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Medicaid Program – Improper Managed Care Payments for Misclassified Patient Discharges
… to reimburse hospitals for inpatient medical care. When a hospital bills an MCO for an inpatient stay, the hospital reports certain information on its claims, such as … but then admitted to a different hospital within the same day or the following day (which often meets the definition of …
https://www.osc.ny.gov/state-agencies/audits/2022/08/19/medicaid-program-improper-managed-care-payments-misclassified-patient-dischargesCompliance With Special Education Regulations for the Provision of Services
… Objective To determine if the New York City Department of Education (DOE) arranged for eligible students to be placed in special education services and programs … To determine if the New York City Department of Education DOE …
https://www.osc.ny.gov/state-agencies/audits/2020/09/30/compliance-special-education-regulations-provision-servicesImproper Fee-for-Service Payments for Services Covered by Managed Care (Follow-Up)
… pay providers for services rendered to their members. The State’s Medicaid program offers different types of managed … since the audit, we identified nearly $7 million in new improper payments and further actions are still needed to … initially identified as a district with one of the highest number of improper newborn FFS claims; however, our updated …
https://www.osc.ny.gov/state-agencies/audits/2021/02/11/improper-fee-service-payments-services-covered-managed-care-followSelected Aspects of Collecting Outstanding Amounts Due for Parking Violations
… Objective To determine whether the New York City Department of Finance (DOF) identifies and … 30 entities that can issue parking summonses within New York City (NYC). During fiscal years 2017 through 2019, … only enforces collections from respondents who have New York plates and live within NYC. DOF refers other cases …
https://www.osc.ny.gov/state-agencies/audits/2021/03/23/selected-aspects-collecting-outstanding-amounts-due-parking-violationsImproper Medicaid Payments for Recipients Diagnosed With Severe Malnutrition (Follow-Up)
… Objective To determine the extent of implementation of the two recommendations made in our initial audit report, Improper Medicaid Payments for … of Diseases (ICD) code on its Medicaid claim to reflect the diagnosis. Generally, as the severity of the … We have followed up on the actions taken by by officials of the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/02/improper-medicaid-payments-recipients-diagnosed-severe-malnutrition-followMedicaid Overpayments for Inpatient Care Involving Mechanical Ventilation Services (Follow-Up)
… Objective To determine the extent of implementation of the three … the Program Mechanical ventilation is the use of a device to inflate and deflate a patient’s lungs. Mechanical … To follow up on the actions taken by officials of the …
https://www.osc.ny.gov/state-agencies/audits/2020/09/15/medicaid-overpayments-inpatient-care-involving-mechanical-ventilation-services-followEmblemHealth Plan, Inc.: Overpayments for Services Requiring Coordination of Benefits
… (secondary payer). This is necessary to prevent duplicate payment of services by the primary and secondary payers. In …
https://www.osc.ny.gov/state-agencies/audits/2024/01/08/emblemhealth-plan-inc-overpayments-services-requiring-coordination-benefitsApplication Review and Site Permitting for Major Renewable Energy Projects
… and Community Protection Act (Climate Act), effective January 1, 2020, was designed to put the State on a path to … to establish a renewable energy program by the end of June 2021 to meet two requirements: by 2030, a minimum of 70% of …
https://www.osc.ny.gov/state-agencies/audits/2024/04/24/application-review-and-site-permitting-major-renewable-energy-projectsCantalician Center for Learning – Compliance With the Reimbursable Cost Manual
… including costs, that Cantalician reports to SED on its annual CFR. To be eligible for reimbursement, reported costs … education programs that it operated: Preschool Special Class – over 2.5 hours per day and Preschool Integrated Special Class – over 2.5 hours per day (collectively referred to as …
https://www.osc.ny.gov/state-agencies/audits/2023/01/26/cantalician-center-learning-compliance-reimbursable-cost-manualImproper Payments of Medicare Buy-in Premiums for Ineligible Recipients (Follow-Up)
… Objective To assess the extent of implementation of the five recommendations included in our initial audit report, … eligibility period in eMedNY. Of the initial report’s five audit recommendations, two had been implemented, two had … To assess the extent of implementation of the five recommendations included in our initial audit report …
https://www.osc.ny.gov/state-agencies/audits/2023/04/12/improper-payments-medicare-buy-premiums-ineligible-recipients-followUse of Federal Funding for Election Technology and Security (Follow-Up)
