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Overpayments for Medicare Part C Coinsurance Charges (Follow-Up)
… included in our initial audit report, Overpayments for Medicare Part C Coinsurance Charges (2011-S-33). … Medicaid made inappropriate payments to medical providers for services rendered to Medicaid recipients enrolled in a … participating providers that the plans reimburse directly for services provided to enrollees. Medicare Advantage Plan …
https://www.osc.ny.gov/state-agencies/audits/2013/12/12/overpayments-medicare-part-c-coinsurance-charges-followCUNY Bulletin No. CU-717
… Assoc 015993 Medical Prof Basic Sciences 015994 Assoc Med Prof Basic Sciences 015995 Asst Med Prof Basic Sc 015996 Medical Prof Clinical 015997 Assoc Med Prof Clinic 017237 Medical Lecturer (No active employees) …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-717-2020-professional-staff-congress-psc-2-retroactive-generalUnited HealthCare – Compensation and Benefit Costs for the Empire Plan for the Period January 1, 2008 through December 31, 2010
… Purpose To determine whether United’s charges were accurate and related to the administration of the Empire Plan. The audit covers … To determine whether Uniteds charges were accurate and related to the administration of the Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2013/04/10/united-healthcare-compensation-and-benefit-costs-empire-plan-period-january-1-2008-throughExamination of Pitts Management Associates, Inc. Travel Expenses
… Pitts Management Associates, Inc. (PMA) were incurred for business purposes and were reasonable in price. Background … and approved for payment by Downstate were incurred for business purposes or were reasonable in price. We also found … including $32,500 for software license fees and $9,012 for legal fees …
https://www.osc.ny.gov/state-agencies/audits/2016/08/08/examination-pitts-management-associates-inc-travel-expensesOpinion 93-26
… Law, §§190, 198[10-f], 209). Once an ambulance district is established, the board is authorized, inter alia , to contract on behalf of the … ambulance services (see 1982 Opns St Comp No. 82-26, p 33). Notwithstanding the apparently mandatory language …
https://www.osc.ny.gov/legal-opinions/opinion-93-26Opinion 90-55
… or statutory amendments that bear on the issues discussed in the opinion. POLICE AND POLICE PROTECTION -- Disability … its police department remains obligated to pay benefits in accordance with General Municipal Law, §207-c to police officers injured in the line of duty prior to the abolition of the department. …
https://www.osc.ny.gov/legal-opinions/opinion-90-55State Contract and Payment Actions in September
… and payments is available at www.openbooknewyork.com Major Contracts Approved Department of Agriculture and … Clemente State Park in the Bronx. $1.4 million with JM Nassau Suffolk Landscape Co. Inc. for landscape and … multi-use trails on the Empire State Trail in Erie County. Major Payments Approved Tax Refunds $652.5 million for 1.4 …
https://www.osc.ny.gov/press/releases/2019/10/state-contract-and-payment-actions-septemberState Contract and Payment Actions in November
… with Silver Creek School District for Native American student tuition. $1.8 million with New York State Independent … Corporation site in Oneida County. $1.4 million with the Student Conservation Association for administration of the … million with Morano Brothers Corp. for Empire State Trail safety improvements in Westchester County. Workers' …
https://www.osc.ny.gov/press/releases/2019/12/state-contract-and-payment-actions-novemberState Contract and Payment Actions in November
… with MLB Construction Services LLC for renovation of the Warehouse, shop and pole barn at SUNY Cobleskill in Schoharie … implementation, and operation of the Medicaid data warehouse and the Office of Health Insurance Programs Data …
https://www.osc.ny.gov/press/releases/2024/01/state-contract-and-payment-actions-novemberOrdinary Disability – Article 14 Benefits
… Eligibility To qualify for the ordinary disability retirement benefit, you must: Be … Have five years of credited service; and Be eligible for primary Social Security disability benefits. The Benefit … of: One-third of your FAS or 2 percent of your FAS for each year of credited service, up to 25 years. It is …
https://www.osc.ny.gov/retirement/publications/1644/ordinary-disabilityRegulation for Scheduling, Adjourning and Conduct of Administrative Hearings
… must advise the retirement system within 45 days of the availability of the additional expert witness or the … system is unable to schedule a hearing based on the availability dates provided by the 2 applicant or other … will provide a written request for additional dates of availability. iii) The hearing officer has the discretion …
https://www.osc.ny.gov/retirement/members/regulation-for-hearingsCompliance With Special Education Regulations for the Provision of Services
… in special education. In New York City (NYC), the DOE is responsible for determining eligibility for and providing … parental consent to evaluate. However, arranging placement is not the end of the process as it is more important that eligible students be provided with the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/30/compliance-special-education-regulations-provision-servicesDiNapoli: Nearly 700 Authorities Operate With Little Oversight, Limited Transparency
… in New York state and provide a host of important services to citizens. However, the 639 authorities operating outside … debt, and operate with little oversight, according to a report issued today by State Comptroller Thomas P. DiNapoli. In an effort to enhance oversight over local authorities, DiNapoli’s …
https://www.osc.ny.gov/press/releases/2015/04/dinapoli-nearly-700-authorities-operate-little-oversight-limited-transparencyNew Yorkers in Need: The Housing Insecurity Crisis
… asking rents decline, particularly for units below $2,300 monthly asking rent. 22 Growing Housing Costs Monthly … Home Ownership 400 Senior Rental Affordable Housing 300 Energy Efficiency/Alternative Energy 250 Low-Income … of new affordable units, $450 million for preservation, $300 million for senior housing, $182 million for public …
https://www.osc.ny.gov/reports/new-yorkers-need-housing-insecurity-crisisMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… Objective To determine the extent of implementation of the five … Overpayments for Medicare Part B Services Billed Directly to eMedNY (Report 2017-S-36 ). About the Program The … To determine the extent of implementation of the five …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followMedicaid Program - Questionable Payments for Practitioner Services and Pharmacy Claims Pertaining to a Selected Physician (2012-S-35), 90-Day Response
To determine if Dr. Riaz Ahmad complied with Medicaid policies and whether Dr. Ahmad’s medical records support the services he billed and the prescriptions he w
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2015-12s35-response.pdfEnforcement of Article 19-A of the Vehicle and Traffic Law (Follow-Up)
… In 1972, a tragic school bus and freight train collision near Congers, New York, that involved bus driver negligence …
https://www.osc.ny.gov/state-agencies/audits/2021/02/08/enforcement-article-19-vehicle-and-traffic-law-followImproper Medicaid Managed Care Payments for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies on Behalf of Recipients in Nursing Homes (2020-S-61)
To determine whether Medicaid managed care organizations inappropriately paid for durable medical equipment, prosthetics, orthotics, and supplies while recipients were residing in nursing homes.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20s61.pdfAccidental Disability – Article 14 Benefits
… benefit if: You are unable to perform your duties because of a permanent physical or mental incapacity and It is … that the disability is the natural and proximate result of an accident sustained in the performance of duties not caused by your own willful negligence. or You …
https://www.osc.ny.gov/retirement/publications/1644/accidental-disabilitySuspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists (Follow-Up)
… Suspicious and Fraudulent Medicaid Payments to Affiliated Brooklyn Dentists (Report 2010-S-64). Background The … Lawrence Bruckner operated two office locations in Brooklyn, NY. Other dentists who reportedly practiced at the … services purportedly performed by the six dentists at the Brooklyn offices. Our initial audit report, which was issued …
https://www.osc.ny.gov/state-agencies/audits/2015/12/30/suspicious-and-fraudulent-medicaid-payments-affiliated-brooklyn-dentists-follow