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Medicaid Program – Medicaid Claims Processing Activity April 1, 2013 Through September 30, 2013
… Auditors identified over $5.6 million in inappropriate or questionable Medicaid payments, including: $1,822,467 in … for pharmacy claims that posed patient safety concerns or were not in compliance with regulations and policies … providers in the Medicaid program who were charged with or found guilty of crimes that violate health care programs’ …
https://www.osc.ny.gov/state-agencies/audits/2015/02/05/medicaid-program-medicaid-claims-processing-activity-april-1-2013-through-september-30-2013Medicaid Program – Medicaid Claims Processing Activity October 1, 2013 Through March 31, 2014
… of Health’s eMedNY system reasonably ensured that Medicaid claims were submitted by approved providers, were processed in accordance with Medicaid requirements, and resulted in correct payments to … Department of Health (Department) administers the State’s Medicaid program. The Department’s eMedNY computer system …
https://www.osc.ny.gov/state-agencies/audits/2015/05/21/medicaid-program-medicaid-claims-processing-activity-october-1-2013-through-march-31-2014Overpayments of Certain Medicare Crossover Claims
… are also eligible for Medicare, the federal health insurance program available to people 65 or more years-old, … of Health (Department) implemented the Medicare/ Medicaid claim crossover system. Under the system, providers submit … because eMedNY incorrectly interpreted certain crossover claim adjustment codes; and did not properly apply Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/overpayments-certain-medicare-crossover-claimsComptroller DiNapoli Releases Municipal Audits
… New York State Comptroller Thomas P. DiNapoli today announced his … the credit card and procurement policies. For access to state and local government spending and 50,000 state contracts, visit OpenBookNY . The easy-to-use website … New York State Comptroller Thomas P DiNapoli today announced his …
https://www.osc.ny.gov/press/releases/2015/03/comptroller-dinapoli-releases-municipal-audits-1Medicaid Program – Improper Medicaid Payments During Permissible Overlapping Medicaid and Essential Plan Coverage
… periods of overlapping insurance coverage. Medicaid is the payer of last resort, which means recipients’ other … Plan coverage, the Essential Plan should be the primary payer and Medicaid, as secondary payer, should pay any remaining liabilities, such as …
https://www.osc.ny.gov/state-agencies/audits/2023/09/14/medicaid-program-improper-medicaid-payments-during-permissible-overlapping-medicaid-andX.6.A Requesting a Special Use Vendor ID – X. Guide to Vendor/Customer Management
… The VMU assigns Special Use Vendor IDs starting with ‘0’. These Vendor IDs have been established for processing expenditures … State Business Unit to approve and establish a Special Use vendor for a business need. Process and Document Preparation: … The VMU assigns Special Use Vendor IDs starting with 0 …
https://www.osc.ny.gov/state-agencies/gfo/chapter-x/x6a-requesting-special-use-vendor-idState Comptroller DiNapoli Releases School District Audits
… were underpaid for overtime hours totaling $1,158. Troy City School District – Payments for Unused Leave …
https://www.osc.ny.gov/press/releases/2021/06/state-comptroller-dinapoli-releases-school-district-auditsDiNapoli: State Tax Revenues $2 Billion Lower Than Last Fiscal Year
… of the Budget’s (DOB) January projections. Tax receipts for the month of January totaled $11.4 billion. This is … year. This is largely due to higher federal reimbursement for Medicaid spending, as well as the withholding of certain … payments and public authority data. Visit the Reading Room for contract FOIL requests, bid protest decisions and …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-state-tax-revenues-2-billion-lower-last-fiscal-yearVillage of Pulaski – Selected Village Operations (2013M-142)
… and deliberate audit of claims before authorizing them for payment. Audit, or cause to be audited, the financial records …
https://www.osc.ny.gov/local-government/audits/village/2013/09/06/village-pulaski-selected-village-operations-2013m-142Travel Advisory No. 15
… employees may be required to sign a certification form such as the AC 132-S , Employee Report of Travel Expenses and Claim for Payment. This form can either be submitted to a proxy for processing, or … recognize employees who are telecommuting may be unable to print an AC 132-S for physical signature or provide it to a …
https://www.osc.ny.gov/state-agencies/advisories/travel-advisory/15-covid-19-travel-and-expense-temporary-exceptionsVillage of Monticello – Board Oversight (2013M-226)
