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Managed Care Premium Payments for Recipients With Comprehensive Third-Party Insurance (Follow-Up)
… made in our initial audit report, Managed Care Premium Payments for Recipients With Comprehensive … fee-for-service, after the comprehensive TPHI paid for a medical service, Medicaid could be responsible for paying a …
https://www.osc.ny.gov/state-agencies/audits/2020/01/17/managed-care-premium-payments-recipients-comprehensive-third-party-insurance-followXIII.11 Submitting Travel and Expense Reimbursement Requests for Inactive Employees – XIII. Employee Expense Reimbursement
… on submitting Travel and Expense reimbursement requests for inactive employees for expenses that were incurred during the employee’s State … Search By function to identify the employee using the Last Name or Employee ID. Once the EDA locates the correct …
https://www.osc.ny.gov/state-agencies/gfo/chapter-xiii/xiii11-submitting-travel-and-expense-reimbursement-requests-inactive-employeesDiNapoli: Local Sales Tax Collections Drop for Second Quarter of 2020
… York City’s second quarter decline of 34.9 percent was the result of deepening declines in April (-23 percent), May (-32 …
https://www.osc.ny.gov/press/releases/2020/07/dinapoli-local-sales-tax-collections-drop-second-quarter-2020Medicaid 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-followGASB Statement No. 33 "Accounting and Financial Reporting for Nonexchange Transactions"
… nonexchange transactions. A nonexchange transaction is one in which a government receives (or gives) value without directly giving (or receiving) equal value in exchange. There is no clear link between services provided … accrual basis of accounting. Modified accrual will be used in preparing your annual financial report to the State …
https://www.osc.ny.gov/local-government/publications/gasb-statement-no-33-accounting-and-financial-reporting-nonexchange-transactionsTroy City School District – Payments for Unused Leave Accruals (2020M-167)
… errors for District retirees. These errors were reported in submissions to the New York State Local Retirement System. … the scope of this audit, they are being reviewed and are in the process of being adjusted. … Determine if District …
https://www.osc.ny.gov/local-government/audits/school-district/2021/06/04/troy-city-school-district-payments-unused-leave-accruals-2020m-167DiNapoli: Former Bemus Point Clerk Arrested for Theft of Over $60,000
… taxpayer money by calling the toll-free Fraud Hotline at 1-888-672-4555, by filing a complaint online at [email protected] or by mailing a complaint to: …
https://www.osc.ny.gov/press/releases/2021/02/dinapoli-former-bemus-point-clerk-arrested-theft-over-60000DiNapoli: Former Potter Town Clerk Arrested for Theft of Nearly $24,000
… community by allegedly diverting nearly $24,000 in town funds to subsidize her personal lifestyle,” said State … is now being held accountable for her abuse of taxpayer funds.” “Yates County Sheriff’s Criminal Investigation …
https://www.osc.ny.gov/press/releases/2020/11/dinapoli-former-potter-town-clerk-arrested-theft-nearly-24000United HealthCare – Overpayments for Services Provided by Long Island Laparoscopic Surgery
… Purpose To determine whether Long Island Laparoscopic Surgery, PLLC waived Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-laparoscopic-surgeryExcessive Medicaid Payments for Services to Recipients Receiving Medicare Benefits (Follow-Up)
… this amount occurred because the Department did not ensure New York’s regulatory structure has kept pace with other … apply the 20 percent limitation on coinsurance charges in all cases where it was applicable; providers did not properly … the problems we identified in the initial report. All three prior audit recommendations have been partially …
https://www.osc.ny.gov/state-agencies/audits/2013/04/26/excessive-medicaid-payments-services-recipients-receiving-medicare-benefits-followMonitoring of Medicaid Payments for Nursing Home Bed Reserve Days (Follow-Up)
… the Department implement controls within eMedNY to prevent payment of claims for bed reserve days in excess of …
https://www.osc.ny.gov/state-agencies/audits/2013/01/10/monitoring-medicaid-payments-nursing-home-bed-reserve-days-followUnited HealthCare – Overpayments for Services Provided by Long Island Spine Specialists
… Purpose To determine whether Long Island Spine Specialists, P.C. waived Empire Plan …
https://www.osc.ny.gov/state-agencies/audits/2016/05/05/united-healthcare-overpayments-services-provided-long-island-spine-specialistsWhitestone School for Child Development – Compliance With the Reimbursable Cost Manual
… the Consolidated Fiscal Reports (CFRs) of the Whitestone School for Child Development (Whitestone) were calculated properly, documented adequately, and allowable pursuant to the State Education Department’s …
https://www.osc.ny.gov/state-agencies/audits/2015/04/07/whitestone-school-child-development-compliance-reimbursable-cost-manualMedicaid Program – Managed Care Organizations’ Readiness for the Encounter Intake System
… Purpose To determine the readiness of all Medicaid managed care organizations (MCOs) to submit … Encounter Intake System. We conducted an early assessment of the readiness of Medicaid MCOs as of September 30, 2015. We did not review …
https://www.osc.ny.gov/state-agencies/audits/2016/03/29/medicaid-program-managed-care-organizations-readiness-encounter-intake-systemWestchester School for Special Children – Compliance With the Reimbursable Cost Manual
… DoE and the other school districts for a portion of its payments to WSSC. For the four years ended June 30, 2011, …
https://www.osc.ny.gov/state-agencies/audits/2013/07/02/westchester-school-special-children-compliance-reimbursable-cost-manualMedicaid Overpayments for Inpatient Transfer Claims Among Merged or Consolidated Facilities
… Purpose To determine whether the Department of Health established … for the second hospital’s claim. However, according to the Department’s regulations, separate payments are not … Medicaid made $1.6 million in actual overpayments and up to $5.3 million in potential overpayments because separate …
https://www.osc.ny.gov/state-agencies/audits/2015/12/08/medicaid-overpayments-inpatient-transfer-claims-among-merged-or-consolidated-facilitiesAdministration of the Contract With the Center for Urban Community Services
… services. The New York State Office of Mental Health funds about 75 percent of this contract. CUCS receives …
https://www.osc.ny.gov/state-agencies/audits/2016/02/16/administration-contract-center-urban-community-servicesLegislative and Executive Retirement Plan For Tier 1 and 2 Members (Section 80-a)
… Option Election form (unless notified otherwise, as in the case of disability retirement) before the first day of the …
https://www.osc.ny.gov/retirement/publications/legislative-and-executive-retirement-plan-tier-1-and-2-members-section-80Children’s Center for Early Learning – Compliance With the Reimbursable Cost Manual
… reported on the Consolidated Fiscal Reports (CFRs) of the Children’s Center for Early Learning (Center) were … New York City-based children between three and five years of age. Pursuant to New York State Education Law, special … help ensure that only allowable costs are included on any of their CFRs prepared after our scope period. Direct Center …
https://www.osc.ny.gov/state-agencies/audits/2014/12/29/childrens-center-early-learning-compliance-reimbursable-cost-manualMedicaid Program – Improper Payments for Drugs Without a Federal Drug Rebate Agreement
… Program The Department of Health (Department) administers New York’s Medicaid program. The Medicaid Drug Rebate Program …
https://www.osc.ny.gov/state-agencies/audits/2024/02/23/medicaid-program-improper-payments-drugs-without-federal-drug-rebate-agreement