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Medicaid Program – Improper Fee-for-Service Payments for Services Covered by Managed Care
… Purpose To determine whether Medicaid made improper fee-for-service (FFS) payments for … for services rendered to their members. The Medicaid program should not pay claims on a FFS basis when the … ranging from hospital inpatient care to physician and dental services. Accordingly, Plans are responsible for …
https://www.osc.ny.gov/state-agencies/audits/2019/01/10/medicaid-program-improper-fee-service-payments-services-covered-managed-careNorthside Center for Child Development – Compliance With the Reimbursable Cost Manual
… Manual (Manual). Our audit covered the fiscal year ended June 30, 2014. Background Northside was established in 1946 … and sufficiently documented. For the fiscal year ended June 30, 2014, Northside reported approximately $2.5 million … costs on the CFR. Key Findings For the fiscal year ended June 30, 2014, we identified $270,040 in ineligible costs …
https://www.osc.ny.gov/state-agencies/audits/2019/01/11/northside-center-child-development-compliance-reimbursable-cost-manualMay 1998: Accounting Requirements and Program Information for Multi-Modal Transportation Program
… Issued To: New York State Chief Fiscal Officers of Counties, Cities, … must meet the following general requirements; must have a ten (10) year "bondable" service life; must meet … relating to the specific mode as indicated previously (i.e., aviation projects must be consistent with an approved …
https://www.osc.ny.gov/local-government/publications/may-1998-accounting-requirements-and-program-information-multi-modal-transportation-programReducing Medicaid Costs for Recipients With End Stage Renal Disease (Follow-Up)
To determine the implementation status of the five recommendations made in our initial audit report Reducing Medicaid Costs for Recipients With End Stage Renal Disease Report 2015S14
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/reducing-medicaid-costs-recipients-end-stage-renal-disease-followInterdisciplinary Center for Child Development – Compliance With the Reimbursable Cost Manual
… $176,793 in compensation related to excess staffing of teacher aides/assistants; $1,765 in over-allocated and/or …
https://www.osc.ny.gov/state-agencies/audits/2018/04/05/interdisciplinary-center-child-development-compliance-reimbursable-cost-manualDiNapoli: Former City of Corning Clerk Arrested for Stealing Public Funds
… clerk Stephanie Burlew. She was charged with grand larceny in the third degree, a class D felony, for allegedly misappropriating more than $5,000 in public funds by pocketing parking permit fees; code … “Local governments need to make sure proper controls are in place to protect public funds. I commend the city of …
https://www.osc.ny.gov/press/releases/2014/07/dinapoli-former-city-corning-clerk-arrested-stealing-public-fundsDiNapoli: More Security Needed for Hazardous Materials at SUNY University Centers
… to access 16 labs and prep rooms without the use of a key, card or assistance from school officials. Only Oneonta and …
https://www.osc.ny.gov/press/releases/2018/12/dinapoli-more-security-needed-hazardous-materials-suny-university-centersRevenue Enhancement Ideas: Cash Management for Local Governments and School Districts
… district’s bank account. Set up electronic funds transfer (EFT) with the bank to receive payments from the State and …
https://www.osc.ny.gov/local-government/publications/revenue-enhancement-ideas-cash-management-local-governments-and-school-districtsLegislative and Executive Retirement Plan For Tier 1 and 2 Members (Section 80-a)
… Center toll-free at 1-866-805-0990, or at 474-7736 if you live in the Albany, New York area; Email us using our secure contact form ; Fax us at (518) 402-4433; or Write to … your retirement benefit at the time of retirement. If you live long enough, you will receive your initial value amount …
https://www.osc.ny.gov/retirement/publications/legislative-and-executive-retirement-plan-tier-1-and-2-members-section-80Life Changes: Getting Your Affairs in Order and A Guide for Survivors
… section is directed to your survivors. By taking some time today to prepare for the future, you will make a difficult … know where your assets and documents are kept. Discuss funeral and burial options, and let your family know about … Survivor’s Benefit Program information (if you are a New York State employee), deferred compensation, the name, …
https://www.osc.ny.gov/retirement/publications/getting-your-affairs-order-and-guide-survivorsUnited HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… Purpose To determine whether Long Island Laparoscopic Surgery, PLLC … providers. In accordance with the Empire Plan’s requirements, when United processes a non-participating …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… of implementation of the three recommendations included in our initial audit report, Excessive Medicaid Payments for … Background Our initial audit report, which was issued on September 20, 2010, examined whether the Department was … ended June 30, 2009, we identified about $600 million in Medicaid payments that could have been avoided had the …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
Determine extent of implementation of 3 recommendations included in our initial audit report Monitoring of Medicaid Payments for Nursing Home Bed Reserve Days
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followUnitedHealthcare – Improper Payments for Medical Services Designated By Modifier Code 59
… to August 31, 2013, United paid over $82.3 million for about 1.3 million services with modifier 59. Key Findings For …
https://www.osc.ny.gov/state-agencies/audits/2015/01/08/unitedhealthcare-improper-payments-medical-services-designated-modifier-code-59Hamburg Recreation Worker Sentenced to Jail and Probation for Stealing $156K
… of Hamburg’s recreation attendant was sentenced today to three months of weekends in jail and five years of … by filing a complaint online at investigations@osc.ny.gov , or by mailing a complaint to: Office of the State … of Investigations, 14th Floor, 110 State St., Albany, NY 12236. … The village of Hamburgs recreation attendant was …
https://www.osc.ny.gov/press/releases/2019/03/hamburg-recreation-worker-sentenced-jail-and-probation-stealing-156kMonitoring of Not-for-Profit Cemeteries for Fiscal Stability and Adequate Facility Maintenance
… As a result, it cannot use the information to best focus its attention on locations that are in danger of …
https://www.osc.ny.gov/state-agencies/audits/2017/07/11/monitoring-not-profit-cemeteries-fiscal-stability-and-adequate-facility-maintenanceAdministration of the Contract With the Postgraduate Center for Mental Health
… Purpose To determine whether the Office of Mental Health (OMH) is effectively administering its Supportive Housing Contract … our visits to certain client apartments identified what appeared to be ongoing conditions that could negatively …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-postgraduate-center-mental-healthAdministration of Contract C007373 With the Institute for Community Living
… Community Services (2014-N-5) Office of Mental Health: Sky Light Center Inc. - Supported Housing Program (2012-S-37) …
https://www.osc.ny.gov/state-agencies/audits/2016/12/30/administration-contract-c007373-institute-community-livingDiNapoli: Strong Growth for Local Sales Tax Collections Halfway Into 2018
… Rome and Salamanca all saw their collections decrease from the same period last year, but this was mostly due to … especially in upstate regions, is the amount generated from the sale of motor fuel. The motor fuel sales tax component increased by 13.9 percent from the first half of 2017, marking the third consecutive …
https://www.osc.ny.gov/press/releases/2018/08/dinapoli-strong-growth-local-sales-tax-collections-halfway-2018Starting Point Services for Children – Compliance With the Reimbursable Cost Manual
… the Manual; $173,539 in unsupported bonuses to staff. This bonus compensation (for 33 employees) was not supported by …
https://www.osc.ny.gov/state-agencies/audits/2015/12/11/starting-point-services-children-compliance-reimbursable-cost-manual