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Medicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Purpose To determine if the Department of Health overpaid health care providers’ Medicaid claims for … Medicare Advantage plans) tailored to the specific needs of Medicare beneficiaries. Some Medicare Advantage plans … the reasons why to providers on the Explanation of Benefits (EOB) using Claim Adjustment Reason Codes …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesDiNapoli Releases Report on Nonprofit Industry
… 2023 were processed late. A high share of late contracts is not a recent phenomenon; late contracts have been a …
https://www.osc.ny.gov/press/releases/2025/01/dinapoli-releases-report-nonprofit-industryMedicaid 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 … reports certain information on its claims, such as the patient’s diagnoses and services received, as well as the …
https://www.osc.ny.gov/state-agencies/audits/2021/08/17/medicaid-program-improper-medicaid-payments-misclassified-patient-dischargesNot-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.pdfDiNapoli: Billing and Reimbursement Flaws Allowed $16.6 Million in Inappropriate Payments to Home Health Care Providers
… a great need by allowing patients to stay in their homes and avoid costly placement in hospitals or rehabilitation … home health aide services, physical therapy, social work and nutrition services. The payment system is based on 60-day … construction of the EPS. However, insufficient resources and the EPS billing configuration prevented the development …
https://www.osc.ny.gov/press/releases/2016/12/dinapoli-billing-and-reimbursement-flaws-allowed-166-million-inappropriate-payments-home-health-careOversight of School Fire Safety Compliance
… and monitoring. Our audit did not include a review of compliance issues for schools operating within New York … activities. Each public, private, charter, and Board of Cooperative Educational Services (BOCES) school building … the Department. The Department also issues a Certificate of Occupancy (CO) annually to each BOCES, public, and charter …
https://www.osc.ny.gov/state-agencies/audits/2016/08/24/oversight-school-fire-safety-complianceInmate Sentence Calculation and Release Practices
… of Corrections and Community Supervision: Oversight of Sex Offenders Subject to Strict and Intensive Supervision and …
https://www.osc.ny.gov/state-agencies/audits/2017/04/07/inmate-sentence-calculation-and-release-practicesOversight of the Early Intervention Program’s State Fiscal Agent
… State, the Department of Health (Department) is the lead agency responsible for the Early Intervention Program … at no cost to an eligible child’s family, and are funded first through third-party payers, including commercial insurance and Medicaid. The State and counties share the …
https://www.osc.ny.gov/state-agencies/audits/2016/03/24/oversight-early-intervention-programs-state-fiscal-agentMedicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
… payments to hospitals that failed to properly report correct patient discharge codes on inpatient claims. … payments to hospitals that failed to properly report correct patient discharge codes on inpatient claims …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesPalmyra-Macedon Central School District – Transportation State Aid (2017M-116)
… District officials did not always promptly submit Form SA-16 – Application for Approval of Bus Purchase for the … and procedures requiring the prompt submission of Form SA-16 to ensure timely receipt of eligible transportation …
https://www.osc.ny.gov/local-government/audits/school-district/2017/10/27/palmyra-macedon-central-school-district-transportation-state-aid-2017mState Comptroller DiNapoli Releases Audits
… today the following audits have been issued. Department of Health: Medicaid Program – Overpayments for Medicare Part … through Medicare Advantage Plans. From a judgmental sample of 89 claims identified as high-risk, totaling $1,325,452, … also found improvements are needed to the Department of Health’s automated claims processing and payment system to …
https://www.osc.ny.gov/press/releases/2024/12/state-comptroller-dinapoli-releases-auditsSUNY Bulletin No. SU-244
… on how to update a Tier 6 employee’s Retirement Plan page due to the two-year look back Affected Employees Tier 6 … SUNY campus is required to update the Retirement Plans page to change the Benefit Plan based on the agency’s review … Benefit Plan are as follows: Open the Retirement Plans page. (Home>Benefits>Enroll In Benefits>Retirement Plans). …
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.E Payment Assignments – XII. Expenditures
… valid when (i) an appropriate “Notice of Assignment” is submitted to the originating agency and the Office of the … of moneys, or any part thereof, due or to become due under a public improvement contract shall affirmatively state that … to be first applied to the payment of trust claims as defined in section seventy-one of the lien law, and apply …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii8e-payment-assignmentsXII.5.H Appropriate Payment Amounts – XII. Expenditures
… SECTION OVERVIEW AND POLICIES In accordance with Article 7, Section 109 of the State … documentation to the Office of the State Comptroller in accordance with Section 3 - Record Retention - Accounts … In accordance with Article 7 Section 109 of the State Finance …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii5h-appropriate-payment-amountsTen-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.pdfEast Norwich Volunteer Fire Company Number 1 – Fuel Monitoring (2025M-99)
… [read complete report – pdf] Audit Objective Did the East Norwich Volunteer Fire Company Number 1 (Company) … Period January 1, 2023 - November 30, 2024 Understanding the Audit Area Commonly used commodities such as fuel are … access to fuel could occur and remain undetected. During the audit period, the Company purchased 11,819 gallons of …
https://www.osc.ny.gov/local-government/audits/fire-company-or-department/2026/03/27/east-norwich-volunteer-fire-company-number-1-fuel-monitoringState Agencies Bulletin No. 1539
… on how to update a Tier 6 employee’s Retirement Plan page due to the VDC two-year look back. Affected Employees … Each agency is required to update the Retirement Plans page to change the Benefit Plan based on the agency’s review … the Benefit Plan are as follows: Open the Retirement Plans page. (Home>Benefits>Enroll In Benefits>Retirement Plans). …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1539-two-year-look-back-tier-6-tiaa-voluntary-defined-contribution-vdcXIV.4.B Establishment and Closing of Bank Accounts – XIV. Special Procedures
… Agency Request It is the agency’s responsibility to request to establish a bank account. Each agency must obtain … Unit (BSAO CMU) to establish a new bank account through a request in writing. Upon receipt of the agency's formal … It is the agencys responsibility to request to establish a bank account …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiv/xiv4b-establishment-and-closing-bank-accountsXII.8.C Payment Intercepts – XII. Expenditures
… AND POLICIES Under certain circumstances allowed by law and when requested by the Business Unit, the Office of … from the Business Unit and offset a portion of that payment to another entity. This section provides Business … Units with guidance on how to request OSC to intercept a payment from a Business Unit and divert it to another entity. …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xii/xii8c-payment-interceptsPractices Used by the Transit Adjudication Bureau to Collect and Account for Fines and Fees (Follow-Up)
… information services, telephone collections, and judgment enforcement. The current contract, valued at $13.2 …
https://www.osc.ny.gov/state-agencies/audits/2019/03/07/practices-used-transit-adjudication-bureau-collect-and-account-fines-and-fees-follow