-259)
… Purpose of Audit The purpose of our audit was to determine whether District controls are adequate to ensure that financial activity is properly recorded and … for the 2013 fiscal year. Key Findings Board members have not provided adequate fiscal oversight to the District, …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/11/22/stanley-fire-district-internal-controls-over-financial-operations-2013m-259Caton Volunteer Fire Company, Inc. – Internal Controls Over Financial Activities (2013M-237)
… Purpose of Audit The purpose of our audit was to determine whether Company controls are adequate to ensure that financial activity is properly recorded and … audit of the Treasurer’s records. The Company does not have a code of ethics as required by statute, and the Board …
https://www.osc.ny.gov/local-government/audits/fire-district/2013/11/01/caton-volunteer-fire-company-inc-internal-controls-over-financialState Police Bulletin No. SP-75
… Purpose To explain OSC's automatic processing and to provide the agency with instructions for payments not … process Officers with SPL rows in Additional Pay that have effective dates or end dates after 03/27/03. For …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-police/sp-75-commissioned-and-non-commissioned-state-police-officers-salary-scheduleState Police Bulletin No. SP-72
… Purpose To explain OSC's automatic processing and to provide the agency with instructions for payments not … process Troopers with SPL rows in Additional Pay that have effective dates after 03/27/03.The Agency must submit …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-police/sp-72-state-police-troopers-salary-schedule-change-based-geographic-workNew York State Comptroller Thomas P. DiNapoli Statement on Moody's Upgrade of New York State General Obligation Bonds
… bonds and the state’s other major bonding programs to Aa1, its highest level since the fiscal crisis of the … reflection on the steps the Governor and the Legislature have taken in recent years to strengthen the state’s cash … and reduce out-year budget gaps, which are actions that I have consistently highlighted as essential reforms. I am …
https://www.osc.ny.gov/press/releases/2014/06/new-york-state-comptroller-thomas-p-dinapoli-statement-moodys-upgrade-new-york-state-generalMedicaid Payments for Excessive Dental Services (Follow-Up)
… Purpose To determine the extent of implementation of the six … dental services that exceeded certain frequency limits (i.e., cleanings and oral evaluations provided to the same … dental services appeared highly questionable and may not have been provided at all. We also determined that if the …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/medicaid-payments-excessive-dental-services-followVillage of Lake George – Records and Reports (2024M-82)
… complete, accurate and timely records and reports to allow the Village Board (Board) to effectively manage the Village’s financial operations. … officials generally agreed with our recommendations and have initiated, or indicated they planned to initiate …
https://www.osc.ny.gov/local-government/audits/village/2024/09/13/village-lake-george-records-and-reports-2024m-82