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Empire BlueCross BlueShield – Controls Over Payments for Special Items
… Purpose To determine if Empire BlueCross BlueShield: implemented sufficient controls over the identification and recovery of overpayments made to hospitals for special medical items; …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsDiNapoli: Scores Reveal Fiscal Stress Continues for Certain Communities
… all counties and towns, 44 cities and 10 villages have a calendar-based fiscal year – a total of 1,043 communities. … Eleven communities have been listed in the second highest category of “moderate fiscal stress.” This includes Suffolk … Another 18 municipalities have been listed in the third category as “susceptible to fiscal stress.” DiNapoli’s …
https://www.osc.ny.gov/press/releases/2015/09/dinapoli-scores-reveal-fiscal-stress-continues-certain-communitiesDiNapoli: Farms Generate $4.8 Billion for New York's Economy
… in revenue, with 15 agricultural products ranked in the top five nationwide, according to a report released today … billion in sales in 2017, more than half of the total for all agricultural products. The state's production of milk and … nearly doubling from 2012 to 2017. New York's farmers are dealing with increased financial uncertainty caused by …
https://www.osc.ny.gov/press/releases/2018/09/dinapoli-farms-generate-48-billion-new-yorks-economyDiNapoli Announces State Contract & Payment Actions for January 2015
… Program. Office of General Services $25 million for 17 construction contracts including $7.4 million with O’Connell … Services for construction inspection in the New York City region. Department of Transportation $80 million for 18 … Temporary and Disability Assistance $26 million in federal Home Energy Assistance Program (HEAP) benefits to assist …
https://www.osc.ny.gov/press/releases/2015/02/dinapoli-announces-state-contract-payment-actions-january-2015Overpayments for Services Also Covered by Medicare Part B (Follow-Up)
… deductibles and coinsurance). Federally qualified health centers (FQHCs) receive enhanced reimbursements from Medicaid … FQHCs are “safety net” providers, such as community health centers and public housing centers, that provide medical services to underserved areas …
https://www.osc.ny.gov/state-agencies/audits/2015/06/26/overpayments-services-also-covered-medicare-part-b-followPension Contribution Rates to Decrease for Fiscal Year 2015-16
… Employer contribution rates for the New York State and Local Retirement System (NYSLRS) will decline … improvement assumption from Society of Actuaries Scale AA to MP-2014. The recommendation was supported by a report …
https://www.osc.ny.gov/press/releases/2014/09/pension-contribution-rates-decrease-fiscal-year-2015-16Overpayments for Services Also Covered by Medicare Part B (Follow-Up)
… included in our initial audit report, Overpayments for Services Also Covered by Medicare Part B (2010-S-50). … eligible for Medicare Part B, which provides supplementary medical insurance covering a broad range of outpatient … on June 20, 2012, examined whether the Department of Health (Department) overpaid health care providers' Medicaid …
https://www.osc.ny.gov/state-agencies/audits/2014/03/06/overpayments-services-also-covered-medicare-part-b-followImproper Managed Care Payments for Certain Medicaid Recipients (Follow-Up)
To determine the extent of implementation of the five recommendations made in our audit report Improper Managed Care Payments for Certain Medicaid Recipients
https://www.osc.ny.gov/state-agencies/audits/2015/01/20/improper-managed-care-payments-certain-medicaid-recipients-followUnnecessary Medicaid Payments for Children at Voluntary Agencies (Follow-Up)
… in Medicaid. For these children, the State establishes a “Daily Child Care Rate” (Daily Rate), which is the basis for Medicaid funding that the … children in their custody. For services not covered by the Daily Rate, health care providers bill Medicaid directly and …
https://www.osc.ny.gov/state-agencies/audits/2014/10/23/unnecessary-medicaid-payments-children-voluntary-agencies-followDiNapoli Announces State Contract & Payment Actions for July 2014
… on his commitment to added transparency via his Open Book New York website. Highlights for July 2014: Major Contracts … Security $138 million urban area security grant to New York City. State Insurance Fund $51 million contract for … $58.7 million with Yonkers Contracting Co. Inc. for New England Thruway I-95 pavement rehabilitation. Office of the …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-announces-state-contract-payment-actions-july-2014DiNapoli: Special Education Contractor Convicted for $2 Million Fraud
