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Medicaid Overpayments for Certain Medicare Part C Claims (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Certain Medicare Part C Claims (Report 2013-S-35). … enrolled in Medicare, the federal health insurance program for the elderly and disabled. Under Medicare Part C, also … administer Medicare benefits. Medicare pays a fixed amount for each Medicare Part C beneficiary every month to companies …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/medicaid-overpayments-certain-medicare-part-c-claims-followMedicaid Overpayments for Non-Emergency Out-of-State Inpatient Services (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Medicaid Overpayments for … payment. Auditors further identified $10.8 million in claim payments for which the Department had not granted … services. Key Finding Department officials made progress in addressing the issues we identified in the initial audit. …
https://www.osc.ny.gov/state-agencies/audits/2013/03/11/medicaid-overpayments-non-emergency-out-state-inpatient-services-followMedicaid Overpayments for Out-of-State Ambulatory Surgery Services (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Out-of-State Ambulatory Surgery Services (Report … was appropriately paying out-of-state providers for ambulatory surgery services provided to New York State Medicaid recipients. For the period from April 16, 2004 through June 30, 2009, …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/medicaid-overpayments-out-state-ambulatory-surgery-services-followReview of Real Property Holdings for Disposal (Follow-Up)
… in our initial report, Review of Real Property Holdings for Disposal ( 2010-S-48 ). Background Our initial report, … its real property holdings to identify properties for sale or disposal. We identified 18 potential surplus … value of $7.1 million that may no longer have been needed for transportation purposes and could have been disposed of …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/review-real-property-holdings-disposal-followOverpayments of Claims for Selected Professional Services (Follow-Up)
… of implementation of the four recommendations included in our initial audit report, Overpayments of Claims for … Department implemented the new automated crossover system in December 2009 to reduce Medicaid overpayments, it was … therapy during the calendar years 2010 and 2011. In each case, both the provider and the provider's affiliated …
https://www.osc.ny.gov/state-agencies/audits/2013/09/23/overpayments-claims-selected-professional-services-followMedicaid Program – Payments for Death-Related One-Day Inpatient Admissions
… the new APR DRG-based hospital inpatient payment system for Medicaid services when patient deaths occur within one … reimbursement methodology used to compensate hospitals for inpatient medical care. The new methodology, based on All … was implemented to provide a more equitable payment method for hospital inpatient services and to better reflect the …
https://www.osc.ny.gov/state-agencies/audits/2013/08/15/medicaid-program-payments-death-related-one-day-inpatient-admissionsNewspapers Available for Notice of Unclaimed Funds Publications
… The Korean Times New York 150-15 41st, Suite 3A Flushing, NY 11354 Contact: Margaret So 718-482-1111 …
https://www.osc.ny.gov/unclaimed-funds/reporters/newspapers-available-notice-unclaimed-funds-publicationsSelected Aspects of Accommodations for Passengers With Disabilities
… Rehabilitation Act of 1973 requires airport (and terminal) operators to be responsible for implementing and maintaining … meeting the boarding requirements with all of its airport operators and carriers, as required by federal regulation. … Ensure that there are agreements in place with terminal operators regarding the provision of services to passengers …
https://www.osc.ny.gov/state-agencies/audits/2021/07/29/selected-aspects-accommodations-passengers-disabilitiesUnitedHealthcare: Improper Payments for Acupuncture and Acupuncture-Related Services
… acupuncture service. Key Findings We identified $7,331,458 in actual and potential overpayments for services not … payments during our audit period. We found: $210,068 in overpayments from a random sample of 836 services, from 10 … in duplicate payments for services already paid on another claim, including $18,663 confirmed by United and $205,102 …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/unitedhealthcare-improper-payments-acupuncture-and-acupuncture-related-servicesMedicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Medicare Advantage Plan Services (Report 2017-S-46 ). … is generally the secondary payer and reimburses providers for financial balances not covered by the Plan (typically … Department overpaid health care providers’ Medicaid claims for services also covered by Plans. The audit covered the …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followMedicaid Program – Improper Medicaid Payments for Terminated Drugs
