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CUNY Bulletin No. CU-635
To notify agencies of health benefits rate changes
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-635-city-new-york-health-insurance-rate-changesUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs
… To determine whether UnitedHealthcare Insurance Company of New York appropriately reimbursed physician-administered … covered the period from January 2017 through December 2021. About the Program The New York State Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsState Agencies Bulletin No. 1140
… insurance. Affected Employees Employees currently enrolled in NYSHIP as of April 1 of the preceding year Effective Date(s) Payments will be made beginning in Pay Period 25L, paychecks dated 3/28/2012 (Administration) … receive equal bi-weekly payments totaling $3,000 annually for opting out of Family coverage or $1,000 annually for …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1140-new-york-state-health-insurance-plan-nyship-opt-out-paymentsUnitedHealthcare – Overpayments for Out-of-Network Anesthesia Services Provided at In-Network Ambulatory Surgery Centers
… To determine whether UnitedHealthcare overpaid for out-of-network anesthesia services provided at Ambulatory Surgery … Program (NYSHIP), administered by the State Department of Civil Service (Civil Service), provides health insurance … The Empire Plan provides its members with four types of health insurance coverage: medical/surgical, hospital, …
https://www.osc.ny.gov/state-agencies/audits/2018/08/13/unitedhealthcare-overpayments-out-network-anesthesia-services-provided-network-ambulatoryCUNY Bulletin No. CU-478
… Purpose To inform agencies of the change related to the taxation of imputed income for a non-employee same-sex spouse’s health coverage and of the potential tax impact for non-residents of New York State. Affected …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-478-changes-taxation-imputed-incomeFour 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
… State Comptroller Thomas P. DiNapoli, Geoffrey S. Berman, the United States Attorney for the Southern District of New York, William F. Sweeney, Jr., the Assistant …
https://www.osc.ny.gov/press/releases/2018/08/four-individuals-charged-widespread-scheme-defraud-medicare-and-other-health-insurance-providersCUNY Bulletin No. CU-325
… this bulletin may be directed to the University Manager of Payroll Systems and Operations at CUNY Central Office. … This …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-325-new-york-city-health-insurance-rate-changes-aetna-hmo-andCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… The Empire Plan is the primary health benefits plan for NYSHIP, covering 1.1 million members. The Empire Plan … to administer the Empire Plan’s prescription drug program for the period January 1, 2014 through December 31, 2018. The … required to negotiate agreements with drug manufacturers for rebates, discounts, and other consideration and pass 100 …
https://www.osc.ny.gov/state-agencies/audits/2019/01/28/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceMadrid-Waddington Central School District - Claims Audit Process (2019M-1)
Determine whether claims were adequately documented were for appropriate purposes and were properly audited and approved prior to payment
https://www.osc.ny.gov/local-government/audits/school-district/2019/03/08/madrid-waddington-central-school-district-claims-audit-process-2019m-1CUNY Bulletin No. CU-799
… benefit rate changes. Affected Employees: CUNY employees with health insurance coverage through the City of New York …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-799-city-new-york-health-benefit-rate-changesCUNY Bulletin No. CU-356
… agencies that certain doctoral students represented by the Professional Staff Congress are eligible to participate in the New York State Health Insurance Plan (NYSHIP) administered by the New York … Affected Employees Employees in Bargaining Units T8, AJ and GA who are doctoral students represented by the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-356-certain-cuny-employees-eligible-new-york-state-healthUnited HealthCare – Empire Plan Drug Rebate Revenue
… for rebates, discounts, and other considerations and pass 100 percent of the value of the agreements on to the … Medco. The subcontract required Express Scripts to remit 100 percent of all rebates collected from the manufacturer … NYSHIP rebates despite its contractual obligation to remit 100 percent of all revenue derived from drug manufacturer …
https://www.osc.ny.gov/state-agencies/audits/2016/11/01/united-healthcare-empire-plan-drug-rebate-revenueCUNY Bulletin No. CU-326
… this bulletin may be directed to the University Manager of Payroll Systems and Operations at CUNY Central Office. … This …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-326-health-insurance-rate-adjustment-aetna-hmo-and-aetna-qposUnited HealthCare – Empire Plan Drug Rebate Revenue (Follow-Up)
… Purpose To determine the implementation status of the recommendation made in our audit report, United … about 1.1 million members. The New York State Department of Civil Service (Department) contracted with United … discounts, and other considerations and pass 100 percent of the value of the agreements on to the Department. Our …
https://www.osc.ny.gov/state-agencies/audits/2017/05/15/united-healthcare-empire-plan-drug-rebate-revenue-followCUNY Bulletin No. CU-597
… Purpose To notify agencies of health benefits rate changes. Affected Employees CUNY employees with health insurance coverage through the City of New York Employee …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-597-city-new-york-health-insurance-rate-changesEmpire Plan Drug Rebate Revenue
… (Department) for all rebate revenue due under its contract with the Department. The audit covered the period January 1, … employees and their dependents. The Department contracted with United to administer the NYSHIP prescription drug … January 1, 2008 and December 31, 2013. In accordance with the contract, United is required to negotiate agreements …
https://www.osc.ny.gov/state-agencies/audits/2014/09/26/empire-plan-drug-rebate-revenueUnitedHealthcare Insurance Company of New York: Improper Payments for Acupuncture and Acupuncture-Related Services (Follow-Up)
… therapy. We issued our initial audit report on October 27, 2021. The audit objective was to determine whether United …
https://www.osc.ny.gov/state-agencies/audits/2023/07/20/unitedhealthcare-insurance-company-new-york-improper-payments-acupuncture-and-acupunctureUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services
… Purpose To determine whether UnitedHealthcare sufficiently monitors … for higher-level Evaluation and Management services and to determine if out-of-network providers billed … of Civil Service (Civil Service) administers NYSHIP. In carrying out its responsibilities, Civil Service contracts …
https://www.osc.ny.gov/state-agencies/audits/2018/12/31/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesUnited HealthCare – Payments for Fraudulent and Improper Claims Submitted by Davis Ethical Pharmacy
… and includes prescription drug coverage. The Department of Civil Service (Department) contracts with United … to administer the prescription drug benefit portion of the Plan. Based on the primary contract, the Department … Davis, a licensed pharmacist. Pursuant to allegations of improper billing practices, there have been several …
https://www.osc.ny.gov/state-agencies/audits/2013/08/13/united-healthcare-payments-fraudulent-and-improper-claims-submitted-davis-ethical-pharmacyOyster Bay Water District – Payments in Lieu of Health Insurance (2017M-43)
… Purpose of Audit The purpose of our audit was to review payments in lieu of health insurance coverage for the period January 1, 2015 …
https://www.osc.ny.gov/local-government/audits/district/2017/06/02/oyster-bay-water-district-payments-lieu-health-insurance-2017m-43