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DiNapoli: State Missing Out on Millions in Medicare Payments for Kidney Patients
… of their Medicare eligibility, which could reduce their out-of-pocket expenses and may provide them with more options … This could allow Medicaid to pay ESRD recipients' Medicare out-of-pocket costs, such as premiums and coinsurance. … about Medicare benefits and Medicaid's payment of Medicare out-of-pocket costs, and to actively assist recipients in …
https://www.osc.ny.gov/press/releases/2017/03/dinapoli-state-missing-out-millions-medicare-payments-kidney-patientsDiNapoli: State is Slow in Disbursing Some Federal Relief Funds for Housing
… to COVID-19 relief. For example, the audit found HCR had only committed about $98 million of the $127 million in CBDG …
https://www.osc.ny.gov/press/releases/2022/09/dinapoli-state-slow-disbursing-some-federal-relief-funds-housingDiNapoli: State Needs to Help Addiction Support Providers Better Prepare for Emergencies
… needs to improve its guidance for the emergency plans for residential or inpatient programs for substance use … after Superstorm Sandy because of the number of patients who had to be evacuated. However, the audit determined 35 of … have a clear picture if patients in need of care or who should be prioritized are getting services due to unknown …
https://www.osc.ny.gov/press/releases/2023/11/dinapoli-state-needs-help-addiction-support-providers-better-prepare-emergenciesImproper Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Follow-Up)
… Medicaid Payments for Individuals Receiving Hospice Services Covered by Medicare (Report 2018-S-71 ). About the … care, including nursing, physician, and counseling services; home health aides; physical and occupational … Medicare is the primary payer for Medicare-covered hospice services, while Medicaid is the payer of last resort. In …
https://www.osc.ny.gov/state-agencies/audits/2023/02/13/improper-medicaid-payments-individuals-receiving-hospice-services-covered-medicare-followMedicaid 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
… has multiple parts. Medicare Part B provides supplementary medical insurance coverage for a range of outpatient medical services, physician services, and medical supplies. … advise providers to report accurate claim information when billing Medicaid for Part B deductibles and coinsurance on …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-part-b-services-billed-directly-emednyAdministration of the Contract With the Postgraduate Center for Mental Health (Follow-Up)
… solely for PCMH’s Chief Executive Officer; parties and alcoholic beverages for staff; and unsupported professional … staff to follow up on recommendations to PCMH resulting from field visits, and excessive delays by OMH to recover $1.4 million in surplus advances from the 2011-12 through 2013-14 fiscal years. Key Findings …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/administration-contract-postgraduate-center-mental-health-followTuxedo Farms Local Development Corporation – Collections and Disbursements and Adherence to Bylaws (2021M-187)
… with the sewer agreements and whether the Tuxedo Farms Local Development Corporation (TFLDC) Board of … with the sewer agreements and whether the Tuxedo Farms Local Development Corporation TFLDC Board of Directors …
https://www.osc.ny.gov/local-government/audits/local-development-corporation/2021/12/22/tuxedo-farms-local-development-corporation-collections-andMedicaid Program – Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance
… such improper premium payments; however, these efforts only target NYSOH-enrolled recipients. The Department has not …
https://www.osc.ny.gov/state-agencies/audits/2018/06/13/medicaid-program-managed-care-premium-payments-recipients-comprehensive-third-partyAnnual Employer Contributions – Employer Contributions and Rates
… contributions, and in November, we provide your final annual invoice . The 2027 invoice (next year’s invoice for … and in November 2026, we will provide your final annual invoice. Note: Because your estimated invoice and annual invoice are calculated using reported earnings and …
https://www.osc.ny.gov/retirement/employers/contributions/annual-employer-contributionsCity of Cortland – Credit Accounts & Employee Reimbursements (2020M-141)
… complete report - pdf ] Audit Objective Determine whether City of Cortland (City) officials ensured claims for credit account purchases … supported and for appropriate purposes. Key Findings City officials did not ensure all credit account purchases … Determine whether City of Cortland City officials ensured claims for credit …
https://www.osc.ny.gov/local-government/audits/city/2021/05/14/city-cortland-credit-accounts-employee-reimbursements-2020m-141Medicaid 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-inpatientOpinion 91-22
… companies". Based on the quoted language in section 209-c, we have previously concluded that a fire police squad is … unreported; 17 Opns St Comp, 1961, p 142). Therefore, we have expressed the opinion that a fire police squad may … (see also 1990 Opns St Comp No. 90-34, p 78, in which we concluded that an emergency rescue and first aid squad …
https://www.osc.ny.gov/legal-opinions/opinion-91-22Association to Benefit Children – Compliance With the Reimbursable Cost Manual
… based on the difference in the number of hours claimed versus payroll, calculated the recommended disallowance of … and food items that were not age appropriate (such as club soda and coffee creamer). In addition, some of the costs …
https://www.osc.ny.gov/state-agencies/audits/2019/02/08/association-benefit-children-compliance-reimbursable-cost-manualDiNapoli Statement on Greenville Arrest for Alleged Theft of Taxpayer Funded Resources
… for alleged theft of fuel from the Town of Greenville Highway Department. The theft was discovered following an … for alleged theft of fuel from the Town of Greenville Highway Department …
https://www.osc.ny.gov/press/releases/2018/07/dinapoli-statement-greenville-arrest-alleged-theft-taxpayer-funded-resourcesState Agencies Bulletin No. 2259
… Purpose: The purpose of this bulletin is to provide agencies with information and new instructions for processing letters received for the outreach and … year. Abandoned Property Law §1422 requires State agencies to perform certain payee notification requirements: An …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2259-outreach-and-escheatment-2023-uncashed-nys-payroll-checksState Agencies Bulletin No. 2259.1
… of this bulletin is to provide agencies with information and new instructions for processing letters received for the outreach and escheatment of uncashed payroll checks for calendar year 2023. Agencies must treat signed and returned letters as a written request for reissuance of a …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/22591-outreach-and-escheatment-2023-uncashed-nys-payroll-checksMedicaid Program – Opioid Prescriptions for Medicaid Recipients in an Opioid Treatment Program
… Purpose To determine if the Department of Health has taken sufficient steps to safeguard Medicaid recipients who are receiving opioids while also in a Treatment Program for opioid use disorder. This audit covered the period … To determine if the Department of Health has taken sufficient …
https://www.osc.ny.gov/state-agencies/audits/2018/11/20/medicaid-program-opioid-prescriptions-medicaid-recipients-opioid-treatment-programDiNapoli: SUNY Campuses Need to Focus on Tuition Paid by Out-Of-State Graduate Students
… The State University of New York (SUNY) needs to make sure its campuses are upholding … of a tuition benefit that is supposed to be reserved for New Yorkers,” DiNapoli said. “SUNY’s medical schools and … students and 64 institutions. Undergraduates who are New York residents are paying tuition of just under $7,100 …
https://www.osc.ny.gov/press/releases/2022/05/dinapoli-suny-campuses-need-focus-tuition-paid-out-state-graduate-studentsMedicaid Program – Improper Payments for Controlled Substances That Exceed Allowed Dispensing Limits
… Medicaid program, which provides a wide range of health care services, including prescription drugs, to individuals … drugs that are highly prone to abuse are limited to a five-day supply, and others that carry less risk are limited to a 30-day supply. During the audit period, the Medicaid program …
https://www.osc.ny.gov/state-agencies/audits/2015/02/06/medicaid-program-improper-payments-controlled-substances-exceed-allowed-dispensing-limits