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Selected Aspects of Discretionary Spending
… its guidelines and expenses were reasonable adequately suppo …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/selected-aspects-discretionary-spending-3Selected Aspects of Discretionary Spending
… properly approved. Our audit period was April 1, 2010 to March 31, 2012. Background The Niagara Frontier … operating assistance, passenger fares, concessions, and commissions. To accomplish its mission, the Authority incurs …
https://www.osc.ny.gov/state-agencies/audits/2014/09/30/selected-aspects-discretionary-spendingMedicaid Program – Multiple Same-Day Procedures on Ambulatory Patient Groups Claims
… of Health (Department) in an effort to more accurately pay providers for services rendered. Accordingly, APG claims are … questionable APG claim payments totaling $10,195,755 for dental clinic claims that were processed without sufficient … Department of Health: Medicaid Payments for Excessive Dental Services (2009-S-46) …
https://www.osc.ny.gov/state-agencies/audits/2014/08/12/medicaid-program-multiple-same-day-procedures-ambulatory-patient-groups-claimsCompliance With Payment Card Industry Standards
… cardholder data it processes. Key Recommendations Develop strategies to enhance compliance with PCI DSS. Implement the …
https://www.osc.ny.gov/state-agencies/audits/2017/02/06/compliance-payment-card-industry-standardsAssessment of Costs to Administer the Workers’ Compensation Program for the Fiscal Year Ended March 31, 2014
… assessing these costs on participating insurance carriers, self-insurers, and self-insured political subdivisions of the State. Key … allocation errors that had no net impact on the total assessment of about $212 million. These errors occurred …
https://www.osc.ny.gov/state-agencies/audits/2016/10/26/assessment-costs-administer-workers-compensation-program-fiscal-year-ended-march-31-2014Accounts Payable Advisory No. 70
… closes its check printing facilities, OSC will issue an advisory notifying agencies when emergency check printing … email [email protected] with questions regarding this advisory. …
https://www.osc.ny.gov/state-agencies/advisories/accounts-payable-advisory/70-producing-checks-emergency-eventNYS Common Retirement Fund Contacts
… Titarchuk is the Chief Investment Officer for the New York State Common Retirement Fund. Under the direction of … Navyug (Nav) Patel is the Deputy CIO of the New York State Common Retirement Fund (CRF). He joined CRF in … investment professionals looking to do business with the New York State Common Retirement Fund …
https://www.osc.ny.gov/common-retirement-fund/resources/nys-common-retirement-fund-contactsUnitedHealthcare – Out-of-Network Providers Upcoding Selected Evaluation and Management Services (Follow-Up)
… of the Empire Plan. Evaluation and Management (E/M) billing codes are divided into broad categories, such as … consultations. Within each category, there are different billing levels (e.g., level 1, 5-minute visit and level 5, … the level billed, the greater United’s reimbursement. Billing for a higher level of care than the service actually …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/unitedhealthcare-out-network-providers-upcoding-selected-evaluation-and-management-servicesOversight of Nurse Hiring and Retention (Follow-Up)
… 2017-N-2 ). About the Program The New York City Health and Hospitals Corporation (Health and Hospitals) is a public benefit corporation created by the New York City Health and Hospitals Corporation Act of 1969 to oversee the provision …
https://www.osc.ny.gov/state-agencies/audits/2020/01/03/oversight-nurse-hiring-and-retention-followMedicaid Overpayments for Medicare Part B Services Billed Directly to eMedNY (Follow-Up)
… individuals. Our initial audit report, issued on December 11, 2018, examined whether Medicaid made improper … billing Medicaid for Part B deductibles and coinsurance on direct-bill claims; and enhance controls to prevent … overpayments for Part B deductibles and coinsurance on direct bill claims. Key Finding Department officials made …
https://www.osc.ny.gov/state-agencies/audits/2020/07/01/medicaid-overpayments-medicare-part-b-services-billed-directly-emedny-followInappropriate Payments Related to Procedure Modifiers (Follow-Up)