… whether the Medicaid program made improper payments for drugs dispensed after their drug termination date. The … and is overseen at the federal level by the Centers for Medicare & Medicaid Services (CMS). The Medicaid program … Drugs may be removed from the market (i.e., terminated) for safety or commercial reasons. To ensure terminated drugs …
https://www.osc.ny.gov/state-agencies/audits/2020/09/17/medicaid-program-improper-medicaid-payments-terminated-drugsMedicaid Program – Improper Payments for Brand Name Drugs
… To determine whether Medicaid made improper payments for brand name drugs. The audit covered the period from July … Findings We identified $1,102,823 in Medicaid overpayments for brand name prescription drugs where generic drugs were … Our review found: Overpayments of $739,446 on 16,261 fee-for-service (FFS) pharmacy claims for the period July 2016 …
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)
… in our initial audit report, Improper Medicaid Payments for Misclassified Patient Discharges (Report 2020-S-8 ). … Related Groups (DRG) methodology to reimburse hospitals for inpatient medical care. The DRG methodology classifies … and severity of illness, which provides the basis for calculating the reimbursement. When a hospital bills …
https://www.osc.ny.gov/state-agencies/audits/2023/01/18/improper-medicaid-payments-misclassified-patient-discharges-followOffice for People With Developmental Disabilities Fuel Card
… State Operations Office (Metro) employees of the Office for People With Developmental Disabilities during the period … was to determine whether the WEX card purchases were for legitimate business purposes. Background Certain Metro staff are responsible for driving fleet vehicles to transport people with …
https://www.osc.ny.gov/state-agencies/audits/2019/04/10/office-people-developmental-disabilities-fuel-cardMedicaid Program – Improper Medicaid Payments for Childhood Vaccines
… enrolled in Medicaid, the Medicaid program pays the vaccine administration fee. Key Findings Auditors identified … occurred because of control weaknesses in the MCOs’ claims processing systems. Medicaid made improper fee-for-service … for administered VFC Program vaccines. Ensure claims processing controls prevent improper MCO and fee-for-service …
https://www.osc.ny.gov/state-agencies/audits/2018/12/06/medicaid-program-improper-medicaid-payments-childhood-vaccinesImplementation of the Dignity for All Students Act
… entering an incident in OORS. Incidents determined to be material by DOE’s Office of Safety and Youth Development … of Education (Commissioner’s Regulations) defines a material incident of harassment, bullying, and/ or … data. For instance, DOE is required to annually report material incidents of harassment, bullying, and …
https://www.osc.ny.gov/state-agencies/audits/2019/03/13/implementation-dignity-all-students-actExxon's Investors Call for Meaningful Climate Risk Plan
… Church of England, are calling on ExxonMobil to explain how its business will be impacted by global efforts to mitigate climate … demand. Unlike its peers that have agreed to analyze how the effort to limit global warming impacts their … the Church of England are calling on ExxonMobil to explain how its business will be impacted by global efforts to …
https://www.osc.ny.gov/press/releases/2017/04/exxons-investors-call-meaningful-climate-risk-planDiNapoli Announces $200 Million Commitment for Opportunistic Investments
… Retirement Fund (Fund) has allocated $200 million to Pine Street Alternative Asset Management for opportunistic … Conference in Albany today. "I am pleased to welcome Pine Street as an investment partner for our Emerging Manager … ($300 million) and opportunistic ($200 million). “Pine Street is honored to partner with the New York State Common …
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-announces-200-million-commitment-opportunistic-investmentsApproved State Contracts and Payments for August 2017
… Learning Centers Program grants, including $5.8 million to Cypress Hills Local Development Corporation, $2.9 million to Greater … for NYS Lottery products. Office of General Services $12.4 million for hourly-based IT services, including $2.4 …
https://www.osc.ny.gov/press/releases/2017/09/approved-state-contracts-and-payments-august-2017DiNapoli Announces State Contract & Payment Actions for December
… and detailed his office’s performance for the last three calendar years. The Comptroller’s report , “State Contracts … customer consumption at peak times. Department of Labor—Pay for Success Program Approved a $21.5 million public …
https://www.osc.ny.gov/press/releases/2014/01/dinapoli-announces-state-contract-payment-actions-december