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Medicaid Program – Improper Medicaid Payments for Outpatient Services Billed as Inpatient Claims
… whether Medicaid made improper payments to hospitals for outpatient services that were erroneously billed as … (Department). The Medicaid program reimburses hospitals for inpatient and outpatient services. A recipient’s status … versus outpatient – affects Medicaid’s reimbursement for services provided. Inpatient care generally requires …
https://www.osc.ny.gov/state-agencies/audits/2023/08/30/medicaid-program-improper-medicaid-payments-outpatient-services-billed-inpatient-claimsMedicaid Program – Medicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY
… Medicaid made improper payments to providers who submitted Part B cost-sharing claims directly to eMedNY. The audit … The Medicare program has multiple parts. Medicare Part B provides supplementary medical insurance coverage for … Medicare enrollees are responsible for paying all costs of Part B services until their annual deductible is met. After …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emednyMaking Adjustments to Earnings and Days Worked – Enhanced Reporting
… adjusting Earnings only, you will need both Transactions 3 and 4. If you are adjusting Days and Earnings, you will need … Online will notify you that a deficiency service credit purchase (SCP) has been created for that member which … annual bill. Do not make an adjustment to a member’s SCP, loan payments or contributions. These fields should always …
https://www.osc.ny.gov/retirement/employers/enhanced-reporting/making-adjustments-earnings-and-days-workedAdministration of the Contract With the Postgraduate Center for Mental Health (Follow-Up)
… documentation. However, our visits to certain client apartments identified what appeared to be ongoing conditions … the health and/or safety of clients. For example, three apartments had significantly damaged ceilings/walls, two did …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/administration-contract-postgraduate-center-mental-health-followLocalities’ Procurements of Paper Ballots
… to Local Election Boards on procuring paper ballots. As a result, the ballot procurement processes used by the 13 Local … Board of Elections: Voting-Related Problems September 2010 Primary Election (2010-N-6) County Boards of Elections: Voting-Related Problems September 2010 Primary Elections (2010-MR-5) …
https://www.osc.ny.gov/state-agencies/audits/2015/03/30/localities-procurements-paper-ballotsMedicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance
… of individuals who had comprehensive third-party health insurance coverage. The audit covered the period January 1, … New York State of Health (NYSOH), New York’s online health insurance marketplace, and the remainder were enrolled … the New York State Social Services Law, the Department’s policy is to exclude Medicaid recipients from mainstream …
https://www.osc.ny.gov/state-agencies/audits/2018/06/13/medicaid-program-managed-care-premium-payments-recipients-comprehensive-third-partyOversight and Collection of Snowmobile Registration Fees
… (Department) is appropriately collecting snowmobile registration fees, and to assess its snowmobile registration practices. Our audit covered the period April 1, … Department. The Department is responsible for collecting registration fees and transferring them to the New York State …
https://www.osc.ny.gov/state-agencies/audits/2013/07/11/oversight-and-collection-snowmobile-registration-feesBus Wait Assessment and Other Performance Indicators
… Authority's (MTA) New York City Transit (Transit) and MTA Bus Company (MTA Bus) provide passenger service on all of their bus routes to … Transportation Authority New York City Transit and MTA Bus Company provide passenger service on all of their bus …
https://www.osc.ny.gov/state-agencies/audits/2019/05/07/bus-wait-assessment-and-other-performance-indicatorsEnglish Language Learners Programs (2022-S-30) 180-Day Response
To determine whether the State Education Department is adequately overseeing whether school districts are providing services to English Language Learners as required
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-22s30-response.pdfEnglish Language Learners Programs (2022-S-30)
To determine whether the State Education Department is adequately overseeing whether school districts are providing services to English Language Learners as required.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2024-22s30.pdfBlock Institute School - Compliance With the Reimbursable Cost Manual (2018-S-69) 180-Day Response
To determine whether the costs reported by Block Institute School on its Consolidated Fiscal Reports (CFRs) were reasonable, necessary, directly related to...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18s69-response.pdfBlock Institute School - Compliance With the Reimbursable Cost Manual (2018-S-69)
To determine whether the costs reported by Block Institute School on its Consolidated Fiscal Reports (CFRs) were reasonable, necessary, directly related to...
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2020-18s69.pdfThe Alcott School - Compliance With the Reimbursable Cost Manual (2015-S-97), 90-Day Response
To determine whether the costs reported by the Alcott School (Alcott) on its Consolidated Fiscal Report (CFR) were properly calculated, adequately documented, a
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-15s97-response.pdfThe Alcott School - Compliance With the Reimbursable Cost Manual (2015-S-97)
To determine whether the costs reported by the Alcott School (Alcott) on its Consolidated Fiscal Report (CFR) were properly calculated, adequately documented, a
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2016-15s97.pdfJohn A. Coleman School - Compliance With the Reimbursable Cost Manual (2012-S-16), 90-Day Response
To determine whether the costs reported by the John A. Coleman School (Coleman) on its Consolidated Fiscal Reports (CFRs) were properly calculated, adequately d
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s16-response.pdfJohn A. Coleman School - Compliance With the Reimbursable Cost Manual (2012-S-16)
To determine whether the costs reported by the John A. Coleman School (Coleman) on its Consolidated Fiscal Reports (CFRs) were properly calculated, adequately
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2012-12s16.pdfNew York City Department of Homeless Services – Oversight of Contract Expenditures of Institute for Community Living, Inc. (2020-N-4) 180-Day Response
To determine whether the New York City Department of Homeless Services is effectively monitoring its contract with the Institute for Community Living, Inc. (ICL) to ensure reported costs are allowable, supported, and program related.
https://www.osc.ny.gov/files/state-agencies/audits/pdf/sga-2022-20n4-response.pdfControls Over Vehicle Use and Transportation-Related Expenses
… maintenance and repairs and roadside assistance and towing. The regional repair shops either perform maintenance …
https://www.osc.ny.gov/state-agencies/audits/2021/10/07/controls-over-vehicle-use-and-transportation-related-expensesMedicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… of Health's eMedNY system processes Medicaid claims for ancillary services in accordance with Medicaid … categories: diagnostic, therapeutic, and custodial. For example, laboratory, physical therapy, and home health … care are typical ancillary services. Medicaid claims for ancillary services are processed by eMedNY, the …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientIX.12.N Fund Availability and Interest Liability – IX. Federal Grants
… unable to contact the awarding agency, then contact your Account Representative to inform them that the award is not … date the related federal funds are deposited in a state account. With federal-state matching programs, interest will … date federal funds are received and deposited in a state account (provided by OSC); The federal percentage of the …
https://www.osc.ny.gov/state-agencies/gfo/chapter-ix/ix12n-fund-availability-and-interest-liability