To determine the extent of implementation of the two recommendations made in our initial audit report Inappropriate Payments Related to Procedure Modifiers
https://www.osc.ny.gov/state-agencies/audits/2019/07/31/inappropriate-payments-related-procedure-modifiers-followMedicaid Program – Improper Medicaid Payments for Recipients in Hospice Care
… waive their right to use Medicaid for curative services, and a hospice organization assumes responsibility for all … can be provided in the home or in an inpatient setting and includes nursing and physician services, medical social services, drugs for symptom control and pain relief, counseling, and physical and occupational …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-improper-medicaid-payments-recipients-hospice-careCVS Health – Accuracy of Drug Rebate Revenue Remitted to the Department of Civil Service
… remitted commercial rebate revenue related to Empire Plan drug utilization in accordance with its contract with the … with four types of health insurance coverage: prescription drug, medical/surgical, hospital, and mental health and … CVS Health to administer the Empire Plan’s prescription drug program for the period January 1, 2014 through December …
https://www.osc.ny.gov/state-agencies/audits/2019/01/28/cvs-health-accuracy-drug-rebate-revenue-remitted-department-civil-serviceSelected Safety and Security Equipment at Subway Stations (Follow-Up)
… (CCTV), a TV system in which strategically placed cameras’ input is observed on monitors off site. As of May 16, 2019, Transit had … it is still under warranty. Our initial report, issued on April 12, 2018, determined that preventive maintenance was …
https://www.osc.ny.gov/state-agencies/audits/2019/09/18/selected-safety-and-security-equipment-subway-stations-followMedicaid Payments to Medicare Advantage Plan Providers (Follow-Up)
… audit report, Medicaid Payments to Medicare Advantage Plan Providers (Report 2016-S-54 ). About the Program Many of … audit report Medicaid Payments to Medicare Advantage Plan Providers …
https://www.osc.ny.gov/state-agencies/audits/2019/10/15/medicaid-payments-medicare-advantage-plan-providers-followCVS Health – Temporary Holding Account Rebate Revenue
… if CVS Health remitted to the State Department of Civil Service all commercial drug rebate revenue attributable … Program (NYSHIP), administered by the Department of Civil Service (Civil Service), provides health insurance coverage to over … if CVS Health remitted to the State Department of Civil Service all commercial drug rebate revenue attributable …
https://www.osc.ny.gov/state-agencies/audits/2019/10/17/cvs-health-temporary-holding-account-rebate-revenueCUNY Bulletin No. CU-664
… Purpose This bulletin is to provide agency instructions for reporting the rate increases and adjustments for miscellaneous earnings. Affected Employees CUNY employees … 37, AFSCME, AFL-CIO, Local 924, New York City Laborers, for a retroactive increase for employees in the title of City …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-664-cuny-salary-rate-increases-city-laborerCUNY Bulletin No. CU-650
… Purpose To provide agency instructions for processing the CUNY Rate Increase for Carpenters and Supervisor Carpenters Affected Employees CUNY … To provide agency instructions for processing the CUNY Rate Increase for Carpenters and Supervisor Carpenters …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/city-university-new-york/cu-650-cuny-salary-rate-increases-carpenters-and-supervisorState Agencies Bulletin No. 2156
… report changes to maintenance deductions by inserting a new effective dated row on the General Deductions page. The …
https://www.osc.ny.gov/state-agencies/payroll-bulletins/state-agencies/2156-change-maintenance-rates-employee-housing-and-mealsDiNapoli: Ralph Lauren Should Ensure Human and Worker Rights are Upheld in its Operations
… maker to detail how it handles potential and actual human rights risks in its operations and supply chain. “The … and should explain what steps it is taking to ensure human rights are upheld there and throughout its supply chain. … hold their suppliers accountable for upholding human and workers rights in order to protect themselves and their …
https://www.osc.ny.gov/press/releases/2014/08/dinapoli-ralph-lauren-should-ensure-human-and-worker-rights-are-upheld-its-operations