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Medicaid Program – Overpayments for Medicare Part C Claims
… (referred to as “dual-eligibles”). Generally, Medicaid is the secondary payer and covers cost-sharing balances that … When Plans deny a claim or pay a different amount than what a provider billed (e.g., after netting out cost-sharing … uses the CARCs to determine whether a billed service is eligible for payment as well as the correct payment …
https://www.osc.ny.gov/state-agencies/audits/2024/12/04/medicaid-program-overpayments-medicare-part-c-claimsOversight of Contract Expenditures of Palladia, Inc. (Follow-Up)
… and treatment of alcohol and substance abuse. Its mission is to provide, support, and oversee a data-driven continuum … of Directors. Palladia charged the management fee, which is calculated as a percentage (7.3%) of Palladia’s total … issued on August 18, 2021, was to determine whether OASAS is effectively monitoring its contract with Palladia to …
https://www.osc.ny.gov/state-agencies/audits/2024/12/20/oversight-contract-expenditures-palladia-inc-followOversight of Weights and Measures Programs
… The Department’s Bureau of Weights and Measures (Bureau) is charged with ensuring measurement accuracy and uniformity in commerce to help ensure that consumers get what they pay for and that competition is fair. Department regulations specify that all commercial …
https://www.osc.ny.gov/state-agencies/audits/2017/12/01/oversight-weights-and-measures-programsCompliance With Payment Card Industry Standards
… Industry (PCI) Security Standards Council. The PCI DSS is a comprehensive set of technical and operational … proactively protect customer credit card data that is either stored, processed, or transmitted through its … connected to, the Cardholder Data Environment (CDE) – that is, the people, processes, and technologies that store, …
https://www.osc.ny.gov/state-agencies/audits/2017/09/19/compliance-payment-card-industry-standardsJust Kids Early Childhood Learning Center – Compliance With the Reimbursable Cost Manual
… Just Kids Early Childhood Learning Center (Just Kids) is a Suffolk County-based for-profit organization that is authorized by SED to provide, among other SED-approved … relationship, as defined in the Manual, is disclosed in the notes to Just Kids’ Annual Financial …
https://www.osc.ny.gov/state-agencies/audits/2015/12/31/just-kids-early-childhood-learning-center-compliance-reimbursable-cost-manualUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… district employees and their dependents. The Empire Plan is the primary health benefits plan for NYSHIP. The State … to further describe the services performed. Modifier 59 is used to indicate that a provider performed a procedure … on the same day for the same patient. Modifier 59 is used to identify procedures or services that are not …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Compliance With Executive Order 95 (Open Data) (Follow-Up)
… Data. The Olympic Regional Development Authority (ORDA) is headquartered in Lake Placid. It is responsible for operating and maintaining the facilities … in Lake Placid and the Whiteface Mountain Ski Center. ORDA is also responsible for operating and maintaining Gore …
https://www.osc.ny.gov/state-agencies/audits/2022/04/13/compliance-executive-order-95-open-data-followSt. Mary’s Hospital for Children, Inc. – Compliance With the Reimbursable Cost Manual
… ended December 31, 2018. About the Program St. Mary’s is a not-for-profit organization authorized by SED to provide … For the purposes of this report, the program we reviewed is referred to as the SED preschool cost-based program. … through financial information reported on CFRs. St. Mary’s is a subsidiary of St. Mary’s Healthcare System for Children, …
https://www.osc.ny.gov/state-agencies/audits/2022/11/09/st-marys-hospital-children-inc-compliance-reimbursable-cost-manualProcessing of Sexual Offense Evidence Collection Kits (Follow-Up)
… Objective To determine the extent of implementation of the recommendation included in our initial audit report, Processing of Sexual Offense Evidence Collection Kits ( 2019-S-44 ). … To determine the extent of implementation of the recommendation included in our …
https://www.osc.ny.gov/state-agencies/audits/2021/10/27/processing-sexual-offense-evidence-collection-kits-followReimbursement of Homeless Shelter Providers – Westhab Inc.’s Coachman Family Center (Follow-Up)
… serve the homeless. OTDA’s funding of shelter services is administered through the Local Districts, comprising the … adult families, serves over 250 families per year. Westhab is the single largest provider of these services in … actual costs. OTDA, pursuant to its Administrative Manual, is responsible for reviewing each shelter’s operating budget, …
https://www.osc.ny.gov/state-agencies/audits/2024/08/08/reimbursement-homeless-shelter-providers-westhab-incs-coachman-family-center-followReimbursement of Homeless Shelter Providers – Rescue Mission Alliance of Syracuse (Follow-Up)
