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Medicaid Program – Improper Medicaid Payments for Misclassified Patient Discharges
… to hospitals that failed to properly report correct patient discharge codes on inpatient claims. The audit … providers for their claims. The Department uses the All Patient Refined Diagnosis Related Groups methodology to reimburse hospitals for inpatient medical care. When a hospital bills Medicaid for an inpatient stay, …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesDiNapoli Releases Report on Nonprofit Industry
… of the fabric of the communities they serve, but their numbers are shrinking,” DiNapoli said. “Many nonprofits rely on government funding to support their services, and contract … private sector establishments. With 33,536, nearly 1 in 10 of these nonprofits were located in New York, comprising …
https://www.osc.ny.gov/press/releases/2025/01/dinapoli-releases-report-nonprofit-industryDiNapoli: Billing and Reimbursement Flaws Allowed $16.6 Million in Inappropriate Payments to Home Health Care Providers
… (DOH) erroneously made $16.6 million in Medicaid payments to 95 home health providers over a 3 1/2-year period, largely … Thomas P. DiNapoli. “Home health care providers fill a great need by allowing patients to stay in their homes … said. “However, my auditors found numerous instances where the state Department of Health’s eMedNY billing system …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-billing-and-reimbursement-flaws-allowed-166-million-inappropriate-payments-home-health-careNot-For-Profit Prompt Contracting Annual Report - 2014 Calendar Year
For more than two decades, New York has worked to streamline contracting with not-for-profits through the State’s Prompt Contracting Law.
https://www.osc.ny.gov/files/state-agencies/contracts/pdf/prompt-contracting-report-2014.pdfXII.8.E Payment Assignments – XII. Expenditures
… the procedures agencies should follow to approve the assignment of contract payments to an individual or entity other than … assignments only become valid when (i) an appropriate “Notice of Assignment” is submitted to the originating agency …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii8e-payment-assignmentsOversight of School Fire Safety Compliance
… oversight to ensure school compliance with required fire safety procedures including inspections, reporting, and … Law, the State Uniform Fire Prevention and Building Code, and Department regulations. These include requirements for mandatory …
https://www.osc.ny.gov/state-agencies/audits/2016/08/24/oversight-school-fire-safety-complianceInmate Sentence Calculation and Release Practices
… and Community Supervision (Department) follows court orders, and its own policies and procedures, regarding inmate … calculation of sentence times in accordance with all laws and regulations. The audit covered the period January 1, … were not followed. The five errors represent an error rate of about one in every 17,000 inmates released during our …
https://www.osc.ny.gov/state-agencies/audits/2017/04/07/inmate-sentence-calculation-and-release-practicesMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
… Objective To determine whether Medicaid managed care organizations (MCOs) made inappropriate payments to hospitals that failed to properly report correct patient discharge codes on inpatient claims. The audit … recipients receive their medical services through managed care, whereby the Department pays MCOs a monthly premium for …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesOversight of the Early Intervention Program’s State Fiscal Agent
… April 1, 2013 through December 10, 2015. Background In New York State, the Department of Health (Department) is the lead … services, are provided at no cost to an eligible child’s family, and are funded first through third-party payers, …
https://www.osc.ny.gov/state-agencies/audits/2016/03/24/oversight-early-intervention-programs-state-fiscal-agentXII.5.H Appropriate Payment Amounts – XII. Expenditures
… of the Statewide Financial System, Business Units are no longer required to submit invoices or supporting …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii5h-appropriate-payment-amountsPalmyra-Macedon Central School District – Transportation State Aid (2017M-116)
… Walworth in Wayne County and the Towns of Farmington and Manchester in Ontario County. The District, which is governed …
https://www.osc.ny.gov/local-government/audits/school-district/2017/10/27/palmyra-macedon-central-school-district-transportation-state-aid-2017mSUNY Bulletin No. SU-244
… Purpose To provide SUNY agencies with instructions on how to update a … earnings based on a calendar year. The query will prompt for calendar year, enter 2015. The second prompt will …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-244-two-year-look-back-tier-6-suny-tiaa-optional-retirementXII.8.C Payment Intercepts – XII. Expenditures
… circumstances allowed by law and when requested by the Business Unit, the Office of the State Comptroller (OSC) has … in part, to another entity, the Business Unit must send a letter to: Office of the State Comptroller Director, Bureau …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii8c-payment-interceptsState Comptroller DiNapoli Releases Audits
… Department of Health: Medicaid Program – Overpayments for Medicare Part C Claims (2023-S-13) Under Medicare Part C, private insurance companies administer … existed, there didn’t appear to be a coherent strategy or plan to coordinate these efforts statewide, nor was there a …
https://www.osc.ny.gov/press/releases/2024/12/state-comptroller-dinapoli-releases-auditsState Agencies Bulletin No. 1539
… Purpose To provide agencies with instructions on how to update a Tier … earnings based on a calendar year. The query will prompt for calendar year, enter 2015. The second prompt will …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1539-two-year-look-back-tier-6-tiaa-voluntary-defined-contribution-vdcTen-Year Comparison of Prompt Contracting Data as Reported by State Agencies, January 2, 2007 - January 1, 2018
Prompt contracting ten-year reporting chart
https://www.osc.ny.gov/files/state-agencies/contracts/pdf/prompt-contracting-10-year-chart-2017.pdfXIV.4.B Establishment and Closing of Bank Accounts – XIV. Special Procedures
… It is the agency’s responsibility to request to establish a bank account. Each agency must obtain authorization from … or "the cash will be transferred to the State Treasury"; Address of the office making deposits and withdrawals; Name … Affirmation that the account custodian understands the need for and has implemented internal controls necessary to …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiv/xiv4b-establishment-and-closing-bank-accountsXII.4.A Vendor Requests for Payment – XII. Expenditures
… AND POLICIES State Finance Law § 109 requires vendors to submit a certificate to the Office of the State Comptroller (OSC) … owing. Process and Document Preparation: Business Units can satisfy these requirements by processing claims based on …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii4a-vendor-requests-paymentPractices Used by the Transit Adjudication Bureau to Collect and Account for Fines and Fees (Follow-Up)
… fair, and impartial hearing, should he/she decide to contest a Notice of Violation (NOV, or summons). TAB also …
https://www.osc.ny.gov/state-agencies/audits/2019/03/07/practices-used-transit-adjudication-bureau-collect-and-account-fines-and-fees-followLaw Pertaining to SUNY Police Officers
… been filed with NYSLRS on or before December 31, 2015. If I switch from the Employees’ Retirement System (ERS) to the Police and Fire Retirement System (PFRS), what Tier will I be in PFRS? I have a prior PFRS Tier 2 … officer, am I better off staying in the ERS plan? How is other PFRS service (e.g., service with a municipal police …
https://www.osc.ny.gov/retirement/members/law-pertaining-suny-police-officers