… The former owner of a Queens-based special education provider, who … charges earlier this year following a joint investigation by New York State Comptroller Thomas P. DiNapoli and U.S. Attorney for the Southern District Preet Bharara, was sentenced today …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-special-education-contractor-convicted-2-million-fraudDiNapoli Announces State Contract & Payment Actions for January 2014
… seven properties damaged by Hurricane Irene. SUNY - Solar Power Approved a $2.5 million contract with Solar City Corp. to construct and operate solar voltaic electrical systems for SUNY Cortland. New York …
https://www.osc.ny.gov/press/releases/2014/02/dinapoli-announces-state-contract-payment-actions-january-2014DiNapoli Finds Opportunities for Improved NYPD Hate Crimes Reporting
… State auditors examining New York City Police Department (NYPD) records were unable to confirm that all hate crimes in … recommendations and are working to implement them. Only with the proper training, reporting and review mechanisms …
https://www.osc.ny.gov/press/releases/2014/09/dinapoli-finds-opportunities-improved-nypd-hate-crimes-reportingMedicaid Program - Medicaid Overpayments for Certain Medicare Part C Claims
… identify Medicaid overpayments made to medical providers for services rendered to recipients enrolled in … of participating providers they reimburse directly for services provided to enrollees. For dual-eligibles, plan providers bill Medicaid directly for …
https://www.osc.ny.gov/state-agencies/audits/2015/01/16/medicaid-program-medicaid-overpayments-certain-medicare-part-c-claimsDiNapoli Report Finds Medicaid Costs for Treating Asthma Rising
… New York's asthma-related Medicaid expenditures rose more … neighborhoods in the Bronx; East Harlem in Manhattan; Carroll Gardens-Red Hook in Brooklyn; and Arverne …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-report-finds-medicaid-costs-treating-asthma-risingMedicaid Program – Excessive Payments for Durable Medical Equipment Rentals
… under Medicare, oxygen equipment rentals are subject to a 36-month limit. Key Findings We identified overpayments … the Department had adopted a similar policy to Medicare’s 36-month cap on oxygen equipment rental payments. Key …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/medicaid-program-excessive-payments-durable-medical-equipment-rentalsEmployment Recovery Is Slow for New Yorkers with Disabilities
… face unique daily challenges that can present barriers to employment. The COVID-19 pandemic led to soaring … addition, the national share of people with disabilities who are working reached a new high in 2022, while the share … who do not have a disability in 2022, a disparity that is also greater than the 4.7 percentage point gap nationwide. …
https://www.osc.ny.gov/reports/employment-recovery-slow-new-yorkers-disabilitiesDiNapoli Announces State Contract & Payment Actions For March 2014
… financial officer, DiNapoli’s office reviews contracts for all state agencies and certain contracts for state public … of General Services’ contracts for an upgrade to the Corning Tower elevators: Otis Elevator $8.9 million, Flex … million. Federal Block Grant Awards for Sandy-related assistance: Approved a $2.2 million Office of Mental Health …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-announces-state-contract-payment-actions-march-2014Area #4 – Contracts and Service Level Agreements for IT Services – Information Technology Governance
… the SLAs that local governments and schools enter into are vague in terms of the services contracted for and the … it will be delivered and how much it’s going to cost. A vague agreement can lead to additional or increasing costs …
https://www.osc.ny.gov/local-government/publications/it-governance/area-4-contracts-and-service-level-agreements-it-servicesImproper Managed Care Payments for Misclassified Patient Discharges (Follow-Up)
… report, Improper Managed Care Payments for Misclassified Patient Discharges (Report 2021-S-8 ). About the Program The … (Department) administers New York’s Medicaid Program. Many Medicaid recipients receive their medical services … hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, including patient …
https://www.osc.ny.gov/state-agencies/audits/2023/12/06/improper-managed-care-payments-misclassified-patient-discharges-follow