… for real property taxes, or the Village’s overall fiscal health. Village officials are not ensuring they are receiving all money that is due the Village – in fact, real property tax or utility payments and/or penalties … position and closely monitor the Village’s fiscal health. Require monthly bank reconciliations and …
https://www.osc.ny.gov/local-government/audits/village/2014/02/14/village-monticello-board-oversight-2013m-226Medicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… report, Medicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Report 2018-S-45 ). About the Program Mechanical ventilation is the use of a device to inflate and deflate a patient’s lungs. Mechanical ventilation provides the force needed to deliver …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-followState Comptroller DiNapoli and Rockland D.A. Announce Middletown Man Arraigned on Grand Larceny Charges
… $3,800 from the pension system by faking that he lost a check,” said State Comptroller DiNapoli. “Due to my office’s … the New York State and Local Retirement System issued a check in the amount of $3,880 payable to Cesar. On or about … check in the amount of $3,880 payable to Cesar as a replacement. Despite this, on or about December 10, 2018, …
https://www.osc.ny.gov/press/releases/2020/07/state-comptroller-dinapoli-and-rockland-da-announce-middletown-man-arraigned-grand-larceny-chargesDiNapoli: Queens Woman Charged With Stealing Nearly $85,000 in NYS Pension Payments Meant for Her Deceased Father
… gain,” DiNapoli said. “Thanks to the work of my office, Albany County District Attorney David Soares and Albany County Sheriff Craig Apple, she will answer for her … theft. She appeared before Judge Roger D. McDonough in Albany County Court. Her next court date was scheduled for …
https://www.osc.ny.gov/press/releases/2024/05/dinapoli-queens-woman-charged-stealing-nearly-85000-nys-pension-payments-meant-her-deceased-fatherState Agencies Bulletin No. 2216
… Purpose: The purpose of this bulletin is to inform agencies of the April 2024 Increase to Hazard Duty Pay. Affected … Unit (BU03), Institutional Services Unit (BU04), Division of Military and Naval Affairs Unit (BU47) and Professional, … The purpose of this bulletin is to inform agencies of the April 2024 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2216-april-2024-increase-hazard-duty-pay-employees-represented-civil-serviceAccuracy of Medicaid Eligibility Determined by NY State of Health (Follow-Up)
… and payment system (eMedNY). The eMedNY system relies on accurate and timely information from NYSOH to update … not, to determine the corresponding Medicaid overpayments. For the period January 1, 2014 through February 28, 2020, our … needs to perform timely, periodic reconciliations of death data between NYSOH and eMedNY to prevent additional …
https://www.osc.ny.gov/state-agencies/audits/2022/09/30/accuracy-medicaid-eligibility-determined-ny-state-health-followImproper Medicaid Payments for Terminated Drugs (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Improper Medicaid Payments for … the Department maintains drug termination dates in eMedNY, its claims processing and payment system. We … date. Key Finding Department officials made minor progress in addressing the problems identified in the initial audit …
https://www.osc.ny.gov/state-agencies/audits/2022/09/08/improper-medicaid-payments-terminated-drugs-followIX.1 Accounting for Federal Grants – IX. Federal Grants
… Overview The purpose of this chapter is to explain terminology, policies, and procedures used in … follow: Provide guidance and establish policies relating to special accounting and reporting procedures for federally-financed domestic assistance programs; Apply to all state departments and agencies receiving federal grant …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix1-accounting-federal-grants-overviewFiremen’s Benevolent Association of the Village of Le Roy – Oversight of the Association’s Foreign Fire Insurance Tax Moneys (2014M-026)
… transfers that were made from the Association’s bank accounts to the Le Roy Fire Department’s checking … transactions listed on bank statements and canceled check images with the amounts recorded by the Treasurer or … payment. Receive the monthly bank statements and canceled check images from the bank and compare them with the …
https://www.osc.ny.gov/local-government/audits/fire-district/2014/10/06/firemens-benevolent-association-village-le-roy-oversight-associationsComptroller DiNapoli Releases Municipal Audits
… it is reviewing and approving all district claims prior to payment. There is a risk that disbursements could be made …
https://www.osc.ny.gov/press/releases/2014/10/comptroller-dinapoli-releases-municipal-audits-0