Search
Empire BlueCross BlueShield Special Items Made to Englewood Hospital and Medical Center from January 1, 2011 through March 31, 2011
… New York State Health Insurance Program: Payments Made to Stony Brook University Medical Center (2009-S-27) New York State …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-special-items-made-englewood-hospital-and-medical-centerEmpire BlueCross BlueShield – Selected Payments for Special Items Made to Saratoga Hospital From January 1, 2011 Through March 31, 2011
… of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they negotiate with …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/empire-bluecross-blueshield-selected-payments-special-items-made-saratoga-hospital-januaryOpinion 89-27
… Law, §200) NY STATE CONSTITUTION, ARTICLE I, §11; UNITED STATES CONSTITUTION, AMENDMENT 14; COUNTY LAW, §200: A …
https://www.osc.ny.gov/legal-opinions/opinion-89-27Hudson Falls Central School District - Retiree Insurance Contributions (2018M-18)
… recorded and deposited. We reviewed contributions for 40 retirees, totaling $33,139, and noted minor … and accurately. There were no recommendations as a result of this audit. District officials agreed with our findings. … …
https://www.osc.ny.gov/local-government/audits/school-district/2018/06/01/hudson-falls-central-school-district-retiree-insurance-contributionsSelected Payments for Special Items Made to St. Peter's Hospital from January 1, 2011 through March 31, 2011
… determine if BlueCross BlueShield's (Empire's) payments to St. Peter's Hospital (St. Peter's) for special items were made according to the …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-peters-hospital-january-1-2011-through-march-31Selected Payments for Special Items Made to Mount Sinai Hospital from January 1, 2011 through March 31, 2011
… BlueCross BlueShield's (Empire's) payments to Mount Sinai Hospital (Mount Sinai) for special items were made according … portion of the Plan. Empire processes Plan claims for hospital services in accordance with agreements they …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-mount-sinai-hospital-january-1-2011-through-march-31Selected Payments for Special Items Made to St. Luke's Cornwall Hospital from January 1, 2011 through March 31, 2011
… Purpose To determine if BlueCross BlueShield's (Empire's) payments to St. Luke's Cornwall Hospital (St. Luke's) for special items were made according to the provisions of … to additional payments for certain special items (such as implants, drugs, and blood) that are not covered by the …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-st-lukes-cornwall-hospital-january-1-2011-throughSelected Payments for Special Items Made to Arden Hill Hospital From January 1, 2011 Through March 31, 2011
… We reviewed six claim payments (totaling $227,787) to Stony Brook for special items and determined Empire overpaid them … by $78,452. Key Recommendations Recover the $78,452 from Stony Brook for the overpayments we identified in this audit. …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-arden-hill-hospital-january-1-2011-through-march-31Selected Payments for Special Items Made to Stony Brook University Hospital from January 1, 2011 through March 31, 2011
… (Empire's) payments to State University of New York's Stony Brook University Hospital (Stony Brook) for special items …
https://www.osc.ny.gov/state-agencies/audits/2013/02/01/selected-payments-special-items-made-stony-brook-university-hospital-january-1-2011-throughCUNY Bulletin No. CU-546
… Purpose To notify agencies of health benefits rate changes. Affected Employees CUNY … employees with health insurance coverage through the City of New York Employee Benefits Program Effective Date(s) … health insurance rate changes as requested by the City of New York, Office of Labor Relations. Agency Actions Notify …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-546-city-new-york-health-insurance-rate-changesCUNY Bulletin No. CU-654
… CUNY employees with health insurance coverage through the City of New York Employee Benefits Program Effective … 1, 2019 OSC Actions OSC will automatically implement the bi-weekly health insurance rate changes as requested by the City of New York, Office of Labor Relations. Agency …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-654-city-new-york-health-insurance-rate-changesUnited HealthCare – Empire Plan Drug Rebates
… Solutions, Inc. (Medco), including the negotiation and collection of rebates offered by drug manufacturers. In 2012, … … Determine if United HealthCare Insurance Company of NY credited Department of Civil Service for all rebate …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/united-healthcare-empire-plan-drug-rebatesUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs
… To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed physician-administered drugs. …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsState Agencies Bulletin No. 1140
… To inform agencies of new Earnings Codes to be used by the NYS Department of Civil Service (DCS) to process payments to … To inform agencies of new Earnings Codes to be used by the NYS Department of Civil Service DCS to process payments to …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1140-new-york-state-health-insurance-plan-nyship-opt-out-paymentsCUNY Bulletin No. CU-624
… Purpose To notify agencies of health benefits rate changes. Affected Employees CUNY … employees with health insurance coverage through the City of New York Employee Benefits Program Effective Date(s) … health insurance rate changes as requested by the City of New York, Office of Labor Relations. Agency Actions Notify …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-624-city-new-york-health-insurance-rate-changesCUNY Bulletin No. CU-635
… Purpose To notify agencies of health benefits rate changes. Affected Employees CUNY … employees with health insurance coverage through the City of New York Employee Benefits Program Effective Date(s) … health insurance rate changes as requested by the City of New York, Office of Labor Relations. Agency Actions Notify …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-635-city-new-york-health-insurance-rate-changesUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… abuse. Civil Service contracts with UnitedHealthcare (United) to administer the medical/surgical portion of the … surgery, physical therapy, and home care services. United processes and pays claims from health care providers … to Empire Plan members, and Civil Service reimburses United for the payments it makes. United contracts with …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryFour Individuals Charged in Widespread Scheme to Defraud Medicare and Other Health Insurance Providers Through Fraudulent Medical Corporations and False Billing Resulting in Tens of Millions of Dollars in Losses
… York Office of the Federal Bureau of Investigation ("FBI") and Scott J. Lampert, Special Agent in Charge of the New York … court in White Plains. This case has been assigned to U.S. District Court Judge Kenneth M. Karas. Berman also … But in reality, JAMES SPINA and JEFFREY SPINA, who are doctors of chiropractic - not medical doctors - were the true …
https://www.osc.ny.gov/press/releases/2018/08/four-individuals-charged-widespread-scheme-defraud-medicare-and-other-health-insurance-providersCUNY Bulletin No. CU-478
… same-sex spouse’s health coverage and of the potential tax impact for non-residents of New York State. Affected … health coverage to be taxable as imputed income for NYS tax purposes, regardless of whether the taxpayer was … of a non-employee same-sex spouse's health coverage by NYS to be taxable as imputed income for federal tax purposes, …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-478-changes-taxation-imputed-incomeCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… rebate revenue related to Empire Plan drug utilization in accordance with its contract with the Department of Civil … prescription drug program costs about $2 billion annually. In accordance with the contract, CVS Health was required to … period, Civil Service received more than $600 million in commercial drug rebates. Key Findings We reviewed the …
https://www.osc.ny.gov/state-agencies/audits/2019/01/28/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-service