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Medicaid Program – Payments for Death-Related One-Day Inpatient Admissions
… effectively implemented and applied the new APR DRG-based hospital inpatient payment system for Medicaid services when … implemented to provide a more equitable payment method for hospital inpatient services and to better reflect the … For instance, Medicaid paid $153,329 on a claim with hospital charges totaling $9,685 for a patient who died …
https://www.osc.ny.gov/state-agencies/audits/2013/08/15/medicaid-program-payments-death-related-one-day-inpatient-admissionsDual Employment
… in two places at the same time, not allowing sufficient commute time between the end of one shift and the beginning …
https://www.osc.ny.gov/state-agencies/audits/2013/12/19/dual-employment-2Medicaid Program – Improper Payments for Ancillary Services Provided During Hospital Inpatient Admissions
… by Medicare. Enhance existing eMedNY edits or implement new edits to detect any improper claim for ancillary …
https://www.osc.ny.gov/state-agencies/audits/2014/04/03/medicaid-program-improper-payments-ancillary-services-provided-during-hospital-inpatientMedicaid Program – Mainstream Managed Care Organizations: Administrative Costs Used in Premium Rate Setting
… costs in determining mainstream managed care premium rates. Our audit covered the period January 1, 2011 … monthly managed care premium rates, which are based, in part, on allowable MCO administrative costs. For this … The Department is required by the federal Centers for Medicare & Medicaid Services to create actuarially sound …
https://www.osc.ny.gov/state-agencies/audits/2016/10/13/medicaid-program-mainstream-managed-care-organizations-administrative-costs-used-premiumInmate Sentence Calculation and Release Practices
… orders, and its own policies and procedures, regarding inmate sentences to ensure accurate and consistent calculation of sentence times in accordance with all laws and regulations. The audit … staff within the Inmate Record Coordinator office at each facility are responsible for determining the inmates’ release …
https://www.osc.ny.gov/state-agencies/audits/2017/04/07/inmate-sentence-calculation-and-release-practicesEmpire BlueCross BlueShield – Controls Over Payments for Special Items
… range of services including, but not limited to, hospital services, office visits, home care, medical … rate schedules for the payment of inpatient and outpatient hospital services. Empire’s hospital contracts also allow … Empire BlueCross BlueShield - Payments Made to Hudson Valley Hospital Center (2009-S-99) New York Health Insurance …
https://www.osc.ny.gov/state-agencies/audits/2017/06/22/empire-bluecross-blueshield-controls-over-payments-special-itemsCompliance With Navigation Law
… analysis identifying law enforcement activity, boating accidents, fatalities, and injuries by waterway for the year. … to better understand and prevent recreational boating accidents and inform the public about recreational boating …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/compliance-navigation-lawSelected Wage Investigation Procedures (Follow-Up)
… of Labor Standards (Division) seeks to vigorously enforce State Labor Laws (Laws), such as those that cover minimum …
https://www.osc.ny.gov/state-agencies/audits/2024/02/16/selected-wage-investigation-procedures-followWelcome Center and Rest Area Planning and Implementation
… plan for highway facilities for the traveling public, and whether the capital projects are properly planned and implemented. The audit covered projects on the Department’s plan between January 1, 2014 and May 19, 2017, and subsequent work completed by the … plan for highway facilities for the traveling public and whether the …
https://www.osc.ny.gov/state-agencies/audits/2019/06/20/welcome-center-and-rest-area-planning-and-implementationMedicaid Program – Medicaid Overpayments for Medicare Advantage Plan Services
… Part C, private managed care companies administer Medicare benefits and offer different health care plans (referred to … services that are not covered by original Medicare (e.g., dental services). Plans reimburse health care providers for … If Plans deny a claim or pay a different amount than what a provider billed, Plans must communicate the reasons …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-medicaid-overpayments-medicare-advantage-plan-servicesMedicaid Program – Claims Processing Activity October 1, 2018 Through March 31, 2019
… in costs were avoided due to an averted overpayment of a provider refund. By the end of the audit fieldwork, about … and was determining the program status of 1 remaining provider. Key Recommendations We made 10 recommendations to …
https://www.osc.ny.gov/state-agencies/audits/2019/09/27/medicaid-program-claims-processing-activity-october-1-2018-through-march-31-2019Procurement Practices
… whether the State University of New York – University at Buffalo’s procurement and contracting practices provide … and subsequent information provided by the University at Buffalo through April 5, 2019. About the Program The University at Buffalo (Buffalo) is one of the largest institutions within …
https://www.osc.ny.gov/state-agencies/audits/2019/10/03/procurement-practicesCompliance With Payment Card Industry Standards
… sufficient guidance to the CUNY colleges regarding Payment Card Industry (PCI) compliance and whether selected CUNY … facility management, and IT security, including credit card payment processing. All industries that accept credit … penalties, as well as lose the ability to accept credit card payments. CUNY colleges accept credit cards as a method …
https://www.osc.ny.gov/state-agencies/audits/2019/12/13/compliance-payment-card-industry-standardsSUNY Bulletin No. SU-282
… Purpose The purpose of this bulletin is to provide agency instructions for … management or confidential in the State University of New York - BU13 who meet the eligibility criteria and are … increase for 2019. This is in accordance with Chapter 24 of the Laws of 2019, which provides for a salary increase of …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-university-new-york/su-282-april-2019-state-university-new-york-suny-management-andState Agencies Bulletin No. 2103
… of the Department of Environmental Conservation and the Office of Parks, Recreation, and Historic Preservation, in … of the fiscal year to employees who have at least 1,500 hours in pay status in seasonal positions during each of the … of Environmental Conservation (Department ID 09180) or the Office of Parks, Recreation, and Historic Preservation …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2103-april-2022-csea-longevity-payment-long-term-seasonal-employeesState Agencies Bulletin No. 2110
… Purpose: The purpose of this bulletin is to provide agency instructions for processing the April … The Longevity Payment for Long-Term Seasonal Employees is included as salary for retirement purposes and must be … calculation for hourly employees, an overtime adjustment is required. To pay the overtime adjustment to eligible …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2110-april-2023-longevity-payment-long-term-seasonal-employeesState Agencies Bulletin No. 2220
… Purpose: The purpose of this bulletin is to provide agency instructions for processing the April 2024 … & Technical Services BU05 Background: Pursuant to a side letter contained in the 2021-2026 Agreements … of $500 effective the first pay period of the fiscal year to employees who have at least 1,500 hours in pay status in …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2220-april-2024-longevity-payment-long-term-seasonal-employeesState Agencies Bulletin No. 1952.1
… with information and processing instructions regarding the PEF Nurse Uniform Maintenance Allowance. Affected Employees … the 2019-2023 Agreement between the State of New York and PEF provide for a one-time lump sum $500 Nurse Uniform Maintenance Allowance. Effective Dates The PEF Nurse Uniform Maintenance Allowance for employees who …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/19521-uniform-maintenance-allowance-employees-nursing-titles-representedState Agencies Bulletin No. 2035
… of overtime, extra time, Premium Overtime (Earnings Code PRO), holiday pay, annual and overtime accrual lump sum …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2035-new-15-year-seniority-pay-eligible-members-agency-police-services-unitPublic Authority Procurement
… to comply with certain provisions of the State Finance Law and the Public Buildings Law relating to procurements. Memo Bill Text Status … to comply with certain provisions of the State Finance Law and the Public Buildings Law relating to procurements …
https://www.osc.ny.gov/legislation/public-authority-procurement