… in our initial audit report, Use of Federal Funding for Election Technology and Security (Report 2020-S-18 ). About … (BOE) is responsible for administering and enforcing election laws in the State. To fulfill these … the nation’s voting process. HAVA established minimum election administration standards and created the U.S. …
https://www.osc.ny.gov/state-agencies/audits/2023/06/22/use-federal-funding-election-technology-and-security-followQueens Centers for Progress – Compliance With the Reimbursable Cost Manual
… To determine whether the costs reported by Queens Centers for Progress (QCP) on its Consolidated Fiscal Reports (CFRs) … audit focused primarily on expenses claimed on QCP’s CFR for the fiscal year ended June 30, 2019 and certain expenses claimed on its CFRs for the 2 fiscal years ended June 30, 2018. About the Program …
https://www.osc.ny.gov/state-agencies/audits/2023/08/10/queens-centers-progress-compliance-reimbursable-cost-manualUnitedHealthcare Insurance Company of New York – Overpayments for Physician-Administered Drugs
… drug is an outpatient drug (other than a vaccine) that is usually administered by a health care …
https://www.osc.ny.gov/state-agencies/audits/2023/09/13/unitedhealthcare-insurance-company-new-york-overpayments-physician-administered-drugsMedicaid Program – Improper Medicaid Payments for Recipients in Hospice Care
… 1, 2013 through December 3, 2017. Background Hospice is a program that provides care to terminally ill …
https://www.osc.ny.gov/state-agencies/audits/2018/12/11/medicaid-program-improper-medicaid-payments-recipients-hospice-careDiNapoli Announces State Contract and Payment Actions for July 2015
… Company Inc. for the design and construction of Rexford Bridge replacement, Rte. 146 over the Mohawk River, Saratoga … establish the Buffalo High-Tech Manufacturing Innovation Hub at RiverBend Park. $10 million to Empire State … the Buffalo Medical Innovation and Commercialization Hub. $4.7 million to Empire State Development Corporation for …
https://www.osc.ny.gov/press/releases/2015/08/dinapoli-announces-state-contract-and-payment-actions-july-2015DiNapoli Announces State Contract and Payment Actions for July 2017
… Kings County. $2 million with Gilbane Building Company for construction management services, Officers Training Academy, … $6.5 million with Green Thumb Environmental Beautification Inc. for ground maintenance and beautification projects. $1.7 … million with Rommel Fence LLC to provide recreation area construction, Upstate Correctional Facility, Malone, Franklin …
https://www.osc.ny.gov/press/releases/2017/08/dinapoli-announces-state-contract-and-payment-actions-july-2017DiNapoli Announces State Contract and Payment Actions for November 2015
… million with El Sol Contracting and Construction Corp. for bridge maintenance at various NYC area locations. $27.2 … Group Joint Venture LLC for the design and construction of bridge replacements in Ulster County. $20.5 million with … at the Buffalo High-Tech Manufacturing Innovation Hub, SolarCity factory project. Payment Rejections and Other …
https://www.osc.ny.gov/press/releases/2015/12/dinapoli-announces-state-contract-and-payment-actions-november-2015DiNapoli Announces State Contract and Payment Actions for August 2016
… DiNapoli releases information about the number and types of contracts and payments by the state. This builds on his … for six water quality grants, including $500,000 to the town of Beekmantown and $500,000 to the village of Port … Observatory Network (REON) data center in Potsdam, NY. State University Construction Fund $7.9 million to LP …
https://www.osc.ny.gov/press/releases/2016/09/dinapoli-announces-state-contract-and-payment-actions-august-2016DiNapoli Announces State Contract and Payment Actions for Jan. 2016
… Mall arterial bridges in Albany and replace the Route 32 bridge between Albany and Saratoga counties. $18 million with … Information Technologies Innovation and Commercialization Hub. $2.9 million to Fuller Road Management Co. to implement … million to Tappan Zee Constructors LLC for the Tappan Zee Bridge Project. $1.6 million to HNTB New York Engineering & …
https://www.osc.ny.gov/press/releases/2016/02/dinapoli-announces-state-contract-and-payment-actions-jan-2016DiNapoli Announces State Contract and Payment Actions for January 2017
… $378 million lease with Summit Glory LLC for 28 Liberty St., New York City. $1.5 million temporary lease with … and pesticide reporting. $1 million to Orange County for dam safety. $945,000 to Providence Cascone Family Trust for … $565,000 to the Green-Wood Cemetery for Hurricane Sandy disaster relief. $500,000 to Zoological Society of Buffalo …
https://www.osc.ny.gov/press/releases/2017/02/dinapoli-announces-state-contract-and-payment-actions-january-2017