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Medicaid Program – Inappropriate Payments Related to Procedure Modifiers
… in New York State. Health care providers bill Medicaid for services provided to Medicaid recipients. Medicaid … describe the service(s) provided. Medicaid payments for surgical procedures include the preoperative, … (E/M) services, are included in Medicaid’s payment for the procedure. E/M services that are unrelated to the …
https://www.osc.ny.gov/state-agencies/audits/2018/04/17/medicaid-program-inappropriate-payments-related-procedure-modifiersMedicaid Program – Improper Medicaid Payments to a Transportation Provider
… provides transportation to medically necessary services for those recipients who are unable to obtain transportation on their own. Medicaid reimbursement for medically necessary transportation of Medicaid recipients … services furnished and payments received from Medicaid for a period of six years from the date the care, services, …
https://www.osc.ny.gov/state-agencies/audits/2018/09/05/medicaid-program-improper-medicaid-payments-transportation-providerImproper Episodic Payments to Home Health Providers (Follow-Up)
… (Department) implemented the new Episodic Payment System (EPS) to reimburse Certified Home Health Agencies (CHHA) for … care services provided to Medicaid recipients in the home. EPS is based on 60-day episodes of care. CHHAs can be paid … Medicaid program made improper payments to CHHAs under the EPS. The audit covered the period from May 1, 2012 through …
https://www.osc.ny.gov/state-agencies/audits/2018/05/04/improper-episodic-payments-home-health-providers-followMedicaid Payments Made Pursuant to Medicare Part C (Follow-Up)
… administer Medicare benefits. Medicare pays a fixed amount for each Medicare Part C beneficiary every month to companies … plans, and plans reimburse health care providers directly for services provided to enrollees. For individuals enrolled in both Medicaid and Medicare Part …
https://www.osc.ny.gov/state-agencies/audits/2016/12/15/medicaid-payments-made-pursuant-medicare-part-c-followFederal Impact: Travel and Tourism to New York – Federal Funding and New York
… Residents of other countries travel to the United States for a variety of reasons: personal, … international travel to the state and nationwide. For New York, these restrictions have led to a decline in visits from …
https://www.osc.ny.gov/reports/budget/fed-funding-ny/federal-impact-travel-and-tourism-new-yorkMedicaid Program – Managed Care Payments to Unenrolled Providers
… follows: We obtained PNDS submissions and encounter claims for a sample of five of the highest paid MCOs, which showed … Office of the Medicaid Inspector General, withdrawn by DOH for not meeting Medicaid program standards, or automatically … who were excluded from or otherwise ineligible for the Medicaid program. (Note: $548,184 of this was …
https://www.osc.ny.gov/state-agencies/audits/2024/06/04/medicaid-program-managed-care-payments-unenrolled-providersCollection of Fines Related to Tenant Complaints (Follow-Up)
… Objective To assess the extent of implementation of the six recommendations included in our initial audit report, Collection of Fines Related to Tenant Complaints (Report 2018-S-58 ). About the Program … To assess the extent of implementation of the six recommendations included in our initial audit report Collection of Fines Related to …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/collection-fines-related-tenant-complaints-followImproper Medicaid Payments to Eye Care Providers (Follow-Up)
… monitor the appropriateness of the providers’ Medicaid claims; and recover improper payments. Key Finding Department … The Department has also established pre-payment reviews of claims for 8 of the 34 provider identification numbers, and … to provide information on any actions that are planned to address the unresolved issues discussed in this report. Other …
https://www.osc.ny.gov/state-agencies/audits/2018/12/27/improper-medicaid-payments-eye-care-providers-followManaged Care Organizations – Payments to Ineligible Providers (Follow-Up)
… payments from Medicaid Managed Care Organizations (MCOs) for services rendered to Medicaid recipients. We issued our … review. The Department obtained the missing provider IDs for 19.3 million of the 22.5 million claims, and the Office …
https://www.osc.ny.gov/state-agencies/audits/2019/09/06/managed-care-organizations-payments-ineligible-providers-followMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… Objective To determine the extent of implementation of the three … made in our initial audit report, Medicaid Payments to Medicare Advantage Plan Providers (Report 2016-S-54 ). … To determine the extent of implementation of the three …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followPhysical Accessibility to Programs and Services (2025-MS-1)
… , Town of Woodbury Executive Summary More than one in four adults in the United States have some type of disability and more than one in 10 have a mobility disability with serious difficulty … More than one in four adults in the United States have some type of …
https://www.osc.ny.gov/local-government/audits/city/2025/05/06/physical-accessibility-programs-and-services-2025-ms-1DiNapoli Urges NYC to Shore Up Rainy-Day Fund
… DiNapoli urged New York City officials to better prepare for financial downturns by evaluating the city’s rainy-day reserve fund, establishing targets for how much should go into the fund each year and setting the conditions for withdrawals. His report found the city’s reserve policies …
https://www.osc.ny.gov/press/releases/2021/11/dinapoli-urges-nyc-shore-rainy-day-fundDiNapoli: Wall St. Profits Return to Pre-Pandemic Levels
… Although the financial services sector has led the return to the office, many firms are still partly working …
https://www.osc.ny.gov/press/releases/2022/10/dinapoli-wall-st-profits-return-pre-pandemic-levelsDiNapoli: Public Authority Debt Ballooned to $329 Billion
… historical data reported in PARIS from 2007 to present, Open Book New York contains Summary Financial Information … fiscal year). Track state and local government spending at Open Book New York . Under State Comptroller DiNapoli’s open data initiative, search millions of state and local …
https://www.osc.ny.gov/press/releases/2022/12/dinapoli-public-authority-debt-ballooned-329-billionDiNapoli: MTA Budget Continues to Face Serious Risks
… its capital needs, leaving a smaller share of revenue for other priorities and hindering budget flexibility during … MTA can change the way it does business and reduce costs, for example, riders could be saddled with even higher fares … reach 22.5 percent by 2023 after averaging 16.1 percent for the past decade. Last year, the state approved new …
https://www.osc.ny.gov/press/releases/2020/03/dinapoli-mta-budget-continues-face-serious-risksDiNapoli: Gaming Commission Slow to Collect Casino Fees
… progress fixing problems with its monitoring of casinos, especially with its failure to collect millions in oversight … has made some changes, but it needs to do much more, especially as the state is exploring issuing licenses for … progress fixing problems with its monitoring of casinos especially with its failure to collect millions in oversight …
https://www.osc.ny.gov/press/releases/2021/05/dinapoli-gaming-commission-slow-collect-casino-feesDiNapoli: State Tax Collections Continue to Exceed Projections
… three months of the 2021-22 State Fiscal Year, according to the monthly State Cash Report released today by New York … infusion of federal aid, give the state an opportunity to improve its long-term fiscal stability and better prepare … future uncertainties. The state should use these revenues to bolster reserves or for pay-as-you-go funding for critical …
https://www.osc.ny.gov/press/releases/2021/07/dinapoli-state-tax-collections-continue-exceed-projectionsDiNapoli: Major Retailers Agree to Stronger Supplier Oversight
… 500 retailers Dollar Tree and Dillard’s have agreed to new reporting standards that will help ensure greater … reputational damage that can result when suppliers fail to uphold recognized standards of labor and workplace safety. … withdrawn his shareholder proposals asking the companies to strengthen their supply chain accountability. “There’s a …
https://www.osc.ny.gov/press/releases/2014/04/dinapoli-major-retailers-agree-stronger-supplier-oversightDiNapoli: Molson Coors Agrees to Disclose Political Spending
… has reached an agreement with the Molson Coors Beverage Co., one of the world’s largest brewers, to comprehensively … has reached an agreement with the Molson Coors Beverage Co one of the worlds largest brewers to comprehensively …
https://www.osc.ny.gov/press/releases/2021/03/dinapoli-molson-coors-agrees-disclose-political-spendingDiNapoli Calls on Companies to Increase Board Diversity
… Broadcast Group and Trip Advisor — seeking increased board diversity, inclusive of sex, race, ethnicity, age, gender identity and sexual … boards.” To date the Fund has filed proposals seeking board diversity policies at 33 companies. The Fund has also … proposals at four portfolio companies seeking increased board diversity inclusive of sex race ethnicity age gender …
https://www.osc.ny.gov/press/releases/2019/03/dinapoli-calls-companies-increase-board-diversity