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Improper Payments to a Physical Therapist (Follow-Up)
… Purpose To determine the extent of implementation of the two … included in our initial audit report, Improper Payments to a Physical Therapist ( Report 2013-S-15 ). Background The …
https://www.osc.ny.gov/state-agencies/audits/2016/12/08/improper-payments-physical-therapist-followState Agencies Bulletin No. 1225
… Purpose To remind agencies of the 2012 processing of retroactive increases and ending of Uniform Allowance for Bargaining Units 21, 31 and 91, and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1225-information-relating-negative-uniform-allowance-amounts-appearing-2012EmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… State employees and their dependents. The Department of Civil Service contracts with EmblemHealth Plan, Inc. … (Emblem) to process and pay claims for services on behalf of the New York State Dental Insurance Program (Dental Program). Coordination of benefits (COB) is a process health insurance companies use …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsComptroller DiNapoli Releases Municipal Audits
… Village of Quogue and the Shelby Volunteer Fire Company . “In today’s fiscal climate, budget transparency and … have full access rights to record financial transactions in the accounting system with no oversight. Facility … The significant revenue and expenditure projections in the proposed budget appear reasonable. The proposed …
https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-releases-municipal-audits-0Medicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… inpatient and outpatient services. A recipient’s status in a hospital – inpatient versus outpatient – affects … care generally requires recipients to stay overnight in the hospital and be monitored by the health care team at … services are medical procedures that can be performed in the same day. Medicaid uses the All Patient Refined …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsComptroller DiNapoli Releases Municipal Audits
… DiNapoli. “By auditing municipal finances and operations, my office continues to provide taxpayers the assurance that …
https://www.osc.ny.gov/press/releases/2015/05/comptroller-dinapoli-releases-municipal-auditsAccounts Payable Advisory No. 37
… card charges helps make sure charges are appropriate and only legitimate expenses are paid for. However, some agencies have not reconciled their credit … you when reconciling the outstanding charges. References: For job aids and additional guidance, access SFS Secure . For …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/37-reconciliation-credit-card-transactionsOverpayments of Certain Medicare Crossover Claims (Follow-Up)
… by Medicare, including deductibles and coinsurance. On December 3, 2009, the Department of Health (Department) … to the automated crossover system, the Department relied on providers to self-report accurate information to eMedNY … payments. Our initial audit report, which was issued on January 10, 2013, identified $10 million in Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2014/12/22/overpayments-certain-medicare-crossover-claims-followMedicaid Program – Recovering Managed Care Overpayments for Pharmacy Services on Behalf of Recipients With Third-Party Health Insurance
… Program The Department of Health (Department) administers New York’s Medicaid program. Many of the State’s Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2022/07/13/medicaid-program-recovering-managed-care-overpayments-pharmacy-services-behalf-recipientsXIII.2 Overview – XIII. Employee Expense Reimbursement
… must have been assigned a unique employee identification number through the payroll system. Requests for reimbursement … each expense report must include a unique identification number (Report ID), regardless of the General Ledger Business … fail due to duplicate numbering. Agencies should contact the SFS with any questions on the proper numbering …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii2-overviewTown of Sullivan – Internal Controls Over Selected Financial Operations (2013M-267)
… bank reconciliations to ensure that all moneys collected are properly safeguarded and recorded, and that deposit …
https://www.osc.ny.gov/local-government/audits/town/2013/12/27/town-sullivan-internal-controls-over-selected-financial-operations-2013m-267DiNapoli: Buffalo Woman Pleads Guilty to Stealing Her Deceased Grandmother's State Pension Payments
… retirement system,” DiNapoli said. “Thanks to the work of my investigative team and the Erie County District Attorney’s … her crime was exposed, and she has been held accountable. My office will continue to vigorously root out attempts to …
https://www.osc.ny.gov/press/releases/2023/11/dinapoli-buffalo-woman-pleads-guilty-stealing-her-deceased-grandmothers-state-pension-paymentsDiNapoli Releases April State Cash Report
… New York state collected $8.2 billion in taxes during the first month of the 2016-17 fiscal year, a … as a result of weaker financial market performance in 2015 than in 2014. "April tax receipts were in line with more …
https://www.osc.ny.gov/press/releases/2016/05/dinapoli-releases-april-state-cash-reportState Comptroller DiNapoli Releases State Audits
… AAR and the carriers were generally in compliance with federal motor carrier standards, but noted there was an …
https://www.osc.ny.gov/press/releases/2016/05/state-comptroller-dinapoli-releases-state-audits-0Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits (Follow-Up)
… extent of implementation of the six recommendations made in our audit report, Improper Payments for Controlled … pharmacies $1,183,601 for 13,705 fee-for-service claims in which quantities of controlled substances exceeded the … 3,323 managed care claims for controlled substances in which the quantities dispensed exceeded the limits set by …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-payments-controlled-substances-exceed-allowed-dispensing-limits-followAccounts Payable Advisory No. 1
… N.A. Filling the Invoice Number Field on the Voucher: In order for JPMorgan Chase Bank, N.A. to properly apply payments to … own billing account number and not the dummy account from this example. Agencies should use digits only in the …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/1-complex-entity-jpmorgan-chase-bank-naMedicaid Program – Improper Supplemental Maternity Capitation Payments to Managed Care Organizations
… (MCOs) a monthly premium for each enrolled recipient and, in turn, the MCOs pay for services their members require. In addition to the monthly premiums, MCOs can receive a … was paid when the SMCP date of service preceded the birth by 1 to 6 months. In many instances, MCOs agreed their SMCP …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/medicaid-program-improper-supplemental-maternity-capitation-payments-managed-careWestchester County Chapter NYSARC, Inc. – Compliance With the Reimbursable Cost Manual
… non-profit special education provider located in Westchester County, serving students from Westchester and … June 30,2016, WARC reported approximately $5.3 million in reimbursable costs on its CFR for the Preschool Special … the fiscal year ended June 30, 2016, we identified $49,605 in ineligible costs reported by WARC on its CFRs for the …
https://www.osc.ny.gov/state-agencies/audits/2021/09/29/westchester-county-chapter-nysarc-inc-compliance-reimbursable-cost-manualAn Analysis of Reasonable and Customary Out-of-Network Reimbursement Rates for Medical/Surgical Services in the New York State Health Insurance Program
… The New York State Health Insurance Program (NYSHIP), administered by the … and pays claims submitted by health care providers on behalf of Empire Plan members. United contracts with a … also choose to receive services from non-participating (out-of-network) providers. United bases payment for most …
https://www.osc.ny.gov/state-agencies/audits/2020/04/01/analysis-reasonable-and-customary-out-network-reimbursement-rates-medicalsurgical-servicesState Comptroller DiNapoli Releases Municipal Audits
… The former receiver, who resigned during the audit, did not properly bill, collect or disburse taxes, fees and … penalties. The board did not correct deficiencies noted in the 2006 Receiver of Taxes audit, properly oversee the … was negative $370,229, and the water fund owes $490,922 to other funds. Loans from other funds were not repaid by the …
https://www.osc.ny.gov/press/releases/2022/01/state-comptroller-dinapoli-releases-municipal-audits-0