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UnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… Objective To assess the extent of implementation of the two recommendations included in our initial audit … To assess the extent of implementation of the two recommendations included in our initial audit …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesState Agencies Bulletin No. 1784
… income. Affected Employees Employees who participated in the PEF or CSEA Certification, Licensure and Exam Fee … The CLEFR amount will be reported on the employee’s Form W-2 in box 14 under code FRB . Payroll Register and Employee’s …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1784-certification-licensure-and-exam-fee-reimbursement-clefr-2019Empire BlueCross – Improper Payments for Intraocular Lens Claims Billed by Hospitals
… whether Empire BlueCross properly paid hospital claims for intraocular procedures. The audit covered the period … The Empire Plan is the primary health benefits plan for NYSHIP, covering nearly 1.1 million members. Empire … portion of the Empire Plan. Empire processes claims for hospital services according to contracts it negotiates …
https://www.osc.ny.gov/state-agencies/audits/2019/12/20/empire-bluecross-improper-payments-intraocular-lens-claims-billed-hospitalsAllocation, Billing, and Collection of Expenses of Administering the Motor Vehicle Financial Security Act and the Motor Vehicle Safety Responsibility Act
… persons they might injure or whose property they might damage as a result of an accident. Department activities …
https://www.osc.ny.gov/state-agencies/audits/2019/12/13/allocation-billing-and-collection-expenses-administering-motor-vehicle-financial-securityWadsworth Center Environmental Laboratory Approval Program
… Objective To determine whether Wadsworth Center is adequately certifying, monitoring, and enforcing selected … Wadsworth Center (Wadsworth) was established in 1984 and is responsible for the certification of laboratories … and disease or environmental exposure prevention. ELAP is an approved accrediting authority under the National …
https://www.osc.ny.gov/state-agencies/audits/2019/12/09/wadsworth-center-environmental-laboratory-approval-programDiNapoli: Former Non-Profit Executive Pleads Guilty to Falsifying Business Records
… her employment anniversary date, allowing her to receive 29 hours of additional personal and floating holiday hours. … by FSS for more than 20 years, was terminated on December 27, 2018 once her actions were brought to light. She pleaded …
https://www.osc.ny.gov/press/releases/2021/08/dinapoli-former-non-profit-executive-pleads-guilty-falsifying-business-recordsMedicaid Program – Overpayments for Services Also Covered by Medicare Part B
… Purpose To determine if the Department of Health overpaid health care providers for Medicaid claims for Medicare Part B … To determine if the Department of Health overpaid health care providers for Medicaid claims for …
https://www.osc.ny.gov/state-agencies/audits/2013/07/09/medicaid-program-overpayments-services-also-covered-medicare-part-bAllocation, Billing, and Collection of Expenses of Administering the Motor Vehicle Financial Security Act and the Motor Vehicle Safety Responsibility Act (Follow-Up)
… administers the Motor Vehicle Financial Security Act and the Motor Vehicle Safety Responsibility Act (collectively, “Acts”) pursuant to Articles VI and VII of the Vehicle and Traffic Law. These Acts help ensure that the operators of … included in our initial audit report Allocation Billing and Collection of Expenses of Administering the Motor Vehicle …
https://www.osc.ny.gov/state-agencies/audits/2021/05/27/allocation-billing-and-collection-expenses-administering-motor-vehicle-financial-securityCompliance With Executive Order 88 – Energy Efficiency in State Buildings
… to facility staff, as required, by the December 31, 2017 deadline. DOCCS officials stated they did not meet the submetering deadline because they are installing more meters than … energy reduction until well after the April 1, 2020 deadline. Key Recommendation Continue implementing capital …
https://www.osc.ny.gov/state-agencies/audits/2020/01/30/compliance-executive-order-88-energy-efficiency-state-buildingsState Agencies Bulletin No. 1956
… Affected Employees Employees who participated in the PEF or CSEA Certification, Licensure, and Exam Fee Reimbursement Program, or who used Empire Star Public Service awards for … The CLEFR amount will be reported on the employee’s Form W-2 in box 14 under code FRB . Payroll Register and …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1956-certification-licensure-and-exam-fee-reimbursement-clefr-2021IX.12.C State Responsibility – IX. Federal Grants
