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UnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59 (Follow-Up)
… By Modifier Code 59 (Report 2013-S-82 ). Background The New York State Health Insurance Program (NYSHIP) provides health …
https://www.osc.ny.gov/state-agencies/audits/2017/12/27/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59-followDiNapoli Audit: MTA Transit Capital Projects Plagued by Cost Overruns and Delays
… (Transit) capital projects found errors throughout the project pipeline that contributed to delays and higher costs, according to an audit released … and additional costs. For example, during an accessibility project to install elevators and make a platform comply with …
https://www.osc.ny.gov/press/releases/2019/07/dinapoli-audit-mta-transit-capital-projects-plagued-cost-overruns-and-delaysPayments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy (Follow-Up)
… included in our initial audit report, Payments for Fraudulent and Improper Claims Submitted by Davis Ethical … which was issued on August 13, 2013, determined that, for the period January 1, 2008 through December 13, 2011, … fraudulent claims to Medicaid and received payments for those claims. We coordinated our audit and investigative …
https://www.osc.ny.gov/state-agencies/audits/2016/02/18/payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacy-followUnited HealthCare – Overpayments for Services Provided by Orthopedic Associates of Long Island
… accepted $6,932 as the full payment, United should have only paid $5,546 on the claim. This resulted in an …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-orthopedic-associates-long-islandMedicaid Program – Improper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care
… 31, 2013, Medicaid paid approximately $46.5 billion in premiums to 92 MCO plans. Key Findings Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2015/01/05/medicaid-program-improper-fee-service-payments-pharmacy-services-covered-managed-careUnited HealthCare – Overpayments for Services Provided by Eastern Orange Ambulatory Surgery Center
… accepted $5,920 as the full payment, United should have only paid $4,736 on the claim. This resulted in an …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-eastern-orange-ambulatory-surgery-centerReporting Services Provided by Lawyers and Law Firms (Education Law Section 2053)
… with the Office of the Attorney General, the Office of the State Comptroller and the State Education Department. These … Administrator at your school district/BOCES, you may log in to the New York State Education Department Application …
https://www.osc.ny.gov/retirement/employers/reporting-services-provided-lawyers-and-law-firms-education-law-section-2053DiNapoli: East Ramapo School Budget Hampered By Deficits, Inadequate Rainy Day Funds
… resources; Ensure all health insurance plan participants pay their portion of premiums on time; Obtain quotes for the …
https://www.osc.ny.gov/press/releases/2016/06/dinapoli-east-ramapo-school-budget-hampered-deficits-inadequate-rainy-day-fundsLocal Sales Tax Collections Increased by 3% in July Compared to Last Year
… Local sales tax collections in New York state grew by 3% in July compared to the same month in 2022, according to an analysis released today by State … Local sales tax collections in New York state grew by 3 in July compared to the same month in 2022 according to an …
https://www.osc.ny.gov/press/releases/2023/08/local-sales-tax-collections-increased-3-july-compared-last-yearImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Report 2018-S-71 ). About the … care, including nursing, physician, and counseling services; home health aides; physical and occupational … Medicare is the primary payer for Medicare-covered hospice services, while Medicaid is the payer of last resort. In …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followDiNapoli: State's Pandemic Response to Nursing Homes Hindered by Ill-Prepared State Agency
… found. DiNapoli said that a persistent lack of funding for public health over the last decade forced DOH to operate … for New Yorkers living in nursing homes. Families have a right to know if their loved one’s COVID-19 death was … Homes Track state and local government spending at Open Book New York . Under State Comptroller DiNapoli’s open …
https://www.osc.ny.gov/press/releases/2022/03/dinapoli-states-pandemic-response-nursing-homes-hindered-ill-prepared-state-agencyImproper Fee-for-Service Payments for Services Covered by Managed Long-Term Care Plans (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Improper Fee-for-Service … who are chronically ill or disabled and who wish to stay in their homes and communities. MLTC plans offer a range of … that plans must cover and pay for (benefit packages) in exchange for monthly premium payments for each member …
https://www.osc.ny.gov/state-agencies/audits/2021/08/31/improper-fee-service-payments-services-covered-managed-long-term-care-plans-followMedicaid Program – Improper Fee-for-Service Payments for Services Covered by Long-Term Care Plans
… such as home health care, nursing home care, and durable medical equipment, to people who are chronically ill or … or a contractor that operates a statewide enrollment center for public health insurance programs. Enrollment …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/medicaid-program-improper-fee-service-payments-services-covered-long-term-care-plansMedicaid Program – Overpayments for Therapy Services and Prescription Drugs Covered by Medicare
… Health overpaid health care providers’ Medicaid claims for therapy services and prescription drugs that are covered by … drugs and January 1, 2012 to December 31, 2017 for therapy services. About the Program Many of the State’s … Medicare program covers physical, occupational, and speech therapy services, as well as prescription drugs. When these …
https://www.osc.ny.gov/state-agencies/audits/2019/10/30/medicaid-program-overpayments-therapy-services-and-prescription-drugs-covered-medicareMedicaid Program – Accuracy of Medicaid Eligibility Determined by NY State of Health
… Medicaid recipients receive their services through managed care, whereby the Department pays managed care organizations (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay health care providers for services their members require. Recipients …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-accuracy-medicaid-eligibility-determined-ny-state-healthEast Islip Union Free School District - Financial Condition Management (2020M-24)
… However, when unused appropriated fund balance is added back, unassigned fund balance exceeds the statutory … the practice of appropriating fund balance that is not needed or used to fund operations. District officials …
https://www.osc.ny.gov/local-government/audits/school-district/2020/05/01/east-islip-union-free-school-district-financial-condition-managementCanastota Central School District - Financial Condition Management (2019M-174)
… We found: Officials overestimated appropriations by a total of $7.1 million from 2015-16 through 2017-18, … resulted in most of the appropriated fund balance not being needed to fund operations. The tax certiorari reserve …
https://www.osc.ny.gov/local-government/audits/school-district/2019/11/08/canastota-central-school-district-financial-condition-management-2019mState Agencies Bulletin No. 414
… Report has been redesigned for OCA use and will include only the employees requiring certification, as well as their …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/414-employee-certification-process-unified-court-system-ucsState Agencies Bulletin No. 1166
… in the Department of Environmental Conservation (09XXX) or the Office of Parks, Recreation and Historic Preservation … Family Services (25000), Office of Mental Health (50XXX) or Office for People with Developmental Disabilities (51XXX) … in the Department of Environmental Conservation (09XXX) or the Office of Parks, Recreation and Historic Preservation …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1166-2011-2012-deficit-reduction-plan-refunds-certain-employees-representedContact Update Online Help
… Site Once you've logged into the system, the Welcome to Online Services Dashboard is displayed. Under the Online Services Applications section, click on the Office of … Online help for maintaining contact info for State agency …
https://www.osc.ny.gov/contact-update/online-help