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Medicaid Payments for Medicare Part A Beneficiaries (Follow-Up)
… for inpatient care in hospitals, post-hospital nursing home care, hospice, and home health services. If an individual is enrolled in both Medicaid and …
https://www.osc.ny.gov/state-agencies/audits/2014/04/04/medicaid-payments-medicare-part-beneficiaries-followMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… “dual-eligibles.” In 1997, Congress established Medicare Part C, the Medicare managed care program also known as Medicare Advantage. Under Medicare Part C, private managed care companies administer Medicare … plan providers bill Medicaid directly for the enrollee’s Part C cost-sharing liabilities (deductibles, coinsurance, …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsComptroller DiNapoli Releases State Audits
… covered by Medicare. Office of Mental Health, New York Psychiatric Center: Controls Over State Resources (Follow-Up) (2013-F-22) The New York State Psychiatric Institute, established in 1895, is one of two …
https://www.osc.ny.gov/press/releases/2014/04/comptroller-dinapoli-releases-state-auditsPlainview-Old Bethpage Central School District - Retiree Health Insurance (2018M-148)
… did not independently verify whether retirees were living and still eligible for coverage. Key Recommendations …
https://www.osc.ny.gov/local-government/audits/school-district/2018/09/21/plainview-old-bethpage-central-school-district-retiree-health-insuranceOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… for Services Also Covered by Medicare Part B (2010-S-50). Background Many of the State's Medicaid recipients are … Our initial audit report, which was issued on June 20, 2012, examined whether the Department of Health … for Services Also Covered by Medicare Part B (2010-S-50) …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… providers’ Medicaid claims for services also covered by Medicare Advantage plans. The audit covered the period from … Background Many Medicaid recipients are also enrolled in Medicare Part C, also known as Medicare Managed Care or Medicare Advantage. Under Medicare …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesComptroller DiNapoli Releases State Audits
… $500,115. Office of Court Administration, Reporting on Foreclosure of Real Property Funds - Kings County (2013-S-2) … referees did not always properly report and account for foreclosure funds. A review of 10 of 35 foreclosures with …
https://www.osc.ny.gov/press/releases/2014/01/comptroller-dinapoli-releases-state-auditsState Comptroller DiNapoli Releases Audits
… University of New York (CUNY): Controls Over CUNY Fully Integrated Resources and Services Tool (Follow-Up) (2018-F-4) …
https://www.osc.ny.gov/press/releases/2018/09/state-comptroller-dinapoli-releases-audits-0Ulster County Community College - Retiree Health Insurance and Payroll (2018M-123)
… eligibility of retirees, and inappropriately paid $2,092 in premiums for two deceased individuals. Segregate payroll …
https://www.osc.ny.gov/local-government/audits/community-college/2018/10/26/ulster-county-community-college-retiree-health-insurance-and-payrollOverpayments for Services Also Covered by Medicare Part B (Follow-Up)
… Purpose To determine the extent of implementation of the two … and public housing centers, that provide medical services to underserved areas or populations. Our initial audit … $1 million in potential recoveries were likely lost due to the inaction on overpayments for claims that are now more …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followMedicaid Program – Overpayments for Services Also Covered by Medicare Part B
… consists of several parts. Medicare Part B helps pay for medical care provided in outpatient settings. Medicaid is a … services were provided in outpatient settings such as doctors' offices, clinics, and health centers. Some heath …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bState Comptroller DiNapoli Releases Audits
… cover program expenses, as required by the federal Clean Air Act and New York’s Clean Air Compliance Act. Program revenues decreased 38.8 percent … of Event Recorder Units (2018-S-19) Auditors found train car inspections were not always done on time. They determined …
https://www.osc.ny.gov/press/releases/2019/09/state-comptroller-dinapoli-releases-auditsMedicaid Overpayments for Medicare Advantage Plan Services (Follow-Up)
… in our initial audit report, Medicaid Overpayments for Medicare Advantage Plan Services (Report 2017-S-46 ). … is generally the secondary payer and reimburses providers for financial balances not covered by the Plan (typically … Department overpaid health care providers’ Medicaid claims for services also covered by Plans. The audit covered the …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-advantage-plan-services-followCost-Saving Ideas: Overtime Planning and Management
… may allow employees to work other than traditional eight-hour workdays. AWS can potentially increase productivity and … until the end of their normal work day. Five-day, eight-hour schedule with alternate shifts: Provides additional … Reduces overtime by having employees work an extra hour Monday through Thursday and a half-day on Friday. …
https://www.osc.ny.gov/local-government/publications/cost-saving-ideas-overtime-planning-and-managementLife Changes: A Guide for Retirees
… A Message from Comptroller Thomas P. DiNapoli You already know that you will continue receiving a retirement benefit for the rest of your life. Now, I want to make sure you know about other benefits you may be entitled to receive … Retirees this guide will help you understand your benefit payments the services we offer …
https://www.osc.ny.gov/retirement/publications/life-changes-guide-retireesMedicaid – Federal Funding and New York
… of Health and Mental Hygiene (DOHMH). FIGURE 1 – NYC Medicaid Enrollment Sources: NYS Department of Health; … OSC analysis FIGURE 2 – Medicaid Revenue by Department FY 2026 Preliminary Budget (in millions) Department FY 2025 FY … Dept for the Aging 4.1 3.7 Total $ 381.2 $ 375.4 Sources: NYC Office of Management and Budget; OSC analysis Impact As …
https://www.osc.ny.gov/reports/budget/fed-funding-ny/medicaid-nycDiNapoli: Audit Shows Health Department Overpaid Certain Medicaid Managed Care Premiums
… Auditors also reviewed the expenses submitted by one MCO to DOH and determined the MCO claimed certain non-allowable administrative expenses, … whether planned cost savings can be achieved under current MCO reporting practices; Revise the Medicaid Managed Care …
https://www.osc.ny.gov/press/releases/2016/10/dinapoli-audit-shows-health-department-overpaid-certain-medicaid-managed-care-premiumsIV.3.B Miscellaneous Receipts – IV. Accounting Codes - Uses and Descriptions
… card companies. Receipts from Public Authorities 32001 PA Bond Proceeds Public Authority bond proceeds transferred … paid by the State pursuant to appropriation. 32002 PA Bond Issuance fees Fee paid upon the issuance of Debt … such as golf courses, performing arts centers, pavilion beach or docking areas etc. Such rents are collected under …
https://www.osc.ny.gov/state-agencies/gfo/chapter-iv/iv3b-miscellaneous-receiptsState Comptroller DiNapoli Releases Audits
… and Community Supervision (DOCCS): Oversight of Sex Offenders Subject to Strict and Intensive Supervision and Treatment (Follow-Up) (2018-F-21) The Sex Offender Management and Treatment Act requires that …
https://www.osc.ny.gov/press/releases/2019/01/state-comptroller-dinapoli-releases-auditsOverpayments for Therapy Services and Prescription Drugs Covered by Medicare (Follow-Up)
… have been paid by Medicare. The payments included $18.6 million for physical, occupational, and speech therapy … not implemented. Key Recommendation Officials are given 30 days after the issuance of this follow-up to provide information …
https://www.osc.ny.gov/state-agencies/audits/2021/11/29/overpayments-therapy-services-and-prescription-drugs-covered-medicare-follow