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Empire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our audit report, New York … To determine the extent of implementation of 3 recommendations made in our audit …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period January 1, 2012 Through June 30, 2012 (Follow-Up)
… Purpose To determine the extent of implementation of the three recommendations made in our audit report, New … benefits plan for NYSHIP. The New York State Department of Civil Service contracts with Empire BlueCross BlueShield … Determine extent of implementation of 3 recommendations made in our audit …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-january-1-2012-throughEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… portion of the Plan. Empire processes and pays claims for hospital services in accordance with agreements Empire negotiates with member hospitals. Payments for hospital services are generally based on standard fee … to provide information on any actions that are planned to address the unresolved issues discussed in this report. Other …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughSelected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Empire BlueCross and BlueShield)
… July through December 2012. Background The New York State Health Insurance Program (NYSHIP) provides health coverage to … which includes coverage for inpatient and outpatient hospital services. Empire processes Plan claims for hospital services in accordance with agreements they …
https://www.osc.ny.gov/state-agencies/audits/2014/01/16/selected-payments-special-items-period-july-1-2012-through-december-31-2012-empireImproper Medicaid Payments to Hospitals for Outpatient Services Billed as Inpatient Services for Recipients Enrolled in Managed Care
… whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as inpatient … When managed care enrollees receive inpatient care or outpatient care from hospitals, MCOs reimburse the hospitals. … The Centers for Medicare & Medicaid Services (CMS) defines outpatient care provided in a hospital as care that a patient …
https://www.osc.ny.gov/state-agencies/audits/2024/08/28/improper-medicaid-payments-hospitals-outpatient-services-billed-inpatient-servicesThe Survivor’s Benefit Program for Retired NYS Employees
… protection plan that provides a minimum death benefit to the survivors of New York State retired employees. Your … is/was paid directly by New York State. What You Need to Know Before You Retire What are the eligibility requirements? There is no need to enroll in the Survivor’s Benefit Program. You are …
https://www.osc.ny.gov/retirement/publications/survivors-benefit-program-retired-nys-employeesDiNapoli Releases Fiscal Stress Scores for 17 Cities
… in New York that have fiscal years ending between March 31 and July 31. This includes the “Big Four” cities of Buffalo, Rochester, Syracuse and Yonkers. “Fiscal stress scores have improved in several … to address areas of concern as they prepare their budgets and long-term financial plans.” Using financial indicators …
https://www.osc.ny.gov/press/releases/2016/04/dinapoli-releases-fiscal-stress-scores-17-citiesMedicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)
… of implementation of the two recommendations included in our initial audit report, Medicaid Overpayments for … through June 30, 2009, auditors identified $12.2 million in actual and potential Medicaid overpayments to out-of-state … of September 30, 2012, of the two recommendations included in our initial report. Key Finding Department and Office of …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-followMedicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Follow-Up)
… officials made progress in addressing the issues we identified in the initial audit. This included the …
https://www.osc.ny.gov/state-agencies/audits/2013/03/11/medicaid-overpayments-non-emergency-out-state-inpatient-services-followMedicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… Overpayments for Certain Medicare Part C Claims (Report 2013-S-35). Background Medicaid provides health care services … covered the period September 1, 2008 through August 31, 2013. Our initial audit identified 5,571 Medicare Part C … Medicaid Overpayments for Certain Medicare Part C Claims ( 2013-S-35 ) …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followSelected Aspects of the Pay for Success Program
… only randomized eligible participants are selected for the Pay for Success employment training and job placement program, and whether the employment and recidivism rates are accurately monitored for both the treatment and control groups. We audited selected aspects …
https://www.osc.ny.gov/state-agencies/audits/2017/03/21/selected-aspects-pay-success-programImplementation of the Dignity for All Students Act
… district policies and practices comply with the Dignity for All Students Act (DASA); and school districts report … to clearly demonstrate whether or not the incidents were reportable. Officials at most schools we visited were not … records as well as examples that clearly distinguish reportable from non-reportable incidents. Remind school and …
https://www.osc.ny.gov/state-agencies/audits/2017/10/13/implementation-dignity-all-students-actReview of Real Property Holdings for Disposal (Follow-Up)
… made in our initial report, Review of Real Property Holdings for Disposal ( 2010-S-48 ). Background Our initial … (Department) was not reviewing its real property holdings to identify properties for sale or disposal. We … made in our initial report Review of Real Property Holdings for Disposal 2010S48 …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/review-real-property-holdings-disposal-followAdditional Service Credit for Sick Leave (Section 41[j]) – Coordinated Plan For ERS Tier 5 Members
… 15 Additional Service Credit for Sick Leave Section 41j …
https://www.osc.ny.gov/retirement/publications/1523/additional-service-credit-sick-leave-section-41jCredit for Previous Public Employment or Military Service – Coordinated Plan For ERS Tier 5 Members
… Coordinated Plan information for ERS Tier 5 members under Article 15 Credit for Previous Public Employment or Military Service …
https://www.osc.ny.gov/retirement/publications/1523/credit-previous-public-employment-or-military-serviceAdditional Service Credit for Sick Leave (Section 41[j]) – Coordinated Plan For ERS Tier 3 and 4 Members
… 14 and 15 Additional Service Credit for Sick Leave Section 41j …
https://www.osc.ny.gov/retirement/publications/1522/additional-service-credit-sick-leave-section-41jCredit for Previous Public Employment or Military Service – Coordinated Plan For ERS Tier 3 and 4 Members
… Coordinated Plan information for ERS Tier 3 and 4 members under Articles 14 and 15 Credit for Previous Public Employment or Military Service …
https://www.osc.ny.gov/retirement/publications/1522/credit-previous-public-employment-or-military-serviceComptroller DiNapoli Releases Bond Calendar for Second Quarter
… Thomas P. DiNapoli today announced a tentative schedule for the planned sale of obligations for the State, New York City, and their major public … Thomas P DiNapoli today announced a tentative schedule for the planned sale of obligations for the State New York …
https://www.osc.ny.gov/press/releases/2015/04/comptroller-dinapoli-releases-bond-calendar-second-quarterMedicaid Program – Improper Payments for Brand Name Drugs
… form, and strength. Generally, this means a brand name drug will be substituted with a generic drug that is equivalent to the brand name drug. Prescribers of drugs can indicate that a brand name …
https://www.osc.ny.gov/state-agencies/audits/2022/12/13/medicaid-program-improper-payments-brand-name-drugsImproper Medicaid Payments for Misclassified Patient Discharges (Follow-Up)
… uses the All Patient Refined Diagnosis Related Groups (DRG) methodology to reimburse hospitals for inpatient medical care. The DRG methodology classifies patients according to their … in the initial audit report, but additional action is still required. Of the initial report’s four audit …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/improper-medicaid-payments-misclassified-patient-discharges-follow