… serve the homeless. OTDA’s funding of shelter services is administered through the Local Districts, comprising the … Mission) to provide homeless services. Rescue Mission is one of the largest providers of homeless services in … actual costs. OTDA, pursuant to its Administrative Manual, is responsible for reviewing each shelter’s operating budget, …
https://www.osc.ny.gov/state-agencies/audits/2024/07/26/reimbursement-homeless-shelter-providers-rescue-mission-alliance-syracuse-followHandicapped Children’s Association of Southern New York, Inc. – Compliance With the Reimbursable Cost Manual
… Program HCA (also known as Helping Celebrate Abilities) is a not-for-profit special education provider located in … students from four counties in the Southern Tier. HCA is authorized by SED to provide Preschool Integrated Special … locations. For the purpose of this report, this program is referred to as the SED preschool cost-based program. HCA …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/handicapped-childrens-association-southern-new-york-inc-compliance-reimbursable-cost-manualOther Bulletin No. 52
… salary charts. After the processing for Pay Period 10L is complete, rows will be inserted into the Position Data … information with an Action Date of the date the process is run. Effective Date: 08/22/2019 Reason: Z11 (Update of … The Action Date will change to the date the process is run. Job Data For incumbents of the updated positions, OSC …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/suny-construction-fund/other-52-new-bargaining-unit-code-benefit-program-and-earningsCity of Lockport – Budget Review (B23-1-7)
… year during which the debt incurred to finance the deficit is outstanding, the proposed budget for the next succeeding … these revenues and as of October 11, 2023, the City is not an approved Medicaid provider. As of September 30, … receivable balance of $905,384, of which $266,154 is over 90 days past due and may be uncollectible. The City’s …
https://www.osc.ny.gov/local-government/audits/city/2023/11/03/city-lockport-budget-review-b23-1-7City of Yonkers – Budget Review (B22-6-5)
… fiscal year are reasonable. Background The City of Yonkers is authorized to issue debt not to exceed $45 million to … practice of using debt to pay for recurring costs is imprudent. Our review found the City’s budget: Continues … annual budget. Includes a tax levy of $402,154,152, which is equal to the tax levy limit. The City’s proposed budget …
https://www.osc.ny.gov/local-government/audits/city/2022/05/16/city-yonkers-budget-review-b22-6-5City of Amsterdam - Budget Review (B21-5-5)
… with the fiscal year during which the municipality is authorized to issue the deficit obligations, and for each … At this time, the timing of receipt of funds from the Act is uncertain. Once received, the funds will come with restrictions on what they can be used for. The proposed budgets for the …
https://www.osc.ny.gov/local-government/audits/city/2021/05/07/city-amsterdam-budget-review-b21-5-5Unified Court System Bulletin No. UCS-187
… 10986, 10989, 10993, 10994 Note : The Zip code criteria is only applicable to members of District Council 37. … Medicare tax deficiency deductions for any employee who is inactive at the time the benefit is applied. As a result, the deficiency will automatically be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-187-prepaid-legal-service-benefit-unified-court-system-ucsUnified Court System Bulletin No. UCS-176
… 10986, 10989, 10993, 10994 Note : The Zip code criteria is only applicable to members of District Council 37. … Medicare tax deficiency deductions for any employee who is inactive at the time the benefit is applied. As a result, the deficiency will automatically …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-176-prepaid-legal-service-benefit-unified-court-system-ucsState Comptroller DiNapoli Releases Municipal Audits
… transparency and accountability for our local communities is a top priority," said DiNapoli. "By auditing municipal … to provide taxpayers the assurance that their money is being spent appropriately and effectively." Village of … taxes as an increased revenue source in the future is limited. Town of Hoosick - Departmental Cash Collections …
https://www.osc.ny.gov/press/releases/2017/04/state-comptroller-dinapoli-releases-municipal-audits-1DiNapoli: Investors Expand Corporate Disclosure of Political Spending
… it’s done in the shadows it may result in spending that is contrary to the company’s long-term interests and cause … spending helps shareholders evaluate whether money is being spent on objectives that foster long-term value. … The $176.2 billion New York State Common Retirement Fund is the third largest public pension fund in the United …
https://www.osc.ny.gov/press/releases/2014/07/dinapoli-investors-expand-corporate-disclosure-political-spending