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United HealthCare – Overpayments for Services Provided by Dr. John Gomes
… audit focused on claims submitted by Women’s Healthcare - Garden City, an obstetrics and gynecology practice operated by Dr. John Gomes, located on Franklin Avenue in Garden City, New York. With respect to the Empire Plan, Dr. …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-dr-john-gomesControls Over Cash Advance Accounts (Follow-Up)
… Purpose To determine the extent of implementation of the eight … accounts received little scrutiny and made recommendations to improve internal controls over these accounts. As of March …
https://www.osc.ny.gov/state-agencies/audits/2016/06/03/controls-over-cash-advance-accounts-followImproper Fee-for-Service Payments for Pharmacy Services Covered by Managed Care (Follow-Up)
… Purpose To determine the extent of implementation of the three … We also recommended the Department take corrective action to help ensure managed care enrollment information is entered …
https://www.osc.ny.gov/state-agencies/audits/2016/09/23/improper-fee-service-payments-pharmacy-services-covered-managed-care-followUnited Healthcare – Empire Plan Drug Rebate Revenue (Follow-Up)
… The Empire Plan (Plan) is the primary health benefits plan for NYSHIP. The Plan covers many health care services, … discount revenue that was not credited to the Department for the period January 1, 2010 through December 31, 2012. … Health Insurance Program: United HealthCare: Payments for Fraudulent and Improper Claims Submitted by Davis Ethical …
https://www.osc.ny.gov/state-agencies/audits/2015/12/03/united-healthcare-empire-plan-drug-rebate-revenue-followEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period July 1, 2012 Through December 31, 2012 (Follow-Up)
… items. Our initial audit report, which was issued on January 16, 2014, found that Empire did not have adequate controls to … items were paid according to contract provisions. As a result, during the six-month period July 1, 2012 through …
https://www.osc.ny.gov/state-agencies/audits/2015/12/28/empire-bluecross-blueshield-selected-payments-special-items-period-july-1-2012-throughInspecting Highway Bridges and Repairing Defects (Follow-Up)
… Purpose To determine the extent of implementation of the four … given 30 days after the issuance of the follow-up review to provide information on any actions that are planned to …
https://www.osc.ny.gov/state-agencies/audits/2016/06/30/inspecting-highway-bridges-and-repairing-defects-followNewmeadow, Inc. – Compliance With the Reimbursable Cost Manual
… Department: United Cerebral Palsy Association of the Rochester Area, Inc. - Compliance With the Reimbursable Cost …
https://www.osc.ny.gov/state-agencies/audits/2015/12/29/newmeadow-inc-compliance-reimbursable-cost-manualSummit Educational Resources – Compliance With the Reimbursable Cost Manual
… three counties in western New York. Summit is reimbursed for preschool special education services through rates set by … Summit reports to SED on its annual CFR. To be eligible for reimbursement, reported costs must comply with RCM requirements. For the fiscal year ended June 30, 2013, Summit reported …
https://www.osc.ny.gov/state-agencies/audits/2015/07/22/summit-educational-resources-compliance-reimbursable-cost-manualSelected Aspects of the Migrant Education Program
… goals. Background The Migrant Education Program (Program) is a federal grant program authorized by the Federal … – is a migratory agricultural worker or fisher, and who has moved between school districts within the past three … an agricultural or fishing activity as a principal means of livelihood. The Program’s goals are to ensure that all …
https://www.osc.ny.gov/state-agencies/audits/2015/05/15/selected-aspects-migrant-education-programEmpire BlueCross BlueShield – Selected Payments for Special Items for the Period April 1, 2011 Through June 30, 2011 (Follow-Up)
… for special items, while agreements with other hospitals do not have such limitations. From April 1, 2011 to June 30, 2011, … claims for special items. We determined Empire did not have adequate controls to ensure special items were paid …
https://www.osc.ny.gov/state-agencies/audits/2014/10/30/empire-bluecross-blueshield-selected-payments-special-items-period-april-1-2011-throughState Agencies Bulletin No. 1663
… of OSC’s automatic processing of the September 2018 PEF Performance Advances and provide instructions for payments not processed automatically Affected Employees … in September to eligible PEF employees based on the 2018 Salary Schedule. Effective Date(s) The September 2018 …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1663-september-2018-public-employees-federation-pef-performance-advances-andState Agencies Bulletin No. 1662
… regarding the following: Contract Pay and Additional Pay for Contract Pay teachers Submitting Salary Withholding for 21P employees Reporting Time Entry … must be transferred to an appropriate position. Reporting Retroactive Changes in Pay Basis Code Retroactive Changes in …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1662-restoration-contract-pay-and-additional-pay-21p-institution-teachersUnified Court System Bulletin No. UCS-227
… not processed automatically. Affected Employees Employees in the following bargaining units, F8, G9, SA, SD, SG, SK, SN … for payment of longevity bonuses for eligible employees in the UCS. Chapter 276 of the Laws of 2008 - implemented the … the Unions representing eligible non-judicial employees in Bargaining Units DR, S9, SR and SY. Chapter 400 of the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-227-april-2016-state-new-york-unified-court-system-ucs-longevityState Agencies Bulletin No. 1651
… 2018 M/C Performance Advances and provide instructions for payments not processed automatically Affected Employees … 1, 2018 to eligible M/C employees based on the April 2017 Salary Schedule. Effective Date(s) The April 2018 M/C … when the program runs for the Institution cycle. All retroactive adjustments will be paid in the Administration …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1651-april-2018-managementconfidential-mc-performance-advancesState Agencies Bulletin No. 1648
… of OSC’s automatic processing of the April 2018 PEF Salary Increase and provide instructions for payments not processed automatically Affected Employees … are not in seasonal hourly positions are eligible for the increases but will not be processed automatically if their …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1648-april-2018-public-employees-federation-pef-2-salary-increaseState Agencies Bulletin No. 1647
… of OSC’s automatic processing of the April 2018 CSEA Salary Increase and provide instructions for payments not processed automatically Affected Employees … are not in seasonal hourly positions are eligible for the increases but will not be processed automatically if their …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/1647-april-2018-civil-service-employees-association-csea-2-salary-increaseUnified Court System Bulletin No. UCS-246
… Purpose To provide agencies with processing instructions for the Uniform Maintenance (Uniform Blazer) Lump Sum Payment … and the Civil Service Employees Association (CSEA) provide for a uniform maintenance allowance to all eligible members … Maintenance (Uniform Blazer) Payment are not included as salary for retirement purposes and are not included in the …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-246-uniform-maintenance-uniform-blazer-lump-sum-payment-and-juneUnified Court System Bulletin No. UCS-239
… April 2017 UCS Longevity Bonus and provide instructions for payments not processed automatically. Affected Employees … SK, SN, DR, S9, SR, SY who meet the eligibility criteria on 04/01/2017 may be eligible to receive the 2017 Longevity … are in salary grade 560 who meet the eligibility criteria on 04/01/2017 may be eligible to receive the 2017 Longevity …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/unified-court-system/ucs-239-april-2017-state-new-york-unified-court-system-ucs-longevityHousing Preferences for Veterans (Follow-Up)
… included in our initial audit report, Housing Preferences for Veterans (Report 2011-N-3 ). Background Our initial … State Legislature had extended the right of preference for housing to many more veterans, few actually benefited due … included in our initial audit report Housing Preferences for Veterans Report 2011N3 …
https://www.osc.ny.gov/state-agencies/audits/2015/01/29/housing-preferences-veterans-followOpinion 98-8
… to veterans where the workshop is operated by the U.S. Department of Veterans Affairs, is manufacturing products … which may be made by political subdivisions through the New York State Office of General Service's centralized …
https://www.osc.ny.gov/legal-opinions/opinion-98-8