… Overall coordination of the state’s implementation of CMIA was assigned to the Division of the Budget (DOB), … Overall coordination of the states implementation of CMIA was assigned to the … of the Budget DOB which partners with the Office of the State Comptroller OSC on virtually all aspects of …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix12c-state-responsibilityMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… (Report 2017-S-36 ). About the Program The Department of Health (Department) administers the State’s Medicaid Program. … insurance coverage for outpatient medical services, physician services, and medical supplies. As the secondary …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followTown of Java – Water Accountability (2013M-338)
… October 17, 2013. Background The Town of Java is located in Wyoming County and has a population of 2,057. The Town is … the Superintendent prepared the Water Withdrawal Report Form to be submitted to the New York State Department of … and the 11.6 million gallons of unaccounted-for water in excess of the standard industry allowance, we estimate …
https://www.osc.ny.gov/local-government/audits/town/2014/02/07/town-java-water-accountability-2013m-338Town of Hopewell – Fund Balance and Budget Monitoring (2013M-231)
… Purpose of Audit The purpose of our audit was to review the Town’s financial management and budgeting practices, and … The purpose of our audit was to review the Towns financial …
https://www.osc.ny.gov/local-government/audits/town/2014/01/10/town-hopewell-fund-balance-and-budget-monitoring-2013m-231CVS Health – Temporary Holding Account Rebate Revenue
… Objective To determine if CVS Health remitted to the State Department of Civil Service … to eligible prescription drug claims maintained in CVS Health’s temporary holding account. Our audit covered the … nearly 1.1 million members. Civil Service contracted with CVS Health to administer the Empire Plan’s prescription drug …
https://www.osc.ny.gov/state-agencies/audits/2019/10/17/cvs-health-temporary-holding-account-rebate-revenueControls Over Unclaimed Bottle Deposits (Follow-Up)
… of implementation of the five recommendations included in our initial audit report, Controls Over Unclaimed Bottle Deposits (Report 2016-S-96 ). Background The … containers of less than one gallon of many beverages sold in the State. Consumers may then return their empty beverage …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/controls-over-unclaimed-bottle-deposits-followDiNapoli Rejects DOT Contract due to Unanswered Questions About Contractor
… Limnes Corp. for $4.7 million for painting bridges in Nassau and Suffolk counties citing its ties to two … closely affiliated with two other entities that have been in serious trouble and are forbidden to do business with the … was a $4.7 million contract to paint 13 NYS DOT bridges in Nassau and Suffolk counties. During the contract review, …
https://www.osc.ny.gov/press/releases/2014/03/dinapoli-rejects-dot-contract-due-unanswered-questions-about-contractorState Agencies Bulletin No. 2240
… Purpose: The purpose of this bulletin is to notify agencies that employee participation in tax-sheltered annuity plans must be suspended while an employee is receiving paid Workers’ … The purpose of this bulletin is to notify agencies that employee participation in taxsheltered annuity plans must be …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2240-suspension-403b-tax-sheltered-annuity-plans-employees-workersAudit of the Tuition Assistance Program at Plaza College
… Education’s Rules and Regulations when certifying students for State-funded Tuition Assistance Program (TAP) awards. … TAP is an entitlement program designed to provide funds for paying tuition costs to eligible students. Schools … receiving TAP payments certify student eligibility. For the three academic years ended June 30, 2009, Plaza …
https://www.osc.ny.gov/state-agencies/audits/2013/11/05/audit-tuition-assistance-program-plaza-collegeState Agencies Bulletin No. 2063
… of the processing of the taxable fringe benefit CLEFR for 2022. Affected Employees Employees who participated in … Program, or who used Empire Star Public Service awards for certification, license, or exam fees are affected. … Time Entry using the earn code CFR . This amount is used for reporting and tax withholding purposes only and does not …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2063-certification-licensure-and-exam-fee-reimbursement-